TPR IN ENGLISH

                                               

                                              TPR IN ENGLISH

                          watch my youtube video to understand this topic in easy way-

  https://www.youtube.com/watch?v=Y2pEAJN3PYo

 

TPR PROCEDURE-

}  TPR is a procedure to check temperature pulse and respiration of a patient. It is also known as checking vital signs  when we include checking of  blood pressure in the procedure.

PREPARATION OF ARTICLES-

}  TPR tray should contain-

1.One jar with 3-4 thermometers which contains 1:40 antiseptic solution

2.Another jar which contains 1:40 antiseptic solution

3.Third jar with clean water to rinse the thermometers

4.Cotton swabs in a container.

5.Kidney tray

6.Paper bag

7.Pen and TPR chart.

If we are using digital thermometer than take a digital thermometer with few probe covers. Than you can skip articles no. 1 to 5. Now a days digital thermometer is recommended as mercury is a big environmental hazard

PREPARATION OF PATIENT-

}  Explain the procedure to patient or relative of the patient.

}  Ensure that client have not eaten anything cold or hot food or fluid 15 minute prior to the procedure.

}  The patient should be in comfortable position preferably in lie down position.

}  Wash hands before starting the procedure.

}  Take out a thermometer from antiseptic solution jar and rinse in water.

}  Clean the bulb of thermometer from bulb to stem with cotton swab.

}  Discard the swab in kidney tray

}  Read the mercury level by holding thermometer against light. It should be below 95 degree F.

}  If it is above 95 degree F than shake the thermometer and again read the level of mercury.

}  Ask the patient to open the mouth and place bulb of thermometer under the tongue.

}  Ask the patient to hold the thermometer using lips not the teeth for 2 minutes.

}  For taking temperature by axilla place thermometer (for 5 minutes) in axilla after cleaning the axilla by a clean cloth.

}  Now count radial pulse for full one minute if pulse is irregular or for half minute and multiply by 2 if pulse is regular.

}  Now start counting respiration by watching rise and fall of the chest while still holding the hand without knowing the patient that you are counting the respiration.

}  Count respirations for full one minute if breathing is irregular or for half minute and multiply by 2 if breathing is regular.

}  After 2 minutes remove the thermometer from oral cavity or after 5 minutes from axilla.

}  Clean the thermometer from stem to bulb

}  Check temperature by holding the thermometer at eye level.

}  Place the thermometer in another jar with antiseptic solution.

}  Wash hands and record the temperature, pulse and respiration in patient’s TPR chart.

}  If you are using a digital thermometer than you can change some steps as -

}  Switch on the thermometer and wait till it show lo in the screen.

}  Put probe cover on the probe and place in axilla or oral cavity.

}  Wait till beep sound.

}  Remove thermometer, discard probe cover in paper bag and read the temperature.

}  Wash hands and record the temperature, pulse and respiration in patient’s TPR chart.

}  Explain result of procedure to the patient.

}  Replace all the instruments to their proper place.

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