BP, Respiration, O2 Sat, Pain Flashcards

1
Q

Brachial BP is measured in ____ arm

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

A

Right

2

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2
Q

Medications are Rx for stage I hypertension under what conditions?

A

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

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3
Q

Individuals WITHOUT high risk are advised to do what ?

A

IMPROVE LIFESTYLE

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

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4
Q

Risk factors for high BP include ______ ___ and _____ ____

A

Socioeconomic status

Psychosocial stress

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5
Q

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

A
Bed rest
Drugs
Arrhythmias
Blood loss/shock
MI
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6
Q

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

A

> or = 5 minutes

Immediately, 3 minutes

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7
Q

Normal BP:

A

<120/<80

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8
Q

Elevated BP:

A

120-129 AND <80

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9
Q

Stage 1 BP:

A

130-139 OR 80-89

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10
Q

Stage 2 BP:

A

At least 140 or at least 90

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11
Q

Hypertensive crisis:

A

> 180 and/or >120

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12
Q

BP for neonate:

A

67-84 / 35-53

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13
Q

BP for preschooler (3-5):

A

89-112/46-72

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14
Q

BP for pre-adolescent (10-11):

A

102-120/61-80

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15
Q

BP for adolescent (12-15):

A

110-131/64-83

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16
Q

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

A

> 20 mmHg

>10 mmHg

17
Q

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

A

13

18
Q

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

A

Large

Blood flow and arterial compliance

19
Q

How is MAP calculated?

A

SBP + 2(DBP). Then divide by 3

20
Q

What is normal MAP?

A

70-110 mmHg

21
Q

Normal RR for adults?

A

12-20

22
Q

Normal RR for children

A

20-30

23
Q

Tachypnea: increase in ____ breaths per min

A

> or = 22

24
Q

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

A

10

25
Q

Hyperpnea: an increase in ____ and ____ of breathing

A

Depth and rate

26
Q

Dsypnea is ________

A

SOB

27
Q

DOE: brought on by ____ or _____

A

Exertion or activity

28
Q

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

A

Reclining or supine

29
Q

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

A

Sleep

30
Q

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

A

Rattling, bubbling

SECRETIONS

31
Q

Wheezes (rhonchi): _____ sounds

A

Whistling

32
Q

Pulse ox measures the degree of saturation of ________ with _____

What are normal values?

Provides an estimate of _____

A

Hemoglobin with oxygen
(SaO2)

95-100% O2

PaO2 (partial pressure of O2)

33
Q

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

A

90%

60

34
Q

Hypoxia is low Ox level in the ______

A

Tissues

35
Q

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

A

Tightness, achiness

36
Q

What symptoms of angina are more common in women?

A
Indigestion/Gas like pain
Dizzy/nausea
Unexplained weakness or fatigue
Discomfort or pain btw the shoulder blades
Recurring chest discomfort
Sense of impending doom
37
Q

Cardiac pain can refer to what 5 places?

A

Shoulders, back, arm, neck, jaw

38
Q

Pain referred to the back can occur from dissecting _____ _____

A

Aortic aneurysm

39
Q
Angina scale:
1+
2+
3+
4+
A
1+ = light, barely noticeable
2+ = moderate, bothersome
3+ = severe, very uncomfortable 
4+ = most severe pain ever experienced