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Dental Hygiene > Ch 12 Vital Signs > Flashcards

Ch 12 Vital Signs Flashcards

1
Q

12 months old infants temperature

A

99.4-99.7 degree F

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2
Q

12 months old infants resting pulse

A

80-160 bpm

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3
Q

12 months old infants resting respiration

A

30-60 rpm

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4
Q

12 months old infants systolic reading

A

80-89

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5
Q

12 months old infants diastolic reading

A

34-42

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6
Q

1-2 y temperature

A

99-99.7 degree F

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7
Q

1-2 y resting pulse

A

80-130 bpm

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8
Q

1-2 y resting respiration

A

24-40 rpm

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9
Q

1-2 y systolic reading

A

84-91

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10
Q

1-2 y diastolic reading

A

39-47

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11
Q

4-5 y temperature

A

98.6-99 degree F

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12
Q

4-5 y resting pulse

A

80-120 bpm

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13
Q

4-5 y resting respiration

A

22-34 rpm

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14
Q

4-5 y systolic reading

A

88-96

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15
Q

4-5 y diastolic reading

A

47-56

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16
Q

6-11 y temperature

A

98-98.6 degree F

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17
Q

6-11 y resting pulse

A

75-110 bpm

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18
Q

6-11 y resting respiration

A

18-30 rpm

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19
Q

6-11 y systolic reading

A

91-107

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20
Q

6-11 y diastolic reading

A

53-63

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21
Q

13 y and above temperature

A

97-99 degree F

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22
Q

13 y and above resting pulse

A

60-90 bpm

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23
Q

13 y and above resting respiration

A

12-20 rpm

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24
Q

13 y and above systolic reading

A

104-<120

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25
Q

13 y and above diastolic reading

A

60-<80

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26
Q

Adult & older adult temperature

A

97-99 degree F

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27
Q

Adult & older adult resting pulse

A

60-100 bpm

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28
Q

Adult & older adult resting respiration

A

12-20 rpm

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29
Q

Adult & older adult systolic reading

A

90-<120

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30
Q

Adult & older adult diastolic reading

A

60-<80

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31
Q

Patient preparation and instruction for vital signs

A
  • seat them upright, eye level
  • explain vital signs and obtain consent
  • explain how vitals can affect treatment
  • explain each steps
32
Q

Dental hygiene care planning
True or false: Vital signs contribute to systemic evaluation

33
Q

Dental hygiene care planning
True or false: DH care planning and sequencing is not affected by vital signs

34
Q

Dental hygiene care planning:
If vital are not within normal range, what should you do?

A

Consult PCP and refer for medical evaluation as needed

35
Q

Indications for taking body temperature

A

Normal patient record
When oral infection is suspected
Prior to local anesthesia
All appointments

36
Q

Normal temperature

A

97-99 degree F

37
Q

Pyrexia

A

99.5+ degree F

38
Q

HYPERthermia

A

104+ degree F

39
Q

HYPOthermina

A

Below 96 degree F

40
Q

Locations for taking temperature

A

Oral, temporal, ear

41
Q

Types of thermometer

A

Noncontact infrared thermometer
Digital thermometer

42
Q

What if patient’s temperature is over 104 degree F?

A

Treat as a medical emergency and transport them to a hospital

43
Q

What if patient’s temperature is 99.56-104 degree F?

A
  • Check for possible temporary causes of pyrexia (hot beverage, smoking). Observe patient while repeating the determination
  • Review medical and dental histories
  • Postpone elective oral care when there are signs of respiratory infection or communicable diseases
44
Q

What is the pulse?

A
  • The intermitten throbbing sensation felt when the fingers are pressed against an artery
  • The count of heartbeats
45
Q

Factors that increase pulse rate

A

Exercise, stimulants, eating, strong emotions, extreme heat, heart disease

46
Q

Factors that decrease pulse rate

A

Sleep, depressants, fasting, prolonged illness

47
Q

Tarchycardia

A

Fast heartbeat (over 100 bpm in adult)

48
Q

Brachycardia

A

Slow heartbeat (below 50 bpm)

49
Q

True or false: pulse rate is taken after temperature

50
Q

Sites for taking pulse rate

A

Radial, temporal, facial, carotid, brachial

51
Q

Prepare patient for taking pulse rate

A
  • explain procedure
  • comfortable position
  • use finger tips to locate radial pulse
52
Q

Why can’t we palpate pulse with our thumbs?

A

The thumb has its own pulse

53
Q

What is the function of respiration?

A

Supply oxygen to tissues and eliminate carbon dioxide

54
Q

True of false: factors that influence pulse can influence respirations

55
Q

Bradypnea

A

Slow breathing; below 12 rpm

56
Q

Tarchypnea

A

Fast breathing; over 28 rpm

57
Q

To determine respiration rate

A
  • do it after pulse rate
  • keep fingers over radial pulse
  • do not let patient know you’re doing it
58
Q

Factors to observe on respiration

A

Depth, rhymth, quality, sound, position of patient

59
Q

What is blood pressure (BP)?

A

The force exerted by the blood on the blood vessel walls

60
Q

Components of BP include?

A

Systole, diastole, and pulse pressure

61
Q

When does systole occurs?

A

During a ventricular contraction- less than 120mm/Hg

62
Q

When does diastolic phase occurs?

A

Ventricular relaxation- less than 80mm/Hg

63
Q

What is pulse difference?

A

Difference between systolic and diastolic

64
Q

Factors that increase BP

A

Exercise, eating, stimulants, emotional distress, medication

65
Q

Factors that decrease BP

A

Fasting, rest, fainting, depressants

66
Q

What are the equipments for determining BP?

A
  • mercury and sphygmomanometer (analog)
  • aneroid sphygmomanometer (analog)
  • electronic sphygmomanometer (digital)
  • wrist/finger devices (less accurate)
  • stethoscope
67
Q

Three sizes of BP cuff

A
  • extra-large
  • regular
  • pediatric
68
Q

What is the correct width for selecting cuff size?

A

Correct width is 20% greater than the diameter of the arm where applied

69
Q

BP follow-up criteria:
True or false: DH has no obligation to advise and refer

70
Q

BP follow-up criteria:
True or false: Diagnosis of high blood pressure is made on a single reading

71
Q

Hypotension and postural hypotension

A

Systolic <90; diastolic <60
Observe for possible light-headedness and syncope. Referral for evaluation is indicated if symptoms persisted

72
Q

Normal/Normotensive

A

Systolic <120 AND diastolic <80
Proceed as planned

73
Q

Elevated BP

A

Systolic 120-129 AND diastolic <80
Retake after 5 min. If still elevated, inform patient of it. Recommend PCP consult and encourage lifestyle modification

74
Q

Hypertension stage 1

A

Systolic 130-139 OR diastolic 80-89
Retake after 5 min. If still elevated, inform patient. Refer to PCP consult.
Employ stress reduction to routine dental treatment.
Modify local anesthetic to 1:100,000 vasoconstrictor

75
Q

Hypertension stage 2

A

Systolic equal to OR over 140 or diastolic equal to or over 90
Retake after 5 min. If still elevated, inform patient. Refer to urgent PCP assessment
Delay dental treatment until HBP is controlled

76
Q

Hypertension crisis

A

Systolic over 180 AND/OR diastolic over 120
Discontinue care and retake after 5 min.
Refer to immediate medical care/call 911 depending on clinic protocol

Dental Hygiene (1 decks)

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