Ch6 Vital Signs Flashcards
Temperature (T)
Pulse (P)
Respiration (R)
Blood pressure (BP)
Pain (often included as fifth sign)
Pulse oximetry
Vital Signs
On admission to any health care facility or institution, vitals establish a
baseline
normal range for oral temperature (Celsius)
35.8 - 37.5
normal range for oral temperature (Fahrenheit)
96.4 - 99.5
pulse rate
60 - 100 (80 is average)
Respirations
12 - 20 breaths/minute
normal blood pressure
between 120/80 & 90/60
with fever (febrile)
Pyrexia
Rectal temperature is about ___ degree higher than oral temperature
one
Characteristics of the Peripheral Pulse (3)
rate, rhythm, amplitude/quality
Hear a heartbeat but do not feel a beat at a pulse point
pulse deficit
> 100bpm
tachycardia
<60bpm
bradycardia
Which pulse site is located on the inside of the elbow?
brachial
The pattern of the beats and the intervals between them.
Pulse rhythm (regular or irregular)
Grade 0 = absent, unable to palpate
Grade +1 = diminished, weaker than expected
Grade +2 = within normal limits; brisk, expected
Grade 3+ = bounding
Pulse Strength
where to obtain an apical pulse
left midclavicular between fifth and sixth intercostal space
Changes in the rate and depth of inhalation and exhalation are brought about by the inhibition or stimulation of the respiratory muscles by respiratory centers in the
medulla and pons
Normal oxygenation on the blood is
95% to 100%
RR (respiratory rate) assessment factors (4)
rate, depth, rhythm, effort
Force of the moving blood against arterial walls
blood pressure
______ or maximum pressure is when left ventricle contracts and pushes blood through aortic valve into the aorta.
______ or lowest pressure when the heart rests between beats.
Systolic, Diastolic
Difference between systolic and diastolic pressure is called
pulse pressure
While Listening for Korotkoff sounds with stethoscope, the ____ sound is systolic pressure and the ___ sound is diastolic pressure
first, last