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Mastering Vital Sign Monitoring: Temperature, Pulse, Respiration, and Blood Pressure

  • Body Temperature Measurement: Select an appropriate measurement method according to the patient’s condition, such as axillary, oral, or rectal measurement. For axillary measurement, keep the thermometer in close contact with the skin for 5 – 10 minutes. For oral measurement, place the thermometer under the tongue for 3 – 5 minutes. For rectal measurement, insert the thermometer 3 – 4 cm into the rectum and take it out for reading after about 3 minutes. Check the integrity and accuracy of the thermometer before and after measurement.

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  • Pulse Measurement: Usually, use the fingertips of the index finger, middle finger, and ring finger to press on the radial artery at the patient’s wrist, and count the number of pulses in 1 minute. At the same time, pay attention to the rhythm, strength, and other conditions of the pulse.

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  • Respiration Measurement: Observe the rise and fall of the patient’s chest or abdomen. One rise and fall counts as one breath. Count for 1 minute. Pay attention to the frequency, depth, rhythm of breathing, and the presence of any abnormal breath sounds.

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  • Blood Pressure Measurement: Correctly select a suitable cuff. Generally, the width of the cuff should cover two – thirds of the length of the upper arm. Have the patient sit or lie down so that the upper arm is at the same level as the heart. Wrap the cuff smoothly around the upper arm, with the lower edge of the cuff 2 – 3 cm away from the elbow crease. The tightness should be such that one finger can be inserted. When using a sphygmomanometer for measurement, inflate and deflate slowly, and read the systolic and diastolic blood pressure values.

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Post time: Feb-07-2025