Vitals

Everyone should know that there are ways you can check for someone’s vitals. There are ways you can see if a person is conscious so you could have an idea of what to do next. An objective for checking someones vitals is to establish treatment for that subject usually upon admission to a hospital or even for treatment.

People get frantic when they don’t realize that vital signs can be observed, monitored, or measured. Not everything requires computers as well as machines because when the two did not exist, how do you think doctors got about? Starting with …

The Pulse

When I placed my hand on the student’s wrist positioning my fingers under his thumb, I was checking for his Radial Pulse. Our Objective in doing so is to hold the artery in place between our fingers and the bone underneath it.

In my opinion and it’s obviousness, this is less invasive as well as typical for the case I was in. Now, if there is an absence of rhythm where our fingers are placed, generally it means that the subjects systolic blood pressure had fallen below 80 which could result to or be a result of aortic abnormalities, vascular compromise, atherosclerosis and compartment syndrome. If the student I was tending to had an injury in his arm, or any other patient of someone trying to check vitals, an accurate reading can still be detected through the radial pulse procedure.

Above are the other pulse points emergency respondents are aware of other than radial pulse.

Pulse counting is when we’d hold the pulse for about a minute then we’d calculate how many beats we’ve gotten in that minute. The normal pulse for healthy adults ranges from 60 to 100 beats per minute. the strength or weakness of the pulse indicates overall heart-health

Next Vital…

Temperature

This is to check for any kind of fever or hypothermia. In my case, I was checking to see if my subject was dead or alive. However with this, a thermometer should be at hand. Body temperature can vary depending on the gender (females when during their menstrual cycle), recent activity, food and fluid consumption, and time of the day.

However, normal temperature can range from 97.8° F to  to 99° F.

Respiratory Rate

Normal Respiration would be 15-20 breaths per minutes. Respiration rates over 25 breaths per minute or under 12 breaths per minute (when at rest) may be considered abnormal  You pay very close attention to the amount of times the person’s chest rises. Respiration rates may increase with fever, illness, and with other medical conditions. When checking respiration, it is important to also note whether a person has any difficulty breathing.

Next Vital…

Blood Pressure

This is measured with a blood pressure cuff with my favorite, a stethoscope. As previous posts indicated, In doing so we are checking for systolic as well as diastolic pressure. With a monitor, a cuff is placed level with the heart and wrapped firmly but not tightly around the arm one inch above the elbow over the Brachial artery. The subject should be relaxed. When I check my parents Blood pressure, I make sure they sit down at the table and are well rested for about Three minutes, then I proceed to take their pressure.

High blood pressure in adults (Hypertension) is 140 mm Hg or greater systolic pressure and/or 90 mm Hg or greater diastolic pressure.

Pre-hypertension is 120 mm Hg – 139 mm Hg systolic pressure and/or 80 mm Hg – 89 mm Hg diastolic pressure

Normal Blood Pressure is Less than 120 mm Hg systolic pressure and less than 80 mm Hg diastolic pressure

Like I said with or without the equipment, some part of the vitals can be measured, observed, or monitored by an individual, not necessarily a Physician.

Signed

Creative Gloves

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Tenth Session of Mentoring In Medicine

Today was the end of our two week session of Mentoring in Medicine. I have to say I took away a lot than I had expected. At the begining of the program, I was shocked to find out that middle school students through college students were tuning in for the class. From there I understood why the faculty was not afraid to touch on such complex topics. The amazing lesson I took away from the program was basically the drive for all the members providing for the students. Which was basically to become a health ambassador. Starting off mediocre with the making of my own blog dedicated solely to medicine. I hope that with this I can get recognized quickly and achieve my goal of providing for the public. With that being said I thank Mentoring In Medicine’s virtual camp for providing me with an amazing two weeks of knowledge and feel for what I want to become in the future.

