Lab Report Essay Example for Free

Lab narration EssayAs part of my module Nip1002 I was required to perform a set of empiric skills which included pulse, pipeline air insistency, respirations, hand rain outing and urinalysis and then compare them to previous results. In this testing ground report I am going to discuss blood pressure in detail.Procedure* relieve the procedure to the patient and gain consent * Wash hands thoroughly following the hand wash technique to prevent the transfer of bacteria * Clean equipment e.g. blood pressure cuff and stethoscope using bactericide wipes * Ensure the patient is comfortable and has been resting for 10 minutes * Remove tight clothing and support the offshoot at heart level, over bringing close together or underestimation can occur if it is not at the allot level * Ensure you have the correct cuff size for the patient or this could give an wide reading * Locate the brachial artery and apply the cuff* Estimate the systolic pressure by using the radial pulse and inf late the cuff until the pulse cannot be felt. This is important to provide an estimation and avoids error in reading. * To take the patients blood pressure use a stethoscope and ready on the brachial artery pulse and inflate 20-30 mmHg higher than the estimated systolic pulse * Immediately unfreeze the pressure using the thumb valve at approximately 2mmHg per second. If it is deflated too rapidly you may not hear the sounds accurately * The systolic pressure is the level when clear tapping sounds first appear and the diastolic pressure is the level when the sounds disappear * Record the measurements on an observation chart and compare the previous results as this willing allow changes in the patients condition to be monitored appropriately (see appendix 3) * Remove the cuff and explain the reading to the patient* Clean all equipment and wash hands again to prevent overcome infection (Glasper, Richardson McEwing, 2009, p.168 169) DiscussionThe heart is located in the centre of the chest and is protected by the make fun cage. The heart receives oxygenated blood from the lungs through the pneumonic veins. It then goes to the left atrium, to the left ventricle, to the ascending aorta and is pumped or so the body. The superior and inferior vena cava delivers de-oxygenated blood to the right atrium from the body. (See appendix 1) It then goes to the right ventricle, pumps through to the pulmonary trunk to the right and left arteries and then to the lungs. (Tortora and Derrickson, 2011, Chapter20) tear pressure is the force exerted by the blood on the walls of blood vessels and this should be at a certain level to ensure that the body is functioning correctly. Blood pressure varies from person to person but the normal reading for a healthy adult is close to 120/80. (BPA 2008) The top number is called systolic blood pressure and is the highest pressure attained in arteries during systole.The screwing number is called diastolic blood pressure and is the lowest arterial pressure attained during diastole. (Tortora and Derrickson, 2011, p.814) The blood pressure reading that I got on my patient was 120/90 this was slightly higher from the previous readings which were 90/50 and 90/60. Although this reading is slightly high I would not consider it to be a case of hypertension. Hypertension is when your blood pressure readings consistently show readings of 140/90 mmHg. (NHS, 2010) A persons chances of having hypertension are raised due to a number of factors age, weight, family history and diet. Hypertension creates a higher lay on the line of heart attacks and strokes. ((Glasper, Richardson McEwing, 2009, p.170)ReflectionI am going to use Gibbs (Glasper Richardson, 2011, p.xix) reflective cycle (see appendix 2) to see my reflection. I did a set of observations which included pulse, respirations, blood pressure, hand washing and urinalysis. When I was doing the observations I was truly nervous and I was aware that I was being evaluate d which made me feel stressed. Overall I imagine I did well in the exam because I remembered all the steps and got it done in the epoch limit. I felt I could have done better if I wasnt as nervous, as I feel this affected my skills technique. Looking back on the exam I think I was lacking in communication skills as I did not talk to the patient enough. In result it is important that all vital signs are monitored as this can be one of the first indications that a patient is deteriorating. Blood pressure is one of the most important physiological measurements used to diagnose a patients condition.ReferencesBPA (2008) what is normal blood pressure? online. BPA. Available from http//www.bloodpressureuk.org/BloodPressureandyou/Thebasics/Whatisnormal Accessed 27th July 2012 Glasper, A. Mcewing, G. and Richardson, J., (2009). Introduction in Glasper, A, Mcewing G, and Richardson., hind end studies for caring. Palgrave McMillan, pxix Glasper, A. Mcewing, G. and Richardson, J., (2009). s kills for physiological assessment in Glasper, A, Mcewing G, and Richardson., Foundation skills for caring. Palgrave McMillan, p168 p169 Glasper, A. Mcewing, G. and Richardson, J., (2009). skills for physiological assessment in Glasper, A, Mcewing G, and Richardson., Foundation skills for caring. Palgrave McMillan, p170 NHS (2011) High blood pressure hypertension. online. NHS. Available from http//www.nhs.uk/conditions/Blood-pressure-(high)/Pages/Introduction.aspx Accessed 5th of August 2012) Tortora, G, and Derrickson, B,. (2011). The cardiovascular system Blood vessels and hemodynamics. In Tortora, G and Derrickson, B., Principles of number and Physiology Maintenance and continuity of the human body (13th edit) Wiley. p814. Tortora, G, and Derrickson, B,. (2011). The cardiovascular system The Heart. In Tortora, G and Derrickson, B., Principles of body-build and Physiology Maintenance and continuity of the human body (13th edit) Wiley. Chapter 20. Appendix 1