Chapter 24: Clinical measurement
- Ensure Vincent is resting and then count Vincent’s respiration rate for a full minute whilst looking as though you are counting his pulse rate.
- You would expect Vincent’s respiratory rate to be slightly elevated between 20-30bpm, as he is having to increase his respirations to ensure adequate gaseous exchange. His SpO2 may also be slightly lower than his normal 97-99%, as his respiratory tract will be inflamed with a build up of mucus preventing oxygen exchange to occur at alveolar level. He may require supplemental oxygen to maintain his oxygen levels.
- Barbara’s NEWS is 4
- The respiratory rate, heart rate, blood pressure and temperature are all concerning
- The systolic blood pressure is not normal for Barbara, she usually has a higher level (as she takes medication to treat this)
- In this situation, it would be best to use a manual sphygmomanometer
- Barbara’s abnormal heart rate could be caused due to a change to her heart rhythm and her drop in Blood Pressure.
- Barbara’s abnormal vital signs must be reported to the registered nurse you are working with and written in her record, so further action can be taken
- Barbara’s abnormal vital signs could be caused by an infection
