Blood Pressure Flashcards

1
Q

Blood pressure is the pressure exerted on the ____ by _____

A

arterial walls by circulating blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

BP is measured by ____/____ and ____/____ methods

A

indirect/non-invasive and direct/invasive methods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the indirect/non-invasive method is

A

manual BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the direct/invasive method is

A

arterial catheter BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

1 positive and 1 negative of arterial catheter BP

A

+ = more accurate, - = potential source for infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

normal BP = ___/__

A

less than 120/80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HTN = ___/___

A

140/90 or higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

to diagnose someone w HTN you must have

A

3 different high readings at three different times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hypotensive BP = ___/___

A

80 or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when taking a manual BP try to avoid an arm with

A

injury or IV site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

the ___ arm is preferable for manual BP because..

A

R arm, because the R brachial artery has its own blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

place the BP cuff midway between the ___ and ___

A

shoulder (acromion process) and elbow (olecranon process)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if the cuff is too large you will get a…

A

falsely low reading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

if the cuff is too small you will get a…

A

falsely high reading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

the _____ on the cuff should be over the brachial artery

A

artery marker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

systole is the ____ sound you hear when taking BP

A

first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

diastole is when you…

A

can’t hear the heart beat anymore or it is dramatically quieter (3rd korotkoff sound)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

pump to about ____ after the last sound

A

10-20 mm/Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

deflate the cuff at a rate of

A

2-3 mm/Hg per sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

wait ____ between readings or they will be falsely high

A

2 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

infection is the growth of a ____ in body tissue where they are _____

A

microorganism in the body tissue where they are not usually found

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

nosocomial infections are acquired in ___ and ____

A

hospitals and other HC facilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

with a nosocomial infection the pt is admitted for

A

a reason other than the infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

___ out of every ___ pts will acquire a nosocomial infection

A

9.2 out of every 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
patients with nosocomial infections stay ___ longer than pts with similar characteristics
2.5
26
____ will die of nosocomial infections each year
80,000
27
nosocomials will occur ___ hrs post admission
48 hrs post admission
28
nosocomials occur ____ post DC
3 days post DC
29
nosocomials occur ___ post op
30 days post opp
30
___ are the most common nosocomial in the US
UTIs
31
3 other types of nosocomial infections
1. surgical site infection 2. blood stream infection 3. pneumonia
32
40% of nosocomials are caused by
poor hand hygiene
33
3 hospital personnel causes of HAIs
1. neckties 2. HC providers mouths 3. stethoscopes
34
list the 6 steps in the chain of infection
1. susceptible host 2. micro-organism 3. reservoir/source 4. port of exit 5. means of transportation 6. port of entry
35
3 types of patients at INC risk of nosocomials
1. ICU (20.6% acquire HAIs) 2. patients w compromised immune function 3. pt undergoing invasive procedures
36
6 sx of nosocomial infection
1. inflammation 2. discharge 3. fever 4. abscesses 5. pain/irritation 6. rash/redness
37
asepsis is considered
sterile
38
asepsis is a ___ not a ____
procedure, not a state
39
asepsis is ___ from ____
free from disease causing contaminants
40
asepsis can also be a ____ of ____ with ____
prevention of contact with microorganisms
41
aseptic technique includes ____, ____, ___, ___
sterile gloves, gowns, masks, drapes
42
clean means free from
dirt, marks, stains
43
clean involves reducing ____ to ____
reducing microorganisms to minimize the risk of transmission
44
clean uses __ and __
gloves and hand hygiene
45
___ is the most effective infection/prevention treatment method
hand washing
46
3 times you don't use alcohol based gel
1. if you haven't already used soap and water 2. if there is visible dirt/blood/debris 3. if the pt has c diff
47
glove cuffs go
over the sleeves of the gown
48
surgical mask is used to maintain
or protect a sterile field
49
surgical masks are only effective if ___ and should not be ____
worn correctly and should not be reused
50
order of putting on PPE
1. gown 2. mask 3. goggles 4. gloves
51
order of doffing PPE
1. gloves 2. eyewear (at ear pieces) 3. gown (untie and ball up) 4. mask (bottom then top strings)
52
use ____ with all patients
standard precautions
53
standard precautions include
gloves and handwashing
54
3 types of transmission precautions
1. airborne 2. droplet 3. contact
55
airborne is ___ droplets and ___ distances
small droplets, long distances
56
droplet is ____ droplets and ___ distances
large droplets, short distances
57
contact is ___ or ___ and by
direct or indirect and by touch
58
in droplet you use ___ PPE
all
59
in contact you ___ and use ___ and ___
wash your hands and use a gown and gloves
60
in airborne you have a ___ room
neg. pressure, AIIR respirator
61
you dispose of PPE in the
room
62
suspect c. diff with
3+ unformed stools per day
63
with c. diff you should clean all surfaces in the patients room
daily with bleach
64
c. diff causes ____ HAI a year
500,000
65
c. diff has ____ recurrences
83,000
66
c. diff causes __ deaths a year within 30 days
29,000
67
risk of c. diff inc with ___ and ____
hospitalized pts and incorrect antibiotics
68
MRSA occurs in hospitals with ___ and ____
invasive procedures and IV start sites
69
MRSA is ____ and spreads via ____
contagious and spreads via contact
70
MRSA signs are ___, ___, and ____
red bumps, pain, and abscess