Signed:
Creative Gloves

Ninth Session of Mentoring in Medicine

Many of times, I as a student, would receive words from motivational speakers. Most of their stories would help me put my head forward when it comes to doing something pertaining to my future. Today, one of the speakers, a doctor, Dr. Mary Badillo, had an amazing story she shared with everyone in Mentoring in Medicine. One thing that stood out in her Journey to becoming a doctor was the fact that she had many obstacles which in the end, she pushed aside. Having a disabled mother, and an emotionally unavailable father would be considered a lot to carry on your back especially when you have your foot set towards success. The beauty of it, and yes there is a beautiful side; it motivates you to be able to want something that would make it possible to treat them in a better environment or just live differently. Another inspiring thing she said with absolutely no shame which spoke to me in so much ways it’s unbelievable, “I grew tired of turning on the lights in the bathroom and seeing roaches scrambling, I told myself that this has to change, I need to do something to live better than this in the future.”
Growing up I understood that I can have better living conditions if I become succesful. Everyone has something to motivate them and that was my parents. I wanted to be able to give them better housing, provide them with luxuries, things we never had. I wanted to make them proud of me as well. It seems as though everyone in my family supports me thoroughly. I get words of wisdom that I replay in my head to this day. I find myself valuing the many things that I am told because I know in the long run it will all help me. Hang around the right people to better yourself. Make decisions you know would make people proud because there is always that voice in your head that lets you know something is not right. Never let anyone’s negativity bring you down. If you know what you are capable of, go for it. I know with these lessons learned, I will become the doctor I want to be in the future.

                                                                                                                             signed:

                                                                                                                        Creative Gloves

Eighth Session of Mentoring in Medicine

When it comes to certain conditions in the human body, symptoms can be similar and it would be hard to diagnose a patient accurately. Today, we cleared up this issue with two heart conditions; cardiac arrest and heart attacks. Both share some of the same symptoms which goes as follows.

HEART ATTACKS (MYOCARDIAL INFARCTION)

  • Remember from previous posts that a circulation problem occurs and causes a heart attack when one of the arteries or more are blocked. The oxygen in the blood then cannot reach the heart which damages the heart muscle.
  • Symptoms would be chest discomfort or pain, upper body pains, stomach pains, shortness of breath, lightheadedness, sweating, and nausea and vomiting (keep in mind symptoms for women may turn out very different)

CARDIAC ARREST

  • This occurs when one of the hearts chambers develops an irregular rhythm which leaves them quivering instead of beating normally. The chaotic quivering motion of the ventricles renders the heart an ineffective pump that can no longer supply the body and brain with oxygen. After a while, this leaves the person unconscious with no pulse
  • Symptoms would include sudden collapse, no pulse, no breathing, loss of consciousness, fatigue, fainting, blackouts, dizziness, chest pain, shortness of breath, weakness, palpitations, or vomiting. sometimes, cardiac arrest could be occurring, but the person may not experience any symptoms.

Arrhythmia, common word brought up when speaking about cardiac arrest. Arrhythmia is a condition in which the heart beats with an irregular or abnormal rhythm. However, there are different types which will be listed below.

Atrial Fibrillation

A chaotic, irregular rhythm originating in the upper chambers of the heart, or the atria.  It leads to a rapid and irregular heartbeat or pulse. Atrial fibrillation can be divided into three major categories: paroxysmal atrial fibrillation, persistent atrial fibrillation, and permanent atrial fibrillation.

Supraventricular Tachycardia

An arrhythmia that originates from above (“supra”) the ventricle. Symptoms include Palpitation, or racing heartbeat, which are the predominant symptoms in SVT. Occasionally, some patients have no awareness of rapid heartbeat, whose only symptoms may be fatigue and fainting. Other patients describe chest paint, shortness of breath, and a sense of fullness in the neck. This usually refers to three other types of arrhythmias which are, AV Nodal Reentrant Tachycardia, Atrial Tachycardia, Wolf – Parkinson-White Syndrome. 

Ventricular Tachycardia

is a rapid, regular heartbeat arising in the ventricles, the bottom chamber of the heart. When it occurs, it’s usually fatal.

Ventricular Fibrillation 

Is where electrical signals in the ventricles fire in a very fast and uncontrolled manner. This causes the lower chambers to quiver, and not pump blood. If the person does not receive immediate medical attention and a normal rhythm is not restored quickly, the patient will suffer brain and heart damage and die.

The treatment for irregular heart rhythms is a machine called a defibrillator. Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias, ventricular fibrillation and pulseless ventricular tachycardia. Defibrillation consists of delivering a therapeutic dose of electrical energy to the affected heart. This depolarizes a critical mass of the heart muscle, terminates the arrhythmia, and allows normal sinus rhythm to be reestablished by the body’s natural pacemaker, in the sinoatrial node of the heart. Click here for image: Defibrillator

Signed:

     Creative Gloves 

Seventh Session of Mentoring in Medicine

It seems as though we’ve never left the specifics of the cardiovascular system since about day 6. This is great because it leaves us with things that have been brought up constantly through repetition and deeper explanations. The things covered today was in a huge quantity, that it should be divided into two posts. From the misunderstanding of woman’s Heart Attacks to the understanding of Heart Attacks in the whole. What happens when one is occurring, why does it usually occur, what are a person’s reaction to one, what are some treatments, how are you taken care of surgical wise when you reach to the hospital. Due to its lengthy explanation, this post will be edited later. Sorry for the inconvenience.

