biomeasurement measurement of- i)body temperature ii)blood pressure iii)heart rate

Biomeasurement

Measurement of-

i)Body Temperatureii)Blood Pressureiii)Heart Rate

Biomeasurements are used to evaluate health problemsProvide information about patient’s overall conditionTaken at each visit and compared to baselineUse Standard Precautions

Body Temperature is the most important vital sign to evaluate health problems or patient’s overall condition

Classification of Body Temperature:

Condition Temp. in Deg. Celsius Temp. in Deg. Fahrenheit

Hypothermia <35.0 <95.0

Normal 36.5-37.5 97.7-99.5

Fever >37.5 or 38.3 >99.5 or 100.9

Hyperthermia >38.3 or 40.0 >100.9 or 104.0

Hyperpyrexia >40.0 or 41.5 >104.0 or 106.7

Routes Normal Range ºF / ºC Sites

Oral 98.6 ºF / 37.0 ºC Mouth

Tympanic 99.6 ºF / 37.6 ºC Ear

Rectal 99.6 ºF / 37.6 ºC Rectum/Anus

Axillary 97.6 ºF / 36.6 ºC Axilla (under arm)

Temporal 99.2 ºF / 37.3 ºC Forehead skin

Measurement ofMeasurement ofBody Temperature Body Temperature (Contd…)(Contd…)

Methods of measurement:

Oral Temperature: Wait at least 15 minutes after

eating, drinking, or smoking Place under tongue in either

pocket just off-center in lower jaw. Oral not appropriate for children

under 5 years old


Measurement using electronic thermometer is more accurate, fast, easy to read, comfortable for the patient as well as Measure to nearest tenth of a degree

Tympanic Temperature: Proper technique essential Adult – pull ear up and back Child – pull ear down and back Fast, easy to use, and preferred in

pediatric offices


Measurement using electronic thermometer is more accurate, fast, easy to read, comfortable for the patient as well as Measure to nearest tenth of a degree

Rectal Temperature: Standard precaution – gloves Patient is positioned on side (left

side preferred) or stomach Lubricate tip of thermometer Slowly and gently insert tip into

anus ½ inch for infants 1 inch for adults

Hold thermometer in place while temperature is taken


Axillary Temperature: Place patient in seated or lying position Place tip of thermometer in middle of axilla with shaft

facing forward Probe must touch skin on all sides


Temporal Temperature: Temporal scanner Noninvasive, quick Stroke scanner across forehead,

crossing over the temporal artery


Measurement of Blood PressureMeasurement of Blood Pressure

Blood pressure (BP), sometimes referred to as arterial blood pressure, is the pressure exerted by circulating blood upon the walls of blood vessels, and is one of the principal vital signs.

A person’s blood pressure is usually expressed in terms of the systolic pressure over diastolic pressure and is measured in millimeters of mercury (mm Hg).

Normal resting blood pressure for an adult is approximately 120/80 mm Hg.

Diastolic Pressure

Heart at rest Bottom or second number

Systolic Pressure

Contraction of left ventricle Top or first number

120/80

Measurement of Blood Pressure Measurement of Blood Pressure (Contd…)(Contd…)

Hypotension High blood pressure readings-Hypertension Major contributor to heart attacks and strokes

Low blood pressure-Hypotension Normal for some people Severely low blood pressure readings

occur with:◦ Shock◦ Heart failure◦ Severe burns◦ Excessive bleeding

Hypertension


Measuring Equipments- ◦Sphygmomanometer : A sphygmomanometer, blood

pressure meter, or blood pressure gage (also referred to

as a sphygmometer) is a device used to measure blood

pressure, composed of an inflatable cuff to restrict

blood flow, and a mercury or mechanical manometer to

measure the pressure.


Types:

Aneroid

Electronic

Mercury

Aneroid sphygmomanometers:

◦Circular gauge for registering pressure

◦Each line 2 mmHg

◦Very accurate

◦Must be checked, serviced, and calibrated every 3 to 6 months


◦Provides a digital readout of the blood pressure

◦No stethoscope is needed

◦Easy to use

◦Maintain equipment according to manufacturer’s instructions


Electronic sphygmomanometers:

◦A column of mercury rises with an increased pressure as the cuff is inflated

◦No longer available for purchase

◦ If in use, must be checked, serviced, and calibrated every 6 to 12 months


Mercury sphygmomanometers:

Stethoscope: The stethoscope is an acoustic

medical device for auscultation, or listening to the internal sounds of an animal or human body.

