Chap. 10, 11, 13, 14 Flashcards
Homeostasis
Balance or maintaining of the internal environment of the body.
Vital signs
A collection of primary mechanisms that adapt to internal or external fluctuations and adjust accordingly to maintain homeostasis.
Purpose of vital signs
To provide a fast set of objective data regarding a patients condition.
Can be used in emergency situations, before, during, or after treatment to evaluate a patients current condition.
Vital sign inclusions
Temperature
Pulse rate
Blood pressure
Respiratory rate
Level of consciousness
Sensorium or patients level of alertness
Thermoregulation
The bodies adaptive abilities to extreme external variations.
Regulation of body temperature
Hypothalamus gland
Too high - vasodilation and sweating
Too low - vasoconstriction and shivering
Oral temperature (under tongue)
Most commonly used method for obtaining temperature.
Quick and fairly accurate (30sec-3min)
Axillary (arm pit)
The most inaccurate way to obtain a temperature.
Takes the longest time (5-10 min)
Tympanic (ear)
Very common way to obtain temperature. Fastest way (3 seconds is common)
Rectal temperature
Most accurate way to obtain a temperature also the most invasive.
Temporal temperature.
The newest method. Instant readout.
Swipe across forehead, non invasive.
Consistent with rectal temperatures.
Hyperthermia - aka febrile
Oral temperature over 99.5 degrees Fahrenheit.
Hypothermia
Oral temperature under 97.7 due to prolonged exposure to cold temperatures.
In surgery to slow down body’s metabolic rate.
Respiratory system
Responsible for oxynigation of blood, carries oxygen throughout body, expels carbon dioxide from the body.
One inspiration and expiration.
Respiratory rate
Number of respiration that occur in one minute.
Adults - 12-20/min
Child - 20-30/min (under age 10)
Newborn - 30-60/min
Tachypnea
Increased respirations above the normal range.
Commonly caused by exercise, fever, pain, anxiety, infection, decreased oxygen in blood, and CNS disease.
Bradypnea
Decreased respirations below normal range.
Commonly caused by drug overdoses, head trauma and hypothermia.
Dyspnea
Difficulty breathing
Apnea
Absence of breathing.
Where to measure pulse rate
Radial artery (thumb side of wrist) Brachial artery (front of elbow) Carotid artery (neck) Popliteal (back of knee) Apical (w/stethoscope listening to chest wall)
Normal pulse ranges
Adults: 60-100 bpm
Babies: 100-160 bpm
Children 1-10 y/o: 70-120 bpm
Athletes: 40-60 bpm
Tachycardia
An increase of 10 bpm in a resting adult or over 100 bpm
Bradycardia
Under 60 bpm for adults