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2.  TPR is a procedure to check temperature pulse
and respiration of a patient. It is also known as
checking vital signs when we include checking
of blood pressure in the procedure.

3.  TPR tray should contain-
1.One jar with 3-4 thermometers which
contains 1:40 antiseptic solution
2.Another jar which contains 1:40
antiseptic solution

4. 3.Third jar with clean water to rinse the
thermometers
4.Cotton swabs in a container.
5.Kidney tray
6.Paper bag
7.Pen and TPR chart.

5. If we are using digital thermometer than take a
digital thermometer with few probe covers. Than
you can skip articles no. 1 to 5. now a days digital
thermometer is recommended as mercury is a
big environmental hazard

7.  Explain the procedure to patient or relative of the
patient.
 Ensure that client have not eaten anything cold or
hot food or fluid 15 minute prior to the procedure.
 The patient should be in comfortable position
preferably in lie down position.

8.  Wash hands before starting the procedure.
 Take out a thermometer from antiseptic solution
jar and rinse in water.
 Clean the bulb of thermometer from bulb to stem
with cotton swab.
 Discard the swab in kidney tray

9.  Read the mercury level by holding thermometer
against light. It should be below 95 degree F.
 If it is above 95 degree F than shake the
thermometer and read the level of mercury again.

10.  Ask the patient to open the mouth and place bulb of
thermometer under the tongue.
 Ask the patient to hold the thermometer using lips
not the teeth for 2 minutes.
 For taking temperature by axilla place thermometer
(for 5 minutes) in axilla after cleaning the axilla by a
clean cloth.

11.  Now count radial pulse for full one minute if pulse is
irregular or for half minute and multiply by 2 if pulse
is regular.
 Now start counting respiration by watching rise and
fall of the chest while still holding the hand without
knowing the patient that you are counting the
respiration.

12.  count respirations for full one minute if breathing is
irregular or for half minute and multiply by 2 if
breathing is regular.
 After 2 minutes remove the thermometer from oral
cavity or after 5 minutes from axilla.
 Clean the thermometer from stem to bulb

13.  Check temperature by holding the thermometer at eye level.
 Place the thermometer in another jar with antiseptic solution.
 Wash hands and record the temperature, pulse and respiration
in patient’s TPR chart.
 If you are using a digital thermometer than you can change
some steps as -

14.  Switch on the thermometer and wait till it show Lo in
the screen.
 Put probe cover on the probe and place in axilla or
oral cavity.
 Wait till beep sound.
 Remove thermometer, discard probe cover in paper
bag and read the temperature.

15.  Wash hands and record the temperature, pulse
and respiration in patient’s TPR chart.
 Explain result of procedure to the patient.
 place all the instruments to their proper place
after cleaning and disinfecting.

16. By – SURESH KUMAR ( Nursing Tutor )