Universidad Americana de Comercio e Informática

8/18/2019 Universidad Americana de Comercio e Informática

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UNIVERSIDAD AMERICANA DE COMERCIINFORMÁTICA

LICENCIATURA EN ENFERMERÍA

ASIGNATURA: FUNDAMENTOS DE ENFERM

SEGUNDO CUATRIMESTRE

SIGNOS VITALES

ELABORO: L.E. ED


2/26

SIGNOS VITALE

(SV)Lo SV o! "# $%#!&'$#$'! *'o",'$#- $oo "# /+$%+!$'# '&(FC)- "# /+$%+!$'# +3'#&o'# &+3+#&%# $o3o#" (TC)- "# 3+'!o TA) "# o5'+&# (O6M)- 7%+ '!*''!*'8'*%o +&9 8'8o "# $#/%!$'o!#'+!&o o,9!'$o.


3/26

TEMERATURA CORORAL

• L &+3+#&%# $o3o#" (TC) +

*+!+ $oo +" ,#*o *+ $#"o$o!+8#*o 3o +" +7%'"''o +!&++" $#"o ,+!+#*o (&+o,;!+') +" $#"o 3+*'*o (&+"'') 3o+" o,#!'o.

• T+o,;!+': L# &+o,;!+' +%! $o!$+3&o ;*'$o 7%+ =#$++/++!$'# # "# =#'"'*#* 7%+ &'+!++" $%+3o 3## 3o*%$' $#"o-!&o 3o "# $#"o#$o!%'*# #"#$+!#*#.


4/26


5/26

TEMERATURA CORORAL

• L# TC + 3%+*+ $o!&o"# +!8#'# ?o!#:• B%$#"

• A5'"#

• @&'$#

• I!,%'!#"

• R+$"


6/26

TEMERATURA CORORAL

• T+3+#&%# $+!&#": R+3++! "#&+3+#&%# +*'#- +! 9+#

$o3o#"+ 3o/%!*# $+!&#"+($++o- $o#?!- 3%"o!+-,#!o #*o'!#"+- +!&o o&o).. C• R+$"A%*'&'8#O#"S%"'!,%#".

•

T+3+#&%# 3+'/;'$# o %3+$'#":"# $o!&'&%+ "# 3'+"- +" &+>'*o#*'3oo "# 3o$'o!+ %3+$'#"+*+ "# ## %$%"#+- $%#/%!$'! + "# *+ #!&+!+ %!#&+3+#&%# $+!&#" $o!!&+.• A5'"#I!,%'!#".


7/26

TEMERATURA CORORAL

• M#&+'#" +7%'3o:•

B#!*+># 3+7%+H#.• o &++&o.

• T++&o $"!'$o.

• M+$%'o- *','".

• To%!*# #"$o=o"#*#.

• To%!*# *+ #",o*! +$#.

• R+"o>.• "%# *+ 4 $o"o+.

• Bo"# 3## *++$=o.

• o"# *+ +,'&o (o># *+E!/++#)


8/26

TEMERATURA CORORAL

• o$+*''+!&o:• L#8#+ "# #!o.

• +3## #&+'#" +7%'3o.• E53"'$#"+ #" 3#$'+!&+ *+" 3o$+*''+!&o.

• V+'$# "# ?o!# *o!*+ + 8# # &o# "#&+3+#&%#.

• R+$&'$# 7%+ "# $o"%!# *+ +$%'o +&+3o *+#>o *+ $.

• Co"o$# +" &++&o *'+$+!&+ $o! "#3'+" o %$o# +,! +# +" $#o.

• D+># +3+# +!&+ '!.• R+&'# +" &++&o +#"'?# "# "+$&%#.

• #$+ "# #!o$'! +! "# =o># *+ +!/++#.

• L'3'# +" &++&o $o! "# &o%!*##"$o=o"#*# ('+3+ *+*+ +" +5&+o *'"*+" %"o) +$# $o! %!# &o%!*# +$#.

• R+&'# +" #&+'#" +7%'3o.


9/26

TEMERATURA CORORAL

• Contraindicaciones• B%$#": E8' &o# "# &+3+#&%# %$#" +!

3#$'+!&+ $o! &o- ='3o- *+"''o- #>o "o

+/+$&o *+ "# #!+&+'#- *'!+#- "+'o!+%$#"+- +&$.K +! 3#$'+!&+ 7%+ =##! '!,+'*o+'*# $#"'+!&+ o /# *%#!&+ "o *'+?'!%&o #!&+'o+ +! "o 3o3+!o #$o!8%"'o!+.