                                                                                                                        Signed:

                                                                                                              Creative Gloves

Sixth Session of Mentoring in Medicine

There was so much that was covered today that I’m not even sure about what to start with. However, knowing one of the topics happened to be personal and very important to me, I’ll start with that, and work my way through the day’s lessons. My parents suffer with hypertension. My dad, also with diabetes. It has been in my family for as long as they know. My wanting to be a doctor was a huge benefit to this situation. I was able to study the medicine my parents took daily and find out the risks, also make sure that the label provided the proper dosage and how to take it. My mother gave me the liberty in taking her blood pressure as well as my father’s every once in a while. Checking my father’s blood sugar as well administering his insulin, became my priority to this day. I learned about systolic pressure as well as diastolic and heart rate pretty early for their sake, and how to balance diets for mostly my father’s.

I can say that people fear hypertension because of its many affects. Of course I used to feel a certain protectiveness over my parents because they had it. I’m even likely to trigger it.  My siblings as well. However, all grown up now, and understanding it can be taken care of so easily. I’m not scared anymore. I feel that I can tackle it. I’ll be more than happy to spread all that I know and have learned to kids out there like me to let them know they should approach this with the uttermost confidence.

Understanding High Blood Pressure (Hypertension)

Hypertension increases people’s chances of Heart disease, Kidney Disease, and stroke. It has been said that when it comes to Hypertension, the brain, heart, and Kidneys should be taken into consideration. Simply meaning that whatever it is that hypertension brings on to the person who has it, it will attack mainly those systems. High blood pressure is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). A blood pressure level of 140/90 mmHg or higher is considered high. If your blood pressure is between 120/80 mmHg and 139/89 mmHg, then you have prehypertension. Normal Blood pressures lie around anything below 120/80.

Checking Blood Pressure

Above, I mentioned several numbers however they were recorded very weirdly I guess you can say. When talking about systolic and Diastolic measurements, that’s how it is recorded. 120/80 would simply be 12o as systolic and 80 as diastolic. Click here to get a website that shows an image, and breaks down what the doctor’s actually check for when compressing your arm. Sphygmomanometer explained.

Hypertension Treatment

It is important to know that many should keep a balanced diet. Avoid high sodium meals. This can save you from other issues such as The Gout. Health eating should be focused more on plant based foods and such. Also, many must learn to moderate the amount of meats they consume a day.

Keep active. Put aside time to have your body burn off fat, and have it accustomed to vigorous work, decreasing your chances of a heart attack, however keep in mind, this does not mean overwork your body.

YOU SHOULD NOT BE A SMOKER.

Keep in mind these factors for treatment can save your life. This condition is known as the silent killer, people vary when it comes to having symptoms and not showing any.

 Results of Hypertension

 As stated above, your kidneys could be at risk, your brain, also your heart at risk of an attack. However, going into specifics…

Artery Damage

Artery damage and narrowing. High blood pressure can damage the cells of your arteries’ inner lining. That launches a cascade of events that make artery walls thick and stiff.

Aneurysm. Over time, the constant pressure of blood moving through a weakened artery can cause a section of its wall to enlarge and form a bulge

Coronary artery disease. Coronary artery disease affects the arteries that supply blood to your heart muscle. Arteries narrowed by coronary artery disease don’t allow blood to flow freely through your arteries.

Enlarged left heart. High blood pressure forces your heart to work harder than necessary in order to pump blood to the rest of your body. This causes the left ventricle to thicken or stiffen (left ventricular hypertrophy). These changes limit the ventricle’s ability to pump blood to your body. This condition increases your risk of heart attack, heart failure and sudden cardiac death.

Brain Damage

Stroke. A stroke occurs when part of your brain is deprived of oxygen and nutrients, causing brain cells to die. Uncontrolled high blood pressure can lead to stroke by damaging and weakening your brain’s blood vessels, causing them to narrow, rupture or leak. High blood pressure can also cause blood clots to form in the arteries leading to your brain, blocking blood flow and potentially causing a stroke

Kidney Damage

Kidney Failure: High blood pressure is one of the most common causes of kidney failure. That’s because it can damage both the large arteries leading to your kidneys and the tiny blood vessels (glomeruli) within the kidneys. Damage to either makes it so your kidneys can’t effectively filter waste from your blood. As a result, dangerous levels of fluid and waste can accumulate. You might ultimately require dialysis or kidney transplantation.

                                                                                                                  Signed:

                                                                                                      Creative Gloves