1. Factors affecting body temperature: 1.) age 2.) time of day ( 2 to 3 F betweenmorning &
late afternoon. highest temp is usually between 4 to 8 pm & lowest between 4 to 6 am.) 3.)
Gender- woman are usually warmer than med because
of having more fatty tissue. 4.) Emotions- excitement increase heat and depression decreases
temperature. 5.) Exercise - chewing gum can increase temps by 1 F. 6.) Infection - elevated
temperature. 7.) food, fluid & smoking - oral temperature should not be taken within 30 mins of
intake of food & fluids or smoking. 8.) Septic infection
- drops temps.
2. Pulse: Radial and Apical Pulses:
Radial - utilizaing two fingers over the thumb side of the person's wrist, pressing lightly over
the radial artery. Your thumb use never to be used. Normal radial pulseof an adults is 60 to 100
beats pre minute with an average of 80 beats per minute Brachial Pulse- obtianed by placing
the index & 2nd figer on the inside of the elbowwith the palm of the hand facing up.
Carotid Pulse- Placing the index & 2nd finger on
either side of the neck running them along side of the outer edge of the tracherawindpipe.
Aprical Pulse- It is obtained by utilizaing a stethoscope. The diaphragm of the stethoscope is
placed approximately mid- nipple line on the left side of the chest.Count for 1 min & between
60 to 100 beats per min is normal.
3. Stethoscope: 1.) ear piece, 2.) Bell, 3.) Tubing
4. Respirations: Obtained by observing the rise & fall of the chest for 1 full min.Normal rate
respiration is 12 to 30 pr minute
5. Blood Pressure: A measure of the force of the blood against the walls of the arteries.This
tells how hard the heart is working. This is obtained by a blood pressurecuff & stethoscope. To
obtain the B/P cuff is placed around the person's bare upperarm approximately one to two
inches above the crease of the inner arm.
6. High number & low number: Systolic pressure if below 80 there is an issue.and the
diastolic pressure
7. Normal blod pressure for adults is: 120/80
8. Oxygen Saturations: Meaures the level of oxgen in the blood stream
9. Certificate for CRMA lastest: Two Years
10. Re-Certification must be done within 30 days of expiried: For 8-hours
11. CRMA not not adminstrator any meds after expired: Recertified within 30 days of
expiration date
12. CRMA should set up a tickler for 90 day for recertification: 60 days prior and 30 days
after