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Submitted by:
Cherry Luz L. Rezaga
Submitted to:
Dr. Tomas J. Fernandez Jr.
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Vital Signs
Three of the most important parameters in this process are the
traditional "vital signs" the temperature, pulse and respiration (TPR) which is
considered as the signs of life.6
I. Temperature
One of the most important measurements of the physiological state of
the patient is the body temperature. The best site to take the temperature in
animals is at the rectum. Other areas used include (in small animals) the
axilla (armpit), inguinal region, ear canal (special thermometer or probes are
needed for these locations). The patient's temperature is lower at these
peripheral sites by 1 or 2 degrees. The temperature normally fluctuates
slightly hour to hour and is affected by many things. It is recommended that
for the most accurate evaluation the temperature be measured several times
to look for trends.1, 4, 6
The body temperature normally is highest in the late afternoon and
lowest during deep sleep at night.5
Hyperthermia is the elevation of temperature past critical point. 7, 8
An increase in temperature can be caused by many things including:
- Fear
- Pain
- Infectious disease
- Exercise
- Increased environmental temperature
Hypothermia indicates a low body temperature2
- A decrease in temperature can indicate cold environmental
temperature and the physiological condition of shock, among
other things.
Pyrexia
is a febrile condition where the body temperature exceeds the
3,
6, 7
In dogs and cats, resting heart rates listed are for healthy animals at rest
at home and not for animals that are evaluated in a veterinary clinic
where heart rates are higher due to excitement, stress or disease.
Relaxed or athletic dogs tend to have slower heart rates.
The heart rate can be measured at the same time the pulse is palpated to
check for a pulse deficit. If the heart beats more often than the pulse is
felt (a pulse deficit) this can signify a serious heart disorder.
III. Respiration8, 9
Respiration is recorded as the number of breaths in one minute.
Compositions of respiratory cycle:
- Inspiration or expansion of chest or thorax (inspiratory phase)
- Expiration or expulsion of air from lungs (expiratory phase)
Respiratory frequency is the number of respiratory cycles per
minute.
Respiratory depth is the intensity or indication of straining.
Rhythm is the change in duration of inspiration and expiration.
Breath sounds are any sounds that accompany air movement
through the tracheobrachial tree.
Crackles and wheezes indicate adventitious sounds.
States of breathing
Eupnea Normal quiet breathing with no deviation in
frequency or depth
Dyspnea Difficult breathing
Hyperpnea Increased depth, increased frequency, or both
Polypnea Rapid, shallow breathing
Apnea Transient state of cessation of breathing
Bradypnea Abnormal slowness of breathing
Procedure for Taking the Respiratory Rate: 6, 8, 9
Respirations can usually be evaluated in two ways, at the nostril or the
chest.
The easiest way is to watch the movement (rising and falling) of the
chest wall, remember, one breath includes both inspiration and
expiration.
In some species the respiratory rate may be hard to monitor by watching
the chest. In these cases it might be possible to detect breathing directly
at the nostril. By holding your hand, or a piece of tissue or hair in front
of the nostril, each expiration can be detected.
It is difficult to count the number of breaths while a dog (or rarely a cat)
is panting, most veterinarians will accept "panting" or TNTC (too
numerous to count) written in the record.
Table1. Normal values for adults of different species6, 7, 8
Speci
es
Dog
Temperature
in C
37.5-39
Cat
38-39.5
Cattl
e
Cow
Adult: 38.5
Calf: 39.0
Adult: 38.5
Calf: 39.0
37.5-38.5
Hors
e
Shee
p
Goat
38.539.5
Pig
Poult
ry
39.9
41-42
38.5-40.5
Respiratory rate in
breadths per minute (bpm)
Adult: 14-16
Young: 20-25
20-30
Adult: 25
Calf: 30
Beef: 10-30
Dairy: 18-80
Adult: 9-10 bpm
Foal: 14-15 bpm
12-20
15-30
10-20
12-37, inspiration louder and
shorter than expiration,
minimalist movement, closed
beak
There are three other evaluations that can be done quickly to help
determine the physical status of a patient:
IV. Mucous Membrane Color 2, 3, 6, 8
Traditionally color is checked at the gums, but other mucous
membranes can be used.
The color helps evaluate the blood perfusion (function of the cardiovascular
system) and respiratory function (oxygenation) as reflected in the peripheral
tissue.
The different "shades of color" of the mucous membranes can provide
information about the status of the patient, here are some conditions
associated with certain colors of mucous membranes.
Pale: anemia, often due to blood loss or shock
Blue: cyanosis, due to a lack of oxygenation caused by various problems
primarily associated with respiratory system.
Yellow: jaundice or icterus, can reflect either liver pathology or hemolysis
of circulating red blood cells
References:
1. Blood, D.C. 2007. Saunders Comprehensive Veterinary Dictionary. 3rd
Ed. WB. Saunders Company. Philadelphia, Pennsylvania
2. Clinical examination of Farm Animals Peter G. G. Jackson BVM&S, MA,
DVM&S, FRCVS University of Cambridge
3. Dr. Teresa Y. Morishita DVM, Ph.D., Dipl. ACVP OSU Extension-Veterinary
Medicine & Avian Disease Investigation Laboratory
4. Edward A. Le Viness, Area Livestock Specialist, University of Arizona
5. How to Check the Respiratory Rate of Dogs and Cats | eHow.co.uk
http://www.ehow.co.uk/how_3027_check-rspiratoryrate.html#ixzz1dwmBlPde
6. http://loudoun.nvcc.edu/vetonline/Vet105/Vital%20signs.htm
7. Physical exam Checklist for Pets Authored by: The VIN Emergency
medicine folder staff
8. SUSAN SCHOENIAN Sheep & Goat Specialist Western Maryland
Research & Education Center University of Maryland Extension
sschoen@umd.edu www.sheepandgoat.com
9. UK & Peter D. Cockroft Ma, VetMB, MSc, DCHP, DVM&S, MRCVS,
University of Cambridge UK