Assessing Vitals (week 2)

Question 1

Leading causes of death in the US

Answer 1

Heart disease, cancer, then unintentional injuries

Question 2

Actual causes of death 2017 (lifestyle factors)

Answer 2

Poor diet, tobacco, toxic agents

Question 3

In Survey of 2000 PTs- what were the barriers of taking vitals

Answer 3

Time and lack of importance- 14% said they don’t take vitals ever at IE

Question 4

3 biggest risk factors for dissection events

Answer 4

1) Current or past smoker
2) HTN
3) hypercholesterolemia

Question 5

Guidelines on BP- 2017
Normal
elevated,
HTN stage 1,
HTN stage 2,
HTN crisis

Answer 5

Normal <120/ <80
Elevated 120-129/ x<80
HTN stage 1- 130-139/ 80-89
HTN stage 2 140-159/ 90-119
HTN crisis- 180+/120+

Question 6

How to perform BP screening

Answer 6

Seated in chair with back rest
Both feet on ground
Correct cuff size
arm at level of heart
no talking
Not through clothing (thick)

Question 7

How to manage HTN
x<139/89

Answer 7

If diagnosed inform pt and document

Question 8

How to manage 140-179/ 90-109- w/o symptoms and with symptoms

Answer 8

No symptoms- wait 5 mins and recheck- inform pt of reading, ask about meds, document check next visit- if elevated contact PCP

with symptoms- inform pt, ask about meds, contact PCP, obtain medical clearance and document

Question 9

with HTN- 180+/110+ with no symptoms. And with symptoms

Answer 9

No symptoms- wait 5 mins and recheck- inform pt, medical compliance, contact physician and physician gives word

With symptoms- tell Pt, medical compliance, contact physician- physician determines steps if not severe. If cannot contact- call EMS

Question 10

HR- normal, tachycardia, ventricular tachycardia, bradycardia

Answer 10

Normal- 60-100
Tachycardia- over 100
V-tach- x>150- means going so fast ventricles not refilling properly
Bradycardia- x<60

Question 11

SpO2- what is normal

Answer 11

94 or greater