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Fundamentals of Nursing Care 1 > Chapter Seventeen > Flashcards

Chapter Seventeen Flashcards

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1
Q

T P R BP O2 Pain

A

Temp
Pulse
Respirations
Blood Pressure
Oxygen Saturation
Pain

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2
Q

Core Temperature

A

Environment in which organs are being subjected to

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3
Q

Normal Body Temp

A

97.6-99.6 F

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4
Q

Cardiac Output

A

The volume of blood pumped from the heart in 1 minute

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5
Q

Pulse

A

The fluid wave that can be palpated at various points in the body as gentle tapping

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6
Q

Hypothermia

A

A core temperature below 95F slows body metabolism

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7
Q

Stroke Volume

A

The amount of blood discharged from the L ventricle with each contraction

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8
Q

Antipyretic

A

Fever-Reducing

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9
Q

Febrile

A

Indicates the state of having a fever

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10
Q

Afebrile

A

Indicates the state of being without a fever

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11
Q

Phaygocytes

A

Specialized blood cells, that secretes pyrogens

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12
Q

Hyperthermia

A

Serious temperature elevation about 105F

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13
Q

Average Body Temperature

A

98.6F

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14
Q

Pulse Rate

A

60-100 bpm

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15
Q

Pulse Rythm

A

Regular or Irregular

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16
Q

Pulse Volume

A

0 no pulse/absent
- thready
+1 weak
+2 normal
+3 bounding

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17
Q

Pulse Deficit

A

When radial pulse is slower than the apical pulse

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18
Q

Perfuse

A

The force of the heart’s contraction fails to produce a pulse wave strong enough to be felt

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19
Q

Temporal

A

On side of forehead, the temple

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20
Q

Carotid

A

Side of neck below jaw

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21
Q

Brachial

A

Elbow where stethoscope goes for BP, pinky side

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22
Q

Radial

A

Thumb side inside of wrist, used for pulse rate assesment

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23
Q

Femoral

A

Used to determine circulation to leg, located in groin

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24
Q

Popliteal

A

Back of knee, towards midline, determines circulation to lower leg

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25
Q

Posterior Tibial

A

Used to determine circulation to foot, located interior ankle behind the bone

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26
Q

Auscultate

A

To listen attentively

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27
Q

Bradycardia

A

Pulse less than 60bpm

28
Q

Tachycardia

A

Pulse greater than 100bpm

29
Q

Regular

A

If all beats are evenly spaced

30
Q

Irregular

A

If the intervals between beats are uneven

31
Q

Femoral

A

Related to the femur

32
Q

Proximal

A

Nearest to + Related to

33
Q

Eupnea

A

Used to describe the respirations

34
Q

Bradypnea

A

Describes respiratory rate below 12 respirations per minute

35
Q

Tachypnea

A

Rate of respirations exceeds 20 per minute

36
Q

Apnea

A

When respirations cease or are absent

37
Q

Ventilation

A

The movement of air into and out of the lungs

38
Q

Inspiration

A

Breathing In

38
Q

Expiration

A

Breathing Out

39
Q

Hypoxemia

A

Decreases of o2 in the blood levels

40
Q

Dyspnea

A

Labored or difficult breathing

41
Q

Orthopnea

A

When a patient finds it too difficult to breathe unless positioned in an upright position

42
Q

Stertorous

A

Noisy, snoring, labored respirations that are audible without a stethoscope

43
Q

Adventitious Sounds

A

Abnormal sounds that may be heard when auscultating the lungs with a stethoscope and include wheezes, rales or crackles, rhonci, and stridor

44
Q

Wheezes

A

Musical, whistling sounds that may be audible without a stethoscope, heard only during auscultation

45
Q

Crackles or Rales

A

Adventitous sounds that may be auscultated with a stethoscope and are the re

46
Q

Oxygen Saturation

A

Should be 96-100%

47
Q

Electronic Pulse Oximeter

A

The tool used to measure the oxygen saturation

48
Q

What can effect pulseox read

A

-inadequate blood flow
-fake nails
-dark nail polish
-moisture
-movement

49
Q

When do you need to notify RN about pulseox?

A

Below 90%

50
Q

When do you need to notify Clinlead/RN during Clinical as students?

A

Below 96%

51
Q

Acute Pain

A

Pain that has sudden onset, may have severe symptoms, and run a shorter course

52
Q

Chronic Pain

A

Pain that has a longer duration (6 months or longer) or is ongoing with little change or progression

53
Q

Blood Pressure

A

The measurement of the pressure or tension of the blood pushing against the walls of the arteries in the vascular system

54
Q
A
55
Q

Four circulatory qualities of blood Pressure

A
56
Q

Factors that effect BP

A
  • Age
    -Race
  • Exertion Exercise
    -Rest
  • Circadian Rhythm
    -Anxiety
    -Nicotine/Caffeine
    -Obesity
    -Level of hydration
    -Hemorrhage
    -Increased intracranial pressure
57
Q

Systolic

A

Top Number - measures pressure pushing against arterial walls

58
Q

Diastolic

A

Pressure when relaxed

59
Q

Pulse Pressure

A

The difference between the two numbers (ie. 120/100 PP is 20)

60
Q

If BP is over 120/80 the PT has what?

A

Hypertension

(Elevated is 120-129 over 80)

61
Q

Stage 1

A

130-139 over 80-89

62
Q

Stage 2

A

> 140 over 90

63
Q

Occlusion Test

A

Feel radial pulse
Pump cuff up to 70
Check to see if feel pulse
80
Check pulse
90
Check pulse
100
When you can’t feel then add 30

Then give 30 second rest and then pump up to 130 to start measuring

64
Q

Why not brachial BP?

A

Amputee
Mastectomy
Shunt
Cast/brace/dressing
Surgery or Trauma
IV use other arm

65
Q

Alternative BP spots

A

Radial
Popliteal

Fundamentals of Nursing Care 1 (13 decks)

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