It is often used to listen to lung and heart sounds.

It is also used to listen to intestines and blood flow in arteries and veins.

In combination with a sphygmomanometer, it is commonly used for measurements of blood pressure

Earpieces

Binaurals

Rubber or plastic tubing

BellChestpieceDiaphragm


BP Measuring Procedure:

◦Place cuff on the upper arm above the brachial pulse site

◦ Inflate cuff about 30 mmHg above palpatory result or approximately 180 mmHg to 200 mmHg

◦Release the air in cuff and listen for the first heartbeat (systolic pressure) and the last heartbeat (diastolic pressure)

◦Record results with systolic as the top number and diastolic as the bottom number (i.e., 120/76)


Measurement of Heart RateMeasurement of Heart RateHeart rate, or heart pulse, is the speed of the heartbeat measured by the number of heartbeats per unit of time, typically beats per minute (bpm).

The heart rate can vary according to the body's physical needs, including the need to absorb oxygen and excrete carbon dioxide.

Activities that can provoke change include physical exercise, sleep, anxiety, stress, illness, ingesting, and drugs.

The normal resting adult human heart rate ranges from 60–100 bpm.

Measurement of Heart Rate Measurement of Heart Rate (Contd…)(Contd…)

Bradycardia is a slow heart rate, defined as below 60 bpm.

Tachycardia is a fast heart rate, defined as above 100 bpm at rest.

When the heart is not beating in a regular pattern, this is referred to as an arrhythmia.

These abnormalities of heart rate sometimes indicate disease.


Heart rate is measured by finding the pulse of the heart. This pulse rate can be found at any point on the body where the artery's pulsation is transmitted to the surface by pressuring it with the index and middle fingers. (A good area is on the neck, under the corner of the jaw.)The radial artery is the easiest to use to check the heart rate.However, in emergency situations the most reliable arteries to measure heart rate are carotid arteries.

Measurement:Manual Measurement-


Possible points for measuring the heart rate are:

1. The ventral aspect of the wrist on the side of the thumb (radial artery).2. The ulnar artery.3. The neck (carotid artery).4. The inside of the elbow, or under the biceps muscle (brachial artery).5. The groin (femoral artery).6. Behind the medial malleolus on the feet (posterior tibial artery).7. Middle of dorsum of the foot (dorsalis pedis).



Possible points for measuring the heart rate are:

8. Behind the knee (popliteal artery).9. Over the abdomen (abdominal aorta).10. The chest (apex of the heart), which can be felt with one's hand or fingers. It is also possible to auscultate the heart using a stethoscope.11. The temple (superficial temporal artery).12. The lateral edge of the mandible (facial artery).13. The side of the head near the ear (posterior auricular artery).


Locate pulse by pressing lightly with index and middle finger pads at the pulse site

Count the number of beats felt in 1 minute

If regular – may count beats for 30 seconds and multiply by 2



Regular Pulse Rhythm

Count for 30 seconds, then multiply by 2 (a rate of 35 beats in 30 seconds equals a pulse rate of 70 beats/minute)

Irregular Pulse Rhythm

Count for one full minuteMay use stethoscope to listen for apical pulse and count for a full minute



Using Electronic devices: ◦ Blood Pressure Machines

◦Seismocardiography◦ Pulse Oximetry

Infrared light measures pulse and oxygen levels

Using ECG


Measurement:Electronic Measurement-

Using ECG: A more precise method of determining

heart rate involves the use of an electrocardiograph, or ECG.

On the ECG, instantaneous heart rate is calculated using the R wave-to-R wave (RR) interval and multiplying/dividing in order to derive heart rate in heartbeats/min.


Measurement:Electronic Measurement-

Multiple methods exist:1. HR = 300/number of "large" squares between successive R waves.

2. HR = 1,500/(RR interval in millimeters)3. HR = 60/(RR interval in seconds)

biomeasurement measurement of- i)body temperature ii)blood pressure iii)heart rate

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