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21 Cards in this Set

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  • Back
Vital Signs
- tells us ___
- gives us an idea of ___
- gives and indication as to the ___ of the patient and clues to ___
- list 5 vital signs
- how the patient is doing
- what is normal for that patient
- health status , changes in condition
- temp, pulse, respiration, BP, pain
Production of Body Heat
- the body produces heat by ___
- is controlled by the ___ in the brain which acts as a thermostat
- is affected by the hormone ___
- metabolism (BMR)
- hypothalamus
- thyroid
Body Temp
- is the difference between ___ and ___
- the body loses heat through ___, ___, and ___ systems
- normal body temp ___
- heat produced and heat lost
- integumentary, respiratory, and genitourinary
- (97.5 - 99.5) (avg 98.6)
Abnormal Temp
1.) ___: temp is above the normal range
- called a ___ or ___
- temp ___
2.) ___: lowering the temp of the entire body
- temp ___
1.) Hyperthermia: 100.4
- fever or pyrexia
2.) Hypothermia: 94.0
Temp Ranges
- normal
- hyperthermia
- hypothermia
- deg F
- deg C
- normal: 97.5 - 99.5
- hyperthermia: 100.4
- hypothermia: 94.0
- deg F: (C*1.8) + 32
- deg C: (F-32) / 1.8
Oral (O) Temp
- identified by a ___ colored cap and has a ___ tip
- placed in the ___ of the mouth
- wait ___ min for a reading
- can not be used if patient is prone to ___ or may ___
- must wait ___ min if patient has just chewed gum, ate food, or drank liquids
- can be used to take ___ temp
- green , pointed
- sublingual pocket
- 3-5 min
- seizures or bite
- 15-30 min
- axillary
Rectal (R) Temp
- identified by a ___ colored cap and has a ___ tip
- inserted ___ inches into the anus
- wait ___ min for a reading
- typically reads ___ than ___ temp
- common rectal temp patients are ___, ___, ___, or ___
- red , rounded/bulbed/blunt
- 1/2 - 1 1/2 inches
- 3-5 min
- 1 deg higher than an oral temp
- unconscious, children, respiratory issues, prone to seizures
Axillary (AX) Temp
- thermometer is placed in the ___
- wait ___ min for a reading
- typically reads ___ than ___ temp
- can use a ___ thermometer
- center of the patient's dry armpit
- 3-8 min
- 1 deg lower than oral
- oral
Tympanic (TM) Temp
- placed in the ___
- is an accurate measurement of ___ temp
- ear canal
- core temp
Pulse
- is produced by ___
- nromal range ___
- palpate for ___ min
- pulse factors include ___, ___, ___, ___
- is typically taken in ___ location
- pulse volume or strength can be either ___ or ___
- cardiac contractions
- 60-100 beats/min; avg 72
- 1 full min (30 sec * 2)
- anxiety, illness, fever, medication
- raidal
- full or bounding or thready
Pulse Rate
1.) ___: fast pulse; greater than ___ beats/min
2.) ___: slow pulse; less than ___ beats/min
3.) ___: normal pulse rate
4.) ___: avg pulse rate
5.) ___: difference between apical and radial pulse
6.) ___: simultaneous measurement of apical and radial pulse; used when pulse is ___
7.) ___: irregular pulse in force and rhythm
1.) Tachyardia: 100 bpm
2.) Bradycardia: 60 bpm
3.) Normal: 60-100 bpm
4.) Avg- 72 bpm
5.) Pulse Deficit
6.) Apical Radial Pulse: irregular
7.) Dysrythmia
Respirations
- is the process of ___
- consists of two phases ___ and ___
- when taking respirations we measure the ___ and ___
- normal respiration range ___
- respirations increase in response to ___
- ratio of respirations to heartbeats ___
- respiration rate ___ about ___ breaths for each ___ in temp
- breathing
- inhalation/exhalation or inspiration/expiration
- normal: 12-20 breaths/min
- rate and rhythm
- high CO2/ H+, low O2, fever
- 1:4; (1 breath to 4 HB)
- increases, 4 breaths, 1 deg increase in temp
Respirations
- is a(n) ___ ___ function
- controlled by the ___ in the pons and the ___ in the brainstem
- 6 organs of respirations
- respirations should be counted for ___ and a ___ for a patient with irregular respirations
- respiratory center, medulla
- nose, pharynx, larynx, trachea, bronchi, lungs
- 30 sec * 2 , 1 min
Respiratory Terms
1.) ___: normal breathing; ___ bpm
2.) ___: rapid breathing; ___ bpm
3.) ___: slow breathing; ___ bpm
4.) ___: increased rate and depth of breathing
5.) ___: decreased rate and depth of breathing
6.) ___: only able to breath when in an upright position
7.) ___: cessation of breathing
8.) ___: difficulty or painful breathing
9.) ___: abnormally deep breathing associated with uncontrolled diabetes mellitus
1.) Eupnea: 12-20 bpm
2.) Tachypnea: 24 bpm
3.) Bradypnea: 10 bpm
4.) Hyperventilation
5.) Hypoventilation
6.) Orthopnea
7.) Apnea
8.) Dyspnea
9.) Kussmaul's Respirations
Respiratory Terms
1.) ___: bubbling noises, small airway obstructions usually filled with fluid
2.) ___: whistling sounds usually associated with asthma; upper airway obstruction
3.) ___: when the air passageway is partially blocked
4.) ___: deeper than crackles, larger airway obstruction
5.) ___: when air passes through secretions present in the air passages
6.) ___: severe airway problems or obstructions
1.) Crackles
2.) Wheeze
3.) Snoring
4.) Rhonchi
5.) Sertorous Breathing
6.) Grunting
Blood Pressure
- is the pressure ___ by the pumping action of the heart
- BP is affected by ___, ___, and ___
- ___, ___, and ___ cause an increse in BP
- ___ and ___ cause a decrese in BP
- ___ and ___ alter BP to compensate for changes in circulating volume
- exerted on the arterial walls
- circulating blood volume, cardiac output, and vascular bed condition
- anexity, fear, stress
- dehydration and hemorrhage
- vasoconstriction and vasodialation
Blood Pressure Ranges
- Normal
- Hypertension
- Hypotension
- normal: 120/80
- hypertention: 140/90
- hypotension: 90/60
Blood Pressure Terms
1.) ___: BP consistently above the normal range; ___ mm Hg
2.) ___: BP consistently below the normal range; ___ mm Hg
3.) ___: drop in BP occurring with change from supine or sitting to standing
4.) ___: may be heard related to the effect of the BP cuff on the arterial wall
1.) Hypertention: 140/90
2.) Hypotension: 90/60
3.) Orthostatic Hypotension
4.) Korotkoff Sounds
List 6 Korotkoff Sounds
- Phase I: tapping (systolic)
- Auscultatory gap: no sound
- Phase II: swishing
- Phase III: knocking
- Phase IV: muffling
- Phase V: silence (diastolic)
Pain
- pain is recognized by the Joint Commission as the __ vital sign
- ___ is used for pain assessment
- 5th
- standardized pain scale
Stethoscope
- ___: is used to hear low pitched sounds in the ___ and for ___
- ___: is used to hear high pitched sounds in the ___ and ___
- Bell: heart, for babies
- Diaphragm: lungs and heart