• A5'"# + '!,%'!#": E8' &o#"# $%#!*o+5'&+! "+'o!+ +! "# +,'!.

• R+$": E8' &o#"# +! 3#$'+!&+ $o!

"+'o!+ +! +" +$&o o $%#*o *'#+'$o. S+&o# +! 3#$'+!&+ '!$o!$'+!&+- +$';!!#$'*o "#$!&+.

• Consideraciones especiales• No *+># o"o #" 3#$'+!&+ '+!&# &+!,#

$o"o$#*o +" &++&o.

• C#'# "# o"%$'! *+'!/+$!&+ *+ "o3o&++&o.


10/26

ULSO CARDIACO

• E "# o!*# 3%"9&'" *+ "##!,+- o','!#*# +! "#$o!&#$$'! *+" 8+!&$%"o'?7%'+*o *+" $o#?! 7%++%" +! "# +53#!'! $o!&#$$'! +,%"# *+"

$#"'+ *+ "# #&+'#K+3++! +" +!*''+!&o *+""#&'*o $#*'#$o "##*#3$'! *+ "# #&+'#.


11/26

ULSO CARDIACO

• 1. F+$%+!$'#: E +" !+o *+ o!*#3+$''*# +! %! '!%&o.

• 2. R'&o: E" '&o !o#" + +,%"#. L#'+,%"#'*#* +&9 #o$'#*# $o!&#&o!o *+" '&o $oo +! "#'"#$'! #%'$%"#. E" 3%"o +,%"# $o!3#%# ("#&'*o o'&'*o) o "o "#&'*o#*'$'o!#"+ ++>#! $o!&#$$'o!+8+!&'$%"#+ o #%'$%"#+ 3+#&%#.

• . Vo"%+! o #3"'&%*: E "# /%+?# *+"# #!,+ +! $#*# "#&'*o o+*+$+ # "#3+'! *'/++!$'#" o 3+'! *+ 3%"o.S+ =#"# *+ #3"'&%* !o#" $%#!*o +"3%"o + /9$'"+!&+ 3#"3#"+-*+#3#+$+ *+ #!+# '!&+'&+!&+ &o*o "o 3%"o o! ';&'$o- $o!+"+8#$'o!+ 3"+!#- /%+&+ 93'*#.


12/26

ULSO CARDIACO

%!&o *++53"o#$'! 3o

3#"3#$'! *+ "o3%"o 3+'/;'$o:

• 1: $#&'*#.• 2: =%+#".•

: #*'#".• 4: $%'".• : /+o#".• : 3o3"&+#.• : &''#"

3o&+'o.•


13/26

ULSO CARDIACO

• M#&+'#" +7%'3o:• R+"o> $o! +,%!*+o.

• o># *+ +,'&o.

• "%# *+ 4 $o"o+.


14/26

ULSO CARDIACO

• o$+*''+!&o:• L#8#+ "# #!o.

• +3## #&+'#" +7%'3o.• E53"'$#"+ #" 3#$'+!&+ *+"

3o$+*''+!&o.

• V+'$# "# ?o!# *o!*+ + 8# # &o#+" 3%"o.

• Co"o$# 3%"3+>o *+" *+*o !*'$+ +*'o =#$+ "',+# 3+'! +! "#

?o!#.• U!# 8+? "o$#"'?#*# "# 3%"#$'o!+

=#$+ +" $o!&+o *+ "# '#*%#!&+ 0 +,%!*o (1 '!).

• #$+ "# #!o$'! +! "# =o># *++!/++#.

• R+&'# +" #&+'#" +7%'3o.


15/26

ULSO CARDIACO

• Consideraciones especiales• E8' &o# +" 3%"o $%#!*o +" 3#$'+!&+

+&; +! #$&'8'*#*.• E #"+ $%#!*o +" 3#$'+!&+ +,'&+

%!# /+$%+!$'# *+ 3%"o +!o *+ 0 %3+'o *+ 100 3%"#$'o!+ 3o '!%&o.Co!'*+# ' "# 3%"#$'o!+ o!*+#'#*o *;'"+- /%+&+ o '+,%"#+.

• E! $#o *+ 7%+ +# *'/$'" &o# "#3%"#$'o!+ #" 3#$'+!&+- =#$+ "# &o#

*%#!&+ %! '!%&o. S' #! !o + 3o'"+3+$'' "# 3%"#$'o!+- =#$+ "# &o#*+ /+$%+!$'# $#*'#$# #3'$#" (+&o +$o! +" +&+&o$o3'o +! +" 9+# $#*'#$#).

