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Clinical judgment should always be applied as a patient can deteriorate whilst presenting a score of zero. A score of zero does not indicate a stable set of vital signs. Research suggests this patient score can predict worsening condition in care home residents, and that the score could be used in care home settings as well as in hospitals. [14 ...
Unique ID of original document: adobe:docid:indd:b33e9efe-968f-11df-b088-eb3b6c216206: Date and time of digitizing: 06:15, 6 March 2012: File change date and time
Vital signs (also known as vitals) are a group of the four to six most crucial medical signs that indicate the status of the body's vital (life-sustaining) functions. These measurements are taken to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery.
The first changes in vital signs seen in hypovolemic shock include an increase in diastolic blood pressure with narrowed pulse pressure. [4] As volume status continues to decrease, systolic blood pressure drops. As a result, oxygen delivery to vital organs is unable to meet the oxygen needs of the cells.
Orthostatic vital signs are also taken after surgery. [7] A patient is considered to have orthostatic hypotension when the systolic blood pressure falls by more than 20 mm Hg, the diastolic blood pressure falls by more than 10 mm Hg, or the pulse rises by more than 20 beats per minute within 3 minutes of standing [5] [7]
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When reviewing vital signs in each of the age groups, be alert for significant changes and compare with normal values for each of the signs. For best results, when taking vital signs of infants, respirations are counted first before the infant is disturbed, the pulse next, temperature, and then blood pressure last. [16] Table containing the ...