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General Physical Examination | Vital Signs

Discussion in 'PMDC Step 3 Preparation' started by Shazy, Oct 17, 2014.

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  1. Shazy

    Shazy ĎŐŃ'Ť ĹŐŚĔ ĤŐРĔ Administrator Global Moderator Forum Moderator

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    Vital Signs - Physical Examination - For Step - 3 PMDC - NEB


    Temperature

    • Types:
      • Axillary: worst
      • Oral
      • Aural
      • Rectal: best
    • Timing:
      • Continued
      • Intermittent
      • Remittent
      • Relapsing
    • Nomenlature:.
      • Hyperpyrexia: >41.6°C
      • Hypothermia: <35°C
    Pulse
    • Shake hands: Dr's L to pt's L.
    • During handshake grip Dr's R hand takes pulse.
    • Measure for 15 seconds, then multiple by 4 to get rate/min.
    • Assess rhythm, character, delays.
    Respiratory rate
    • Don't announce measuring it, since under pt's control.
    • Adult normal: 14-20/min.
    Blood pressure
    • Pt's anticubital fossa level with heart, arm slightly bent.
    • Proper-sized cuff over brachial a. 2cm above anticubital fold.
    • Inflate cuff until pulse disappears to tell systolic
      • If HTN, then need to palpate radial as inflate.
    • Stethoscope over brachial a., inflate cuff 30mmHg more.
    • Release pressure, when hear pulse, tells diastolic

    --------------------------------------------------------------------
    Hope it helps!
     
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