• E! $#o *+ *%*# +3+&' +"3o$+*''+!&o.


16/26

FRECUENCIA RESIRATORIA

• E" $'$"o +3'#&o'o $o3+!*+%!# /#+ *+ '!3'#$'! o&#

*+ +3'#$'!. L# /+$%+!$'#+3'#&o'# (FR) + +" !+o*+ 8+$+ 7%+ %!# 3+o!#+3'# 3o '!%&o. S%+"++*'+ $%#!*o "# 3+o!#+&9 +! +3oo ( '! &+!+

$o!$'+!$'# *+ + =#$';!*o"o) $o!'&+ +! $o! +" !+o*+ +3'#$'o!+ *%#!&+ %!'!%&o 8'%#"'?#!*o "# 8+$+7%+ + +"+8# +" &#5.

C C S O


17/26


• CARACTERÍSTICAS DE LARESPIRACIÓN:• Frecuencia: + *+!o'!#

/+$%+!$'# #" !+o *++3'#$'o!+ $o3"+ 7%+ +3+$'+! 3o '!%&o *+ #!+#'!$o!$'+!&+ '! +/%+?o.

• Aplitud respiratoria: +&9 *#*#3o "# !o#" *'&+!'! *+ "# $#>#

&o9$'$# *+ "# 3#+* #*o'!#"$o+3o!*'+!&+ # $#*# &'3o+3'#&o'o.

• Rito! R+"#$'! !o#" +!&+'!3'#$'! +3'#$'!- '+3+ "#'!3'#$'! + +!o 7%+ "#+3'#$'!.



18/26


• M#&+'#" +7%'3o• R+"o> $o! +,%!*+o.

• "%# *+ $%#&o $o"o+.

• o># +!/++#..



19/26


• Procediiento• L#8#+ "# #!o.

• +3## &#"#*+ +" +7%'3o # "# %!'*#**+" 3#$'+!&+.

• E53"'$# +" 3o$+*''+!&o #" 3#$'+!&+.

• O+8# " # +"+8#$'! *+$+!o *+"#*o+! *+" 3#$'+!&+ *%#!&+ 0+,%!*o- %"&'3"'$# 3o *o o+8#:

• o/%!*'*#* +/%+?o 3## +3'#-#3"'&%* '&o *+ "# +3'#$'o!+.

•So!'*o +! $#o *+ 3++!$'#.

• Co"o#$'! *+" 3#$'+!&+.

• U! '!%&o $o3"+&o + 9 #3o3'#*o3## 3#&o!+ +3'#&o'o #!o#"+.

• R+,'&# "# /+$%+!$'# +3'#&o'#o&+!'*# +! "# =o># $o+3o!*'+!&+ *+"+53+*'+!&+ $"!'$o.

• R+&'# #&+'#" +7%'3o.



20/26


• Consideraciones especiales• To# +! $%+! 7%+ + *'/$'"

3## %! 3#$'+!&+ +3'#!#&%#"+!&+- ' #+ 7%+ + "++&9! $o!!*o "# +3'#$'o!+.

• Co! %! '!%&o $o3"+&o "#+3'#$'o!+. E! $#o *+ *%*#+3+&' +" 3o$+*''+!&o.

• E #"+ $%#!*o +" 3#$'+!&++,'&+ %!# $'/# +!o *+ 14+3'#$'o!+ o %3+'o # 2- +!3#$'+!&+ #*%"&o. A''o- '3++! $##$&++ #!o#"+.

TENSI@N ARTERIAL


21/26

TENSI@N ARTERIAL

• S+ +!&'+!*+ 3o presiónsanguínea #" +3%>+ 7%++>+$+ "# #!,+ o+ "#3#+*+ #&+'#"+. Co! +"!o+ *+ presión arterial +'!*'$# "# +'&+!$'# 7%+

o3o!+! +# 3#+*+ # "#3+'! *+ "# #!,+- "o 7%++53+# "# +"#&'$'*#*8#$%"#.

TENSI@N ARTERIAL


22/26

TENSI@N ARTERIAL

• Sistólica: C%#!*o +" $o#?!'3%"# "# #!,+ *+!&o *+"# #&+'# (S&o"+).

• Diastólica: Mo+!&o +! 7%++" $o#?! *+$#!#. +'o*o*+ +"#>#$'! (D'9&o"+).

TENSI@N ARTERIAL


23/26

TENSI@N ARTERIAL

• "aterial # e$uipo• E,o#!+&o o

#%#!+&o.

• E&+&o$o3'o '#%'$%"#.

