Nursing Care of a patient from psychological, social, physiological pain/

following the doctor's orders.

Vital Signs
 Case Management
1. Diagnosis
2. Treatment
3. Follow up
4. Full treatment

New Unit/New Born 2 months

Pediatrics children
Adults < 45
Geriatrics => 45
Respiratory Rate
Inhaling/Exhaling = 1 Breath

New Units 30 - 40 per min

Adults 18 - 20 per min
Geriatrics 14 - 16 per min

Abnormal Hyperventilation = 2
patterns of
breathing
Hypoventilation = 2
 Heart Rate
Sound
(wave) move
(wave) Both

Shown/ Seen in the arteries

New Units 130 - 140 per min

Adults 72 - 80 per min
Geriatrics 60 - 70 per min
.
Cardio Verapamils Electrocuted Relaxation
Heart Rate given Heart
Biopsy ( Electric of Heart
= 200 - 220 shock) Stops
Massage (4ml=8mg) Muscles

.
To Move Add To Increase To Increase
CPR
The Blood Adrenaline the Flow Heart Rate
CPR = Cardio Pulmonary Resuscitation
 Reminders

CHILDREN ADULTS
Device that
Sphygmomanometer
measures
Blood Systolic
Pressure Diastolic

110 130 Good pulse =

Pressure = ADULTS =
70
= 10 -

+ 10 =
90
= NORMAL Blood
Fluid pressure
movement 70 90 If not =
in the body CHILDREN =
50
= 10 -

+ 10 =
70
= NORMAL unrecordable
 Temperature

37

Maintained by the brain If unbalanced : Thermometers

= The Hypothalamus
<37 = Chill =Electronic
(under the thalamus)
>37 = Fever =Glass
Temperature Measurements
Mouth (under the tongue)
: Electronic thermometer = alarm
: Glass thermometer = 3 4 min
Armpit (first place to lose heat)
: Fever + 0.5
Rectum
: Fever 0.5

0.5
= Standard
 How does
Types Degrees
it come

Normal Extremely:
Fever
Constant,
continuous = 37.5 38 37 40

Off/On (during
the day of Extreme Gradually:
sickness + Temp = 39 40 37,38,38.5.
returns 37 )

Continuous (during
the days of sickness Above Fever ,
+ Temp doesnt feeling cold =>40
return 37 )
>37
Relieving Factors
Well Hydration Bed Rest

Cold
compresses/Icepacks
Taking a bath
(armpits, not the
head)

Medications
ICU, HDU,
CCU & ER
Vital Signs Monitor
ECG: Electricity of the
heart

BP : Blood Pressure

HR : Heart Rate

RR : Respiratory Rate

2
2

T: Temperature
Bedsores
Patients?
Bedridden patients
Comatose patients
Geriatrics (Mostly dangerous for)

Symptoms/Levels
o Swellings
o Infected Injuries
o Bone Infection
 Room / bed

Showering
 Medical Drugs
Medication
= Substance that gives immunity/treatment/diagnosis

1) Family Name (does what)

ex: Panadol = decreases the fever
2) Chemical/Scientific Name
: doesnt change across countries
3) Commercial Name
: changes across countries
4) Formal Name
: legal name, registered in the ministry of health
and sciences
 Ways of Giving Medications
Local
Mouth Injections
medications

Swallowed Creams Intramuscular

Sublingual
(Under the Drops Intravenous
tongue)

Crushed Suppository Subcutaneous

Injections

Parts of a Syringe

Needle
 Intramuscular Injection
IM-im
EX: 4-IM

Muscles

Rectus
Deltoid
Buttocks Fumoirs
(Arm)
(Thighs)

Dose: Dose: For

0.5 ml, 2 ml, Infants
1 ml, 2.5 ml, (largest
1.5 ml until 5 muscle-
ml vaccinati
on)
 When pulled = air
When pulled
BUTTOCKS
Outside air= not good =
BLOOD VESSELS
Dysfunctions (seizures)
& NERVES
Air = From the person INJECTION
= normal SITE

Deltoid *Arm

FATS
 Intravenous Injection
IV-iv
Intake of fluids /
medications

Blood circulation through veins

Central
Veins
IV- Cannula
Plastic Complications
3 Days ; 72 hrs.
At any time Vein rupture (under the
After 3 days, reinsert skin)
If not changed = If air enters = air stroke
infections (attacked Allergies
by the body =
outside source)
 IV-Cannula
Specifications
Subcutaneous Injection
SC-sc

FOR?

Hormones Allergy
Tests
(insulin)

Hand, Leg, Foot, thighs,

Abdomen (belly button)
 INJ.

1. Easiest

?
2. Response
3. Living Environment
4. Patients will
Injections
Reminders
 Diabetes

A door to diseases
Affects all body parts
Chronic disease (long duration)

Blood sugar level

80 120 = normal

More = Diabetic
Causes
Family History
Not necessary the
parents, Large intake of
grandparents are Inheritance w/o salty and
possible.
sugar sour foods
Percentage
increases : higher
occurrences Weight
Damage to the
increase (at Removing it or
pancreas
birth) infections

Door to diseases
Maximum = 3 kg Obesity and health
Normal = 2/2.5 kg problems
Minimum = 1.5 kg
 HYPOGLYCEMIA HYPERGLYCEMIA
(Decreased Sugar Level) (Increased Sugar Level)
Very dangerous (more than Increases heart rate
hyperglycemia) because it affects the
brain
confusion unawareness abnormal Increases respiratory rate
actions not responding

Extreme sweating Acetone breath ( sugar level >500 )

Cold finger tips Affects the Heart

Losing consciousness Losing consciousness

v
ALWAYS GIVE SUGAR
 Investigations/Diagnosis

Random Blood
Sugar /Glucose
(RBS/RBG)

Fasting Blood
Sugar/Glucose Hemoglobin Sugar Urine General
(FBS/FBG) (HA1C) (UG)
Reminders
 THE
END
Yassir AlBadry Razan Khalafalla