Web & Social Media Analytics Previous Year Question Paper.pdf
Respirations_VitalSigns_COCCC.ppt
1. Presentation title
SUB TITLE HERE
Vital Signs in the Ambulatory Setting:
An Evidence-Based Approach
Cecelia L. Crawford, RN, MSN
How to
Measure
Respirations
2. Respiration Measurement - An Overview
• Equipment for accurate respiratory measurement
Watch or clock with second hand or digital second
counter
Stethoscope
Pen or pencil
Flowsheet, chart, or medical record
Clean hands and fingers!
• Patient in a comfortable & relaxed position
• Waited 5 minutes if patient was active
• Enough time to count the respiratory rate
3. Terminal Digit Preference
• Some people may show a preference for
certain numbers in respiratory rate readings*
Zeros, even numbers, odd numbers
• Be aware you might “like” certain numbers
more than others!
(*Roubsanthisuk, W., Wongsurin, U., Saravich, S., & Buranakitjaroen, P., 2007)
Respirations – It’s All About The Numbers!
4. Respiratory Rate Procedure
1. Wash hands & put on gloves, if
appropriate
2. Provide privacy
3. Assist patient to a comfortable & relaxed
position
5. Respiratory Rate Procedure
4. Position patient for
clear view of chest
movement
5. Place patient’s arm or
your own hand in a
relaxed position
across stomach or
lower chest
6. Observe a complete
respiratory cycle
An inhale and an
exhale
http://www.lane.k12.or.us/CSD/CAM/level1/ASSESS
6. Respiratory Rate Procedure
7. Count for 60 sec
Full minute count for:
Children
Irregular respirations
Very fast or very slow respirations
8. Count for 30 sec and multiply X2
Shorter time counts = inaccurate data
7. Normal Respiratory Rates
AGE BREATHS/MIN
Newborn to 6 weeks 30 - 60
Infant (6 weeks to 6 months) 25 - 40
Toddler ( 1 to 3 years) 20 - 30
Young Children ( 3 to 6 years) 20 - 25
Older Children (10 to 14 years) 15 - 20
Adults 12 - 20
(Mosby’s Critical Care Nursing Reference, 2002; Perry & Potter, 2006)
8. Respiratory Rate
9. Pediatric patients
If panting, use
stethoscope to count
Agitation can result in
inaccurate RR
10. Respiratory Rate Procedure
10. Inform the RN or MD for:
Difficult to count
respirations
Very fast or very slow
breathing
Irregular breathing
If patient seems to be
having trouble breathing
12. Respiratory Rate Procedure
13. Document the Results
Flowsheet, clinic record,
or clinic chart
14. Communicate the Results
RN
MD
13. Respiratory Measurement in the Clinic
• YOU can make the
difference:
Welcoming presence
Decrease any
anxieties & fears
Reassure patients &
family
Accurate vital signs