Ch. 2 Flashcards

1
Q

What is the core temperature the pulse, the respirations, the systolic and diastolic blood pressure for a newborn?

A

Temp: 96 to 99.5
Pulse: 120 to 170
Respirations: 30 to 60
Systolic: 45 to 75
Diastolic: 20 to 50

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2
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for an infant (1 mo-1 yr)?

A

Temp: 99.4 to 99.7
Pulse: 80 to 160
Respirations: 30 to 60
Systolic: 75 to 100
Diastolic: 50 to 70

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3
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for a toddler (1-3 yr)?

A

Temp: 99.4 to 99.7
Pulse: 80 to 130
Respirations: 25 to 40
Systolic : 80 to 110
Diastolic: 55 to 80

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4
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for a preschooler (3-6 yr)?

A

Temp: 98.6 to 99
Pulse: 80 to 120
Respirations: 20 to 35
Systolic: 80 to 110
Diastolic: 50 to 80

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5
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for a child (6-12 yr)?

A

Temp: 98.6
Pulse: 65 to 100
Respirations: 20 to 30
Systolic: 100 to 110
Diastolic: 60 to 70

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6
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for an adolescent (12-18 yr)?

A

Temp: 97 to 99
Pulse: 60 to 90
Respirations: 12 to 20
Systolic: 110 to 120
Diastolic: 60 to 65

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7
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for an adult?

A

Temp: 97 to 99
Pulse: 60 to 100
Respirations: 12 to 20
Systolic: 110 to 140
Diastolic: 60 to 90

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8
Q

What is the temperature pulse rate, respirations, systolic and diastolic blood pressure for an older adult (>70 yr)?

A

Temp: 95 to 99
Pulse: 60-100
Respirations: 12 to 20
Systolic: 120 to 140
Diastolic: 70 to 90

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9
Q

Describe the major components of a body temperature?

A

Core temperature, vasodilation & vasoconstriction

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10
Q

Describe the major components of a pulse?

A

The vascular system. A rhythmic arterial blood pressure throb created by the pumping action of the ventricular muscle.

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11
Q

Describe the major components of respirations?

A

The diaphragm and the lungs.

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12
Q

Describe the main components of blood pressure?

A

Systolic and diastolic pressure, pulse pressure.

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13
Q

Describe the major components of O2 saturation?

A

Mild, moderate, and severe hypoxemia.

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14
Q

Describe the lung chest typography for thoracic cage landmarks?

A
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15
Q

Describe the lungs and chest typography for imaginary lines?

A
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16
Q

Describe the lung and chest typography for lung borders and fissures?

A
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17
Q

What is the purpose of inspection?

A

To observe the patient and see if there’s anything abnormal going on.

18
Q

Describe chest excursion?

A

The evaluation of symmetry of chest expansion when at pt inhaled and exhales.

19
Q

Describe tactile and vocal fremitus?

A

Tactile fremitus are the vibrations heard over the chest wall while vocal fremitus is the vibration of the vocal cords

20
Q

What is a dull percussion note?

A

A sound that is heard when the chest is percussed over areas of pleural thickening, pleural effusion, atelectasis, & consolidation

21
Q

What is a hyperresonant note?

A

When the chest is percussed over areas of trapped gas, sounds like a very loud, low pitch, and long duration, similar to a sound produced by knocking on an empty barrel

22
Q

What are abnormal breath sounds?

A

Lung sounds that are atypical, or uncharacteristic, lung sounds, that are not normally heard over a specific area of the thorax.

23
Q

What are normal breath sounds?

A

Bronchial, bronchovesicular, and circular breath sounds. What makes them normal is there pitch amplitude or intensity and duration of inspiratory sounds compared with expiration.

24
Q

Define afebrile?

A

A patient who has a temperature within the normal range

25
Q

What is chest excursion?

A

The symmetry of chess expansion evaluated by lightly placing each hand over the patient’s postolateral chest so that the thumbs meet at the midline at about the T8 to T-10 level

26
Q

What is constant fever?

A

When a patient’s body temperature remains above normal with minimal or no fluctuation

27
Q

What is intermittent fever?

A

When the patient’s body temperature alternate at regular intervals between periods of fever and periods of normal or below normal temperatures

28
Q

What is remittent fever?

A

The patient has marked peaks and valleys over a 24 hour period. All of which are above normal that is the body temperature does not return to normal between the spikes.

29
Q

What is relapsing fever?

A

When short febrile periods of a few days are interspersed with one or two days of normal temperature.

30
Q

What is crepitus?

A

A.k.a. subcutaneous emphysema is a coarse crackling sensation that may be palpable over the skin surface

31
Q

What is diaphragmatic excursion?

A

The relative position in range of motion of the hemi diaphragms determined by percussion. Maps out the lower lung borders by percussing the posterior chest from the apex down and identifying the point at which the percussion note definitely changes from a resonant to flat.

32
Q

What is distended neck veins?

A

When the major veins of the chest that return blood to the right side of the heart may be compressed. When this happens, venous return decreases and central venous pressure increases.

33
Q

What is diurnal variation?

A

An improvement of 60 L/min (or ≥20% of the prebronchodilator [PEFR] after inhalation of a bronchodilator or diurnal variation in PEFR of more than 20% (with twice-daily readings, more than 10%), suggests a diagnosis of asthma.

34
Q

What is dull percussion note?

A

When the chest is percussed over areas of pleural thickening, pleural effusion, atelectasis, and consolidation.

35
Q

What is hyperpyrexia?

A

And exceptionally high temperature such as 41°C (105.8°F).

36
Q

What is pyrexia?

A

A body temperature above the normal range. A.k.a. hyperthermia.

37
Q

What is tripod position?

A

Patients with chronic obstructive pulmonary disease usually secure their arms to something stationary and use the pecto- ralis major muscles to increase the anteroposterior diameter of the chest
OR
Leaning forward with arms and elbows supported on overbed table. Inability to life flat.

38
Q

What is tympany?

A

Hyperresonance

39
Q

What is ultrasonic Doppler?

A

A transmitter attached to a Doppler placed over the artery that amplifies and transmits the pulse sound to the earpiece, or to a speaker attached to the Doppler device

40
Q

What is vertebral line?

A

A.k.a., mid spinal line runs along the spinous process of the vertebrae.

41
Q

What is whispering pectoriloquy?

A

Whispered voice sounds heard over a consolidated lung are often louder and more intelligible compared with those of a normal lung.