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" Hey, I can do a favor?: despídeme "

Today I met a friend for some time that he saw, and I will not put the name to not engage it, a small businessman who is dedicated to issues related to reforms and masonry specialist and the hard time is going to keep his company afloat and, incidentally, the use of their employees. I asked as I was, and told me that in addition to already is affecting the crisis, with falling sales and difficulties in collecting the work, is joined by "Chapucillas": people who have lost their jobs and are unemployed, collecting unemployment benefits and also works "in black."

- "But it will be a few odd jobs to supplement the limited subsidy, right?" - I say, trying to justify quasi-illegal work of someone who may need the money.

- "A few odd jobs?" - He responds with sarcasm. And then I explain what has happened just about two or three days:

- "an employee approached me and says' Hey, could you do me a favor?" 'Sure', I say, 'What is it? " 'Then I would get me fired ... " "

Naturally, my friend is checked. What advantage is that you fired, with which it is falling? And the explanation is as follows:

The employee's father worked as a bricklayer and is now unemployed, receiving benefit , but has not stood still. has been looking for work "black" to do, and should be good, because it has so much work that has sought help from his son, an employee of my friend, to work with him. And the father has suggested that you ask my friend to say goodbye, even denying compensation, about fixing the roles of unemployment, and charge unemployment benefits while working "in black" with her father.

are that kind of "quick fixes" that are affecting the business of my friend, while you pay your taxes, social security, their income tax, etc. The "handyman" not only do not declare anything or pay their own insurance or of its employees, but are above the dole.

And, of course, can not compete on price with people who no impact, because you do not, those insurance costs or taxes in the price of their services. And such activities are not rare, but quite the contrary, they are finding, when it will provide a budget, the client shows much cheaper budgets of these "quick fixes" ... How

resist?

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Blood Pressure Pulse Takes - Video

The video clearly explains the areas described for the measurement of respiratory rate, pulse Apical addition, only detectable with a stethoscope.

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Heart Rate Respiration

also called pulse pressure. Corresponds to the expansion experienced intermittent arteries when circulates inside the blood pumped by the heart. Occurs from the spread of the impulses received by the wall of the aorta in each cardiac systole.

is considered a good indicator of cardiac activity, because the pulses correspond to heartbeats. The pulse monitored to determine cardiac function. However, there are diseases which are variations when there are changes in the elasticity of the arteries and modification of the pulse patterns, which sometimes leads to compare with the central press.

PULSE CHARACTERISTICS

• Frequency: Number of beats per minute.


• Rate: regularity of the pulses.


• Size: More or less depending on the difference between systolic and diastolic pressure.


• Symmetry: regular pulsations equal in both hemispheres of the body.

NORMAL REFERENCE VALUES

PLACES FOR MEASURING PULSE

can be taken at any peripheral artery, but it is recommended r EGISTRATION pulse caliber superficial artery m iddle:

• Radial inner edge of the wrist. Brachial
• Temporary Carotid
• : Neck, 5-7 cm. below the mastoid process. Femoral
• : Ingle
• posterior tibial
• Popliteal
• Pedia: Instep

The most common site for measuring radial artery pulse, even in infants, young children and unconscious patients is usually taken in the carotid artery.

heart rate abnormalities

• Tachycardia: rapid pulse. Greater than 100 beats per min.


• Bradycardia: Slow pulse . Less than 60 beats per min.


• Arrhythmias: Irregular Pulse .
  
  

  
  GENERAL NURSING

• Avoid taking your pulse with your thumb, as this has its own pulse, so there will be no confusion or abnormal results.
• is advisable not to start the count immediately, but wait a moment for the patient to relax.
• fingers should be applied in areas of measurement, pressing gently but firmly, as if too strong can inadvertently a weak pulse.
• Count the beats for a period not less than 30 seconds, if you notice any irregularities, measured for a minimum of 60 seconds.
• If the patient has peripheral vascular disease, it is advisable to record the keystrokes on both sides.
• At the time of recording the measurement, specifically the frequency and other characteristics, as well as the point at which we measured.

IMPORTANT:

If we are in an emergency situation, the place of choice for measuring heart rate is the carotid artery, being the closest to the brain.

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Respiration is the act by which the body carries out gas exchange with the environment. The respiratory rate (RR) is one of the most sensitive but nonspecific parameters of the respiratory system, which measures the amount of breaths per minute.

The respiratory cycle is divided into two phases, the increase in inspiratory lung volume and output of this volume or expiration.

breathing patterns

A person can find two breathing patterns:

• Thoracic Breathing: It outwardly manifested by chest movement, by the external intercostal muscles and other accessories.




• Abdominal Breathing: Externally there is an abdominal movement, which involved the diaphragm.

Features Respiration

We must bear in mind when assessing respiratory rate, the following characteristics:

• Frequency: is the number of breaths per minute the patient presents, intervals between them.




• Depth: Refers to the volume of air that moves with every breath.




• Rate: Refers to the time of the inspirations and expirations, can be regular or irregular.

Determination of Respiratory Frequency

The determination is to specify the number of breaths that occur at the end of a minute, watching the person's chest to assess the depth of their movements.

To control your breathing, you must have respiratory movements (inspiration and expiration) as a single breath.

The most widely used method for controlling the respiratory rate is through observation and palpation. although intensive care services and where you need extreme precision monitoring and is performed by mechanical ventilation and ECG cable.

Factors that alter the values \u200b\u200bof the FR

• Exercise
Sexual Activity Age
• Fever Bleeding

Reference Values

Alterations in Respiration

• Bradypnea : The FR is less than 10 resp. per minute.


• Tachypnea: The FR is more than 20 resp. per minute. It may have episodes of anxiety, infections and pain.

Nursing Considerations

• Where possible we must ensure that the person will not notice the measurement, because if it led to a state of anxiety, scores will be altered.


• The measurement is made by simple observation, but if respiratory movements are barely perceptible, one must obtain by auscultation with a stethoscope.