NSG 2317 Lecture Notes - Lecture 2: Glasgow Coma Scale, Scoliosis, Kyphosis
8 Jan 2020
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Mental status: appearance: general appearance, behaviour: mood and affect, speech, cognition: consciousness, orientation, memory, attention and orientation, comprehension and abstract reasoning, alert and oriented x 3, thinking: perception, content, insight, judgement. Measurements: height & weight, measure weight and height then compare it to norms (bmi, health canada guideline for body with classification in adults, bmi and waist circumference serve as indicators of health risk. Vital signs: temperature, heart rate, respiration rate/pattern, blood pressure, pulse oximetry, pain, loc. Vital signs temperature: temperature regulation, controlled by hypothalamus, normal internal set-point = 37. 2 degrees, pyrogens stimulate increase in temperature. Vital signs blood pressure influencing items: anatomy and physiology, age, sex, ethnicity, weight, situational, time, emotion exertion, temperature, consumables, medications, food. Increase pressure to 30mmhg > radial pulse pressure: 5. If sbp is down >20mmhg or dbp down > 10mmhg = report: *is normal in 10% of adults <65 years old and 11-30% >65 years old.
