use finger ads (not thumb because thumb has its own pulse)

Regular normal pulse: 60-100bpm

done unconsciously

 20/min normal

-oral- place under tongue, close mouth for 1 min.

-tympanic membrane

-Rectal

-Normal temperature average at 98.6F. normal range: 96.4-99.1

-patient should not smoke or drink coffee 30 min before taking BP because these stimulants increase BP.

-Cuff is too small: cause incorrectly high BP.

-Cuff is too big: cause incorrecly low BP

-arm too high: lower systemic BP

-arm too low: higher systemic BP.

-Patient's arm is tense: increase BP

first sound heard--> systole

last sound heard before disappearant--> diastole

Body Mass Index

BMI calculation

weight in kg/ (height in meter^2)

or

Weight (in lb) x 700/ (height in inches^2)

-measure anatomic wraist- just above illiac crest

-excess body fat if >_ 35 inches in female or  >_ 40 inches in male

-general appearance

-distress (acute? pediactric toxic vs. non toxic)

-Dress, Grooming, Hygiene-> psychomatic/social status)

- Posture/gait

1. visual pain scale

2. numberical pain scale