Q. Vital signs?
A.
Wikipedia: vital signs l blood pressure l ayosdito l Resp rate l pulse rate l bsqa l
Recent studies suggest that the average temperature for healthy adults is 98.2 °F or 36.8 °C (same result in three different studies). Variations (one standard deviation) from three other studies are:
* 36.4 - 37.1 °C
* 36.3 - 37.1 °C for males, 36.5 - 37.3 °C for females
* 36.6 - 37.3 °C[10]
___________________
Category systolic, mmHg diastolic, mmHg
Hypotension
< 90
or < 60
Normal
90 – 119
and 60 – 79
Prehypertension
120 – 139
or 80 – 89
Stage 1 Hypertension
140 – 159
or 90 – 99
Stage 2 Hypertension
≥ 160
or ≥ 100
Age Normal heart rate
(beats per minute)[14] Normal respiratory rate
(breaths per minute)[15]
Newborn 100-160 [16] 30-50
0-5 months 90-190 25-40
6-12 months 80-140 20-30
1-3 years 80-130 20-30
3-5 years 80-120 20-30
6-10 years 70-110 15-30
11-14 years 60-105 12-20
14+ years 60-100 12-20
_________________________
Human temperature variation effects
Hot
* 37°C (98.6°F) - Normal body temperature (which varies between about 36.12-37.5°C (96.8-99.5°F)
* 38°C (100.4°F) - Sweating, feeling very uncomfortable, slightly hungry.
* 39°C (102.2°F) - Severe sweating, flushed and very red. Fast heart rate and breathlessness. There may be exhaustion accompanying this. Children and people with epilepsy may be very likely to get convulsions at this point.
* 40°C (104°F) - Fainting, dehydration, weakness, vomiting, headache and dizziness may occur as well as profuse sweating.
* 41°C (105.8°F) - (Medical emergency) - Fainting, vomiting, severe headache, dizziness, confusion, hallucinations, delirium and drowsiness can occur. There may also be palpitations and breathlessness.
* 42°C (107.6°F) - Subject may turn pale or remain flushed and red. They may become comatose, be in severe delirium, vomiting, and convulsions can occur. Blood pressure may be high or low and heart rate will be very fast.
* 43°C (109.4°F) - Normally death, or there may be serious brain damage, continuous convulsions and shock. Cardio-respiratory collapse will likely occur.
* 44°C (111.2°F) or more - Almost certainly death will occur; however, patients have been known to survive up to 46.5°C (115.7°F).[20]
Cold
* 37°C (98.6°F) - Normal body temperature (which varies between about 36-37.5°C (96.8-99.5°F)
* 36°C (96.8°F) - Mild to moderate shivering (it drops this low during sleep). May be a normal body temperature.
* 35°C (95.0°F) - (Hypothermia) is less than 35°C (95.0°F) - Intense shivering, numbness and bluish/grayness of the skin. There is the possibility of heart irritability.
* 34°C (93.2°F) - Severe shivering, loss of movement of fingers, blueness and confusion. Some behavioural changes may take place.
* 33°C (91.4°F) - Moderate to severe confusion, sleepiness, depressed reflexes, progressive loss of shivering, slow heart beat, shallow breathing. Shivering may stop. Subject may be unresponsive to certain stimuli.
* 32°C (89.6°F) - (Medical emergency) Hallucinations, delirium, complete confusion, extreme sleepiness that is progressively becoming comatose. Shivering is absent (subject may even think they are hot). Reflex may be absent or very slight.
* 31°C (87.8°F) - Comatose, very rarely conscious. No or slight reflexes. Very shallow breathing and slow heart rate. Possibility of serious heart rhythm problems.
* 28°C (82.4°F) - Severe heart rhythm disturbances are likely and breathing may stop at any time. Patient may appear to be dead.
* 24-26°C (75.2-78.8°F) or less - Death usually occurs due to irregular heart beat or respiratory arrest; however, some patients have been known to survive with body temperatures as low as 14.2°C (57.5°F).
Average respiratory rates, by age:
* Newborns: Average 44 breaths per minute
* Infants: 20–40 breaths per minute
* Preschool children: 20–30 breaths per minute
* Older children: 16–25 breaths per minute
* Adults: 12–20 breaths per minute
* Adults during strenuous exercise 35–45 breaths per minute
* Athletes' peak 60–70 breaths per minute
Pricing
catheters P144.00
cut doc P174.00
Dressing P30.00
ECG P180.00
INjections
Insulin P50.40
Oramy Granny? P7.20
Iv insertion
Buterfly needles P 24.00
IV canula P 94.20
SO
Nebulization P24.00
NGT insertion P60.00
Oxygen Insertion P384.00
O2 Cannula
Adult P60.00
Pedia P 156.00
Paracentesis P 35.20
RBS 108.00
Suctioning
scatheter 30.00
FR
fr10 P30.00
fr12 -P 30 .00 fr14 - P36.00
fr16 - P48.00 fr18 - P48.00
suturing 170.40
thoracentesis 42.00
thoracostomy 420.00
Prices of Oxygen per tank hour per tank per hour
1 L/M P4.11
2 L/M P8.22
3 L/M P12.33
4 L/M P12.33
4 L/M P16.44
5 L/M P20.55
6 L/M P24.66
7 L/M P28.77
8 L/M P32.88
9 L/M P36.99
10 L/M P41.10
Private ward
P1000 upon admission
P300 /day with phil health
P400/day w philhealth
Prof fee P 250.00
room P400.00
ICU P1680.00
Billilight P48.00
Intubation syringe
5-8 P 230.00
2.5 - 4.5 P 180.00
CT Scan
Cranial 4000
upper abdomen P4500
lower abdomen P4500
Chest P4500
sinusses P5000
Sella? P5000
vertebra P5000
bones P5000
Hypoallergenic P2050.00
Norml P500.00
abg P550
abo /rh typing P60
albumin P180
alk phosphate P180
amylase P180
aPTT P300
ASO Liter P250
Bilirubin 180
BUA P110
BUN P110
C/s cis? P600
calcium P180
CBC P90
chloride P180 cholesterol P110
cpr mb P180 creatinine P110 CT IBT P60 ESR P40 Fecalysis P50
Glucose P110 Gram staining P90 HBsag P150
HCT IHGB P25 HDL cholesterol P180
HIV P180 Malaria P50
Periuperal smear P120
Platelet count P90
Potsium P180 Pregnancy test P80-
Protein P300 RPR P50 SGOT/SGPT P180
Sodium P180 Total protein P180 triglycerites P180 Urinalysais P50 Xmaturr matress? P180
Wednesday, May 20, 2009
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