Chapter 12 Vital Signs Flashcards
Pulse
the rhythmic beat as the heart pumps blood through the arteries
Vital Signs
Outward signs of what is going on inside the body, including repiration, pulse, skin color, temperature, and condition, (plus capillary refill in infants and children); pupils, and blood pressure.
Vital Signs
Pulse: presence, strength and regularity Blood Pressure: systolic/diastolic Respiratory: rate and depth Skink: color, temperature, condition Pulse Oximetry: 96-100% is normal Pupils: size and reactivity
Pulse rate
the number of pulse beats/min
tachycardia
a rapid pulse; any pulse rate above 100bpm
brachycardia
a slow pulse; any pulse rate below 60bpm
Adult Heart Rate
60-100 bpm
Adolescent Heart Rate 11-14
60-105 bpm
School Age Heart Rate 6-10
70-110 bpm
Preschooler Heart Rate 3-5
80-120 bpm
Toddler Heart Rate 1-3
80-130 bpm
Infant Heart Rate 6-12 Months
80-140 bpm
Infant Heart Rate 0-5 Months
90-140 bpm
Newborn Heart Rate
120-160 bpm
Pulse Quality Rapid, Regular, Full
exertion, fright, fever, high blood pressure, first stage of blood loss
Pulse Quality Rapid, Regular, Thready
shock, later stages of blood loss
Pulse Quality Slow
head injury, drugs, some poisons, some heart problems, lack of oxygen in children
No Pulse
cardiac arrest (clinical death)
pulse quality
the rhythm (regular or irregular) and force (strong or weak) of the pulse
radial pulse
the pulse felt at the wrist
brachial pulse
the pulse felt in the upper arm
carotid pulse
the pulse felt along the large carotid artery on either side of the neck
weak or thin pulse
thready pulse
Respiration
(concerned w/ rate and quality) the act of breathing in and breathing out
respiratory rate
the number of breaths taken in one minute (normal, rapid or slow)
respiratory quality
the normal or abnormal character of breathing (shallow, labored, noisy)
respiratory rhythm
the regular or irregular spacing of breaths
number of breaths, normal or abnormal(shallow, labored, noisy), regular or irregular
pupils that are dilated, constricted to pinpoint size or are non reactive to light may indicate what?
drug use, head or eye injury. should be documented and reported.
Adult respiratory rate
12-20 breaths/min
any patient maintaining a respiratory rate above 24(rapid) and below 8(slow) should be administered a high-concentration of oxygen and be prepared to assist ventilations.
Respiratory Rates Adolescents 11-14
12-20 breaths/min
Respiratory Rates School Age 6-10
15-30 breaths/min
Respiratory Rates Preschool Age 3-5
20-30 breaths/min
Respiratory Rate for Toddlers 1-3
20-30 breaths/min
Respiratory Rate for Infant 6-12 months
20-30 breaths/min
Respiratory Rate for Infant 0-5 months
25-40 breaths/min
Respiratory Rate for Newborn
30-50 breaths/min
snoring
indicates airway blocked/ope patients airway - prompt transport
wheezing
indicates medical problem such as asthma/assist patient in taking prescribed medications - prompt transport
Gurgling
Indicates fluids in airway/suction airway - prompt transport
Crowing
indicates medical problem that cannot be treated at the scene/ prompt transport
(harsh sound when inhaling)
pupil
the black center of the eye
dilate
to get larger
constrict
to get smaller
reactivity
in the pupils of the eyes, reacting to light by changing size.
Blood Pressure
the force of blood against the walls of the blood vessels
systolic blood pressure
the pressure created when the heart contracts and forces blood out into the arteries
diastolic blood pressure
the pressure remaining in the arteries when the left ventricle of the heart is relaxed and refilling
Adult Blood Pressure
systolic less than or equal to 120
diastolic less than or equal to 80
Blood Pressure Adolescent 11-14
systolic Avg 114 (88-120)
diastolic Avg 76
Blood Pressure School Age 6-10
systolic Avg 105 (80-115)
diastolic Avg 69
Blood Pressure Preschooler 3-5
systolic Avg 99 (78-104)
diastolic avg 65
High Blood Pressure
medical condition, exertion, fright, emotional distress, or excitement
Low Blood Pressure
Athlete or other person with normally low BP, blood loss, late sign of shock
Infant and Children Blood Pressure
usually not taken on children under 3. In case of blood loss or shock, a child’s BP will remain within the normal limits until near the end, then fall swiftly.
Hypertension
systolic BP greater than 140, diastolic BP greater than 90
readings b/n limits sometimes referred to as pre hypertension. complications of hypertension: heart disease, stroke or kidney disease.
sphygmomanometer
the cuff and gauge used to measure a patients blood pressure
brachial artery
the major artery in the arm
ascultation
listening, a stethoscope is used to ascultate for characteristic sounds
palpation
touching or feeling. a pulse or blood pressure may be palpated with the fingertips.
blood pressure monitor
machine that automatically inflates a BP cuff and measures BP
Pulse Oximiter
96-100% normal
91-95% mild hypoxia
86-90% severe hypoxia
Hypoxia
any indication of hypoxia is reason to administer high-concentration oxygen in a non-rebreather mask
Blood Glucose
Normal level 60-80 mg/dL
no more than 120-140 mg/dL