day 4 Flashcards
Vitals Signs
Temperature, Pulse, Respirations, and blood pressure. Pain and O2 saturation
What is our role with pain?
CNA role tell nurse if present, help with nonpharm/interventions
How do we check O2 (oxygen saturation)?
normal range is 90-100%; use finger clamp
Body Temperature
Amount of heat in the body, elevated temp indicated infection; Normal Range 97.6-99.6 (97.0-99.9)
Routes of Body Temperature
Tympanic: ear
Temporal: forehead
Oral: mouth
Axillary: armpit
Rectal: rectum
which routes should we use for body temperature?
both tympanic and temporal but rectal is most accurate (almost never used except for newborns)
Pulse
use hands because you’ll get more info, USE RADIAL
Heartbeat
normal rate for an adult is 60-100 beats per minute
Apical Pulse
pulse taken at the chest over the bottom part of the heart
pulse rhythm
pattern, regular, irregular
pulse strength
strong, weak, bounding, faint
respiration
use your eyes, watch the chest, don’t tell we are watching. count how many breaths in one minute. probably do these after pulse
respiration rythm
regular, irregular
respiration sounds
crackle, wheezing, coughin
respiration effort
labored (difficult) or unlabored
blood pressure
force of blood against artery walls
Systolic Pressure (top #)
Pressure blood flowing during hearts contraction. NORMAL RANGE 100-130
Diastolic Pressure (bottom #)
pressure of blood flowing during hearts relaxation. NORMAL RANGE 60-90
Hypertension
high blood pressure, more common
hypotension
low blood pressure, causes falls and injuries
Anatomy
study of body structure
physiology
study of body function
cell
the basic building block of the body
tissue
group of cells that work together to perform a function
organ
group of tissues that work together to perform a function
system
group of organs that work together to perform a function
Diagnosis
act of identifying a disease, illness or a problem
cyanosis
blue coloring of the skin due to lack of oxygen; feel cold or cool
pneumonia
acute infection of the lungs
Aspiration Pneumonia
pneumonia caused by aspiration
dysphagia
difficulty swallowing
hypostatic pneumonia
pneumonia caused by limited mobility
which pneumonia(s) are most common in nursing homes
aspiration pneumonia and hypostatic pneumonia
Paralysis
inability to move a body part
Hemiplegia
Paralysis of one side of the body
Paraplegia
paralysis of the lower half of the body
quadriplegia
paralysis of the upper and lower extremities