BP, Respiration, O2 Sat, Pain

Question 1

Brachial BP is measured in ____ arm

It is recommended that at least ___ BP readings be taken at 1 min interval and values averages

Answer 1

Right

2

Question 2

Medications are Rx for stage I hypertension under what conditions?

Answer 2

If a pt has already had a heart attack or stroke or is at high risk of heart attack or stroke in the presence of diabetes, chronic kidney disease, or atherosclerotic risk

Question 3

Individuals WITHOUT high risk are advised to do what ?

Answer 3

IMPROVE LIFESTYLE

Lose weight, eat healthy, exercise more, limit alcohol, avoid smoking

Question 4

Risk factors for high BP include ______ ___ and _____ ____

Answer 4

Socioeconomic status

Psychosocial stress

Question 5

Hypotension is not adequate for normal perfusion/oxygenation of tissues
May be related to _____ ____, ______, ________, ____________, or ____

Answer 5

Bed rest
Drugs
Arrhythmias
Blood loss/shock
MI

Question 6

Orthostatic hypotension is a drop in BP that accompanies change from supine to standing position:
Initial BP and HR assessment when patient supine, at rest for ___ minutes
Pt moves directly to standing position and repeat BP and HR assessment ______ and again at ______ minutes

Answer 6

> or = 5 minutes

Immediately, 3 minutes

Question 7

Normal BP:

Answer 7

<120/<80

Question 8

Elevated BP:

Answer 8

120-129 AND <80

Question 9

Stage 1 BP:

Answer 9

130-139 OR 80-89

Question 10

Stage 2 BP:

Answer 10

At least 140 or at least 90

Question 11

Hypertensive crisis:

Answer 11

> 180 and/or >120

Question 12

BP for neonate:

Answer 12

67-84 / 35-53

Question 13

BP for preschooler (3-5):

Answer 13

89-112/46-72

Question 14

BP for pre-adolescent (10-11):

Answer 14

102-120/61-80

Question 15

BP for adolescent (12-15):

Answer 15

110-131/64-83

Question 16

A patient is orthostatic if the SBP drops _______ or if the DBP drops _______

Answer 16

> 20 mmHg

>10 mmHg

Question 17

After age ___ for pediatrics, levels defining high BP are the same as for adults

Answer 17

13

Question 18

Mean arterial pressure is the arterial pressure within the ____ arteries over time
Dependent upon mean ____ _____ and _____ ______

Answer 18

Large

Blood flow and arterial compliance

Question 19

How is MAP calculated?

Answer 19

SBP + 2(DBP). Then divide by 3

Question 20

What is normal MAP?

Answer 20

70-110 mmHg

Question 21

Normal RR for adults?

Answer 21

12-20

Question 22

Normal RR for children

Answer 22

20-30

Question 23

Tachypnea: increase in ____ breaths per min

Answer 23

> or = 22

Question 24

Bradypnea: a decrease of RR < or = ___ breaths per min

Answer 24

10

Question 25

Hyperpnea: an increase in ____ and ____ of breathing

Answer 25

Depth and rate

Question 26

Dsypnea is ________

Answer 26

SOB

Question 27

DOE: brought on by ____ or _____

Answer 27

Exertion or activity

Question 28

Orthopnea: inability to breathe when in a ______ or _____ position

Answer 28

Reclining or supine

Question 29

Paroxysmal nocturnal dyspnea (PND): is a sudden inability to breath occurring during ______

Answer 29

Sleep

Question 30

Crackles (rales): ______, _____ sounds; may be due to ______ in lungs

Answer 30

Rattling, bubbling SECRETIONS

Question 31

Wheezes (rhonchi): _____ sounds

Answer 31

Whistling

Question 32

Pulse ox measures the degree of saturation of ________ with _____ What are normal values? Provides an estimate of _____

Answer 32

Hemoglobin with oxygen (SaO2) 95-100% O2 PaO2 (partial pressure of O2)

Question 33

Hypoxemia: abn low amount of O2 in blood (sat levels below ____% which corresponds to a PaO2 of ___ mmHg)

Answer 33

90% | 60

Question 34

Hypoxia is low Ox level in the ______

Answer 34

Tissues

Question 35

Ischemic cardiac pain (angina or MI): diffuse, retro sternal pain; or a sensation of ______, ______ in chest Associated with dyspnea, sweating, indigestion, dizziness, syncope, anxiety

Answer 35

Tightness, achiness

Question 36

What symptoms of angina are more common in women?

Answer 36

``` Indigestion/Gas like pain Dizzy/nausea Unexplained weakness or fatigue Discomfort or pain btw the shoulder blades Recurring chest discomfort Sense of impending doom ```

Question 37

Cardiac pain can refer to what 5 places?

Answer 37

Shoulders, back, arm, neck, jaw

Question 38

Pain referred to the back can occur from dissecting _____ _____

Answer 38

Aortic aneurysm

Question 39

``` Angina scale: 1+ 2+ 3+ 4+ ```

Answer 39

``` 1+ = light, barely noticeable 2+ = moderate, bothersome 3+ = severe, very uncomfortable 4+ = most severe pain ever experienced ```