• B#?#"+&+ #3o3'#*o # "#$o3"+5'! *+" 3#$'+!&+: A*%"&o

3o+*'o 12 # 14 $ *+ #!$=o-o+o *+ 1 # 22 $.

• "%# *+ $%#&o $o"o+.

• o># *+ +!/++#.

TENSI@N ARTERIAL


24/26

TENSI@N ARTERIAL

• Procediiento• L#8#+ "# #!o.

• T#"#*# +" +7%'3o # "# %!'*#* *+" 3#$'+!&+.

• E53"'$# +" 3o$+*''+!&o #" 3#$'+!&+.

• Co"o$# #" 3#$'+!&+ +! 3o'$'! +*+!&+ o

*+$'&o *o#" *+$%'"+ +" #?o +"#!&+#?o.

• Co"o$# +" #?#"+&+ #"+*+*o *+" #?o 2. $#'# *+" +3#$'o #!&+$%'" (#'# *+" $o*o)-8+'$#!*o 7%+ +" #?#"+&+ +&; &o"+!&+'! #'+ (*+'!#*o). E" '!*'$#*o *+ "# 3+'!*++ #$# $+o.

• Lo$#"'?# +" 3%"o #7%'#" (#&+'# #7%'#")$o! "# +# *+ "o *+*o !*'$+ +*'o

('&%#*o +! "# 3#&+ '!&+!# *+" +3#$'o#!&+$%'").

• Co"o$#+ "# o"'8# *+" +&+&o$o3'o +! "oo*o $o"o$# "# $93%"# *+" +&+&o$o3'oo+ "# #&+'# #7%'#" *+" #?o *+" 3#$'+!&++"+,'*o 3## "# &o#.

• C+# "# 89"8%"# *+ "# 3+'""# '!%#*o# *+"+o#!+&o- %&'"'?#!*o +" &o!'""o.

TENSI@N ARTERIAL


25/26

TENSI@N ARTERIAL

• Procediiento• I!%# +" #?#"+&+ =# 7%+ +" '!*'$#*o *+

3+'! ($o"%!# *+ +$%'o o #!+&o)#7%+ 200 ,.

• D+'!# ,#*%#"+!&+ +" #?#"+&+- #'+!*o

"+!+!&+ "# 89"8%"# *+ "# 3+'""# *+"+,!o#!+&o *+># #"' +" #'+- # %!#8+"o$'*#* #3o5'#*# 2 # ,.

• E$%$=# +" 3'+ "#&'*o 7%+ $o+3o!*+ # "#3+'! '&"'$# o 95'# (/#+ I *+ oo&oP).

• Co!&'!%# *''!%+!*o "# 3+'! *+" #?#"+&+=# 7%+ + *+>+ *+ +$%$=# +" "#&'*o *+" 3%"o- +""&'o "#&'*o o $#'o %$o *+ "# '!&+!'*#*$o+3o!*+ # "# 3+'! *'#&"'$# o !'# (/#+ V*+ oo&oP).

•

D+'!# 3o $o3"+&o +" #?#"+&+ +"+&+&o$o3'o *+" '&+# *+ &o# *+ 3+'!.

• L'3'# "# o"'8# $93%"# *+" +&+&o$o3'o $o!%!# &o%!*# =%+*+$'*# +! o"%$'! *+'!/+$!&+.G%#*# +" +7%'3o +! % +&%$=+ $o+3o!*'+!&+.

• R+,'&# "# /+$%+!$'# *+ 3+'! #&+'#" o&+!'*#-+! "# =o># *+ +!/++#- #!o!*o "# 3+'!'&"'$#- *'#&"'$#.

• +&'# +" #&+'#" +7%'3o.

TENSI@N ARTERIAL


26/26

TENSI@N ARTERIAL

• Consideraciones especiales• Co"o$# +" #?o *+" 3#$'+!&+ +!

%! 3"#!o +'&+!&+.

• E8' 7%+ +" +&+&o$o3'o +&;o+ +" #?#"+&+.

• V+'$# +" /%!$'o!#'+!&o#*+$%#*o *+" +7%'3o.

• E! $#o *+ *%*# +3+&' +"3o$+*''+!&o.

• E! $#o *+ "+'o!+- 3o =+'*#o 7%+#*%# +! '+o&o9$'$o- + *++ +#"'?# "#+*'$'! # !'8+" *+ %"o"o$#"'?#!*o +" 3%"o 3o3'&"'o o #!'8+" *+ &o'""o- "o$#"'?#!*o +"3%"o 3+*'o.

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