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11.1:

Introduction to Vital Signs

JoVE Core
Nursing
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JoVE Core Nursing
Introduction to Vital Signs

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Vital signs include measuring body temperature, pulse, blood pressure, oxygen saturation, and respiration, abbreviated as T, P, BP, SpO2, and R. In some hospitals, pain, and level of consciousness are also considered vital signs. The measurements of vital signs provide the baseline data to determine a person's health status. Variations in readings indicate a change in physiological function, which helps nurses to identify healthcare needs and plan interventions accordingly. Illness, stress, environmental temperature, and age are some factors that can alter vital signs. Nurses must know the acceptable ranges of vital signs for different age groups. The vital signs are measured in the following situations: During a  physical examination During admission to a healthcare setting Before and after surgery, a procedure, or diagnostic test Before and after administering medications that affect cardiovascular and respiratory functions Before and after an activity such as ambulation When there is a change in the patient's condition or loss of consciousness Individual hospital policies and patient care plans may indicate the frequency of vital sign measurement.

11.1:

Introduction to Vital Signs

Vital signs are physiological measurements that help key into the status of the body's essential functions. These include body temperature, pulse rate, respiratory rate, and blood pressure, commonly abbreviated as T, P, R, and BP. Some healthcare settings also consider oxygen saturation (SpO2) and, in specific contexts, pain and level of consciousness as additional vital signs.

Vital signs help healthcare professionals assess an individual's well-being and detect any functional changes or trends in the body's major systems, such as the cardiovascular and respiratory systems.

Here is a brief overview of how each vital sign is measured:

  • • Pulse Rate: This is measured by counting the heartbeats per minute, commonly taken at the radial artery on the wrist.
  • • Respiratory Rate: This is determined by observing the number of breaths per minute, noted by the rise and fall of the chest. One complete cycle counts as one breath.
  • • Blood Pressure: BP is assessed using a sphygmomanometer, commonly known as a blood pressure cuff, which records the force of blood against the arterial walls during contraction (systolic) and rest (diastolic).
  • • Body Temperature: Body temperature is assessed using oral or rectal thermometers to measure internal heat.

Deviations from the normal range can signal underlying health issues or emergencies. As a result, regular monitoring is essential to establish trends and monitor patient progress. Vital signs are typically measured during physical examinations, upon admission to healthcare facilities, before and after surgeries or procedures, and when there is a significant change in a patient's condition.

Understanding vital sign measurements and their acceptable ranges, particularly how they might vary by age, environment, and health status, is critical. The information empowers the nurse to plan, collaborate with healthcare team members, and implement appropriate interventions to ensure patient safety.