Chapter 11: Vital Signs, Monitoring Devices, and History Taking Flashcards
vital signs
“signs of life,” outward signs that give clues to what is happening in the body
- respiration
- pulse
- skin
- pupils
- blood pressure
- pulse oximetry
baseline vital signs
the first set of measurements you take, subsequent measurements can be compared to them
sphygmomanometer
blood pressure cuff
respiratory rate
assessed by observing the patient’s chest rise and fall, determined by counting breaths in 30 seconds and multiplying by 2
respiratory quality
tidal volume, how well air is moving in and out…
normal quality (respiratory)
an adequate tidal volume
abnormal quality (respiratory)
inadequate tidal volume
stridor
harsh, high pitch sound
respiratory rhythm
irregularity or regularity of respirations
cheyne strokes
the respiratory rate and tidal volume gradually increase and gradually decrease followed by a period of apnea up to 10 seconds, repeats
biot
like Cheyne strokes but tidal volume does not change
apneustic
prolonged periods of inhalation
ataxic
an irregularly irregular pattern of rate and tidal volume
agonal
long periods of apnea with a gasping breath in between
kussmaul
a rapid respiratory rate with a deep and labored tidal volume
central neurogenic hyperventilation
a sustained deep and rapid respiratory rate of at least 25 breaths per minute but with a regular pattern
popliteal artery
in the crease behind the knee
tachycardia
greater than 100 bpm in adults
bradycardia
less than 60 bpm in adults
to take pulse rate
1) position patient (sit or lay down)
2) use tips of two fingers, feel artery gently, avoid using thumb
3) count number of beats in 30 seconds, multiply by 2