pulse and respiration

  1. other than rate, what other characteristics of pulse and respiration are noted by nurses?
  2. 2 Comments

  3. by   JennieBSN
    For resps: breath sounds--clarity, depth, ease of breathing, sounds heard in the lungs and/or by the person breathing (wheezing, etc.). You also may want to document (I do) color of mucous membranes (they should be pink), O2 sat.

    For hr: what rhythm? Sinus, sinus tach, vtach, bijim, etc., etc., but only if the pt. is on an ekg monitor. If listening with a stethoscope, is the rhythm regular or irregular, are there any accessory sounds/beats? Is the pulse bounding or thready?

    What the nurse documents really depends on what types of monitors the pt. is hooked up to (if any), the pt's condition, the unit the pt. is on, and if there is any distress exhibited/anticipated/suspected.

    Hope this has been useful.
  4. by   janleb
    Pulse, besides the rate. rhythm is it regular or irregular, the quality is it absent, thready, weak, normal or bounding +0-+3. Bounding would be your pulse after you ran 2 flights of stairs. Make sure all palpate all peripheral pulses. Tachycardia is >100bpm. Bradycardia is <60bpm. Respirations on inspiration do both sides of the chest rise. 12-20 is considered normal but what is normal for some pt may be more or less. dyspnea, diminished, labored, unlabored, cl. tachypnea, bradypnea. Then you have breath sounds cl, rhonchi, wheezes, crackles. If pt is on oxygen make sure it is in place. I hope this helps. Take care