emt ch 13 Flashcards

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1
Q

you will obtain vital signs during your ____ assessment

A

secondary

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2
Q

outward signs of what is going on inside the body including respiration, pulse, skin color, temperature and condition, pupils and blood pressure

A

vital signs

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3
Q

the assessment of the __ should be obtained also when getting the vital signs

A

mental status

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4
Q

the rhythmic beats felt as the heart pumps blood through the arteries

A

pulse

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5
Q

when taking a patients pulse you are concerned with what two things

A

rate and quality

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6
Q

the number of pulse beats per min

A

pulse rate

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7
Q

the normal pulse rate for someone at rest is ______

A

60-100 beats per min

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8
Q

a rapid pulse any pulse rate above 100 beats per min?

A

tachycardia

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9
Q

a slow pulse rate any pulse rate below 60 beats per min ?

A

bradycardia

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10
Q

an athlete may have a normal at rest pulse rate at _____ beats per min

A

40-50

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11
Q

in an emergency it is not unusual for a patients pulse to be _____ beats per min

A

100-140

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12
Q

adolescent 11-18 yrs old normal pulse rate is?

A

60 to 105

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13
Q

6-10 yrs old normal pulse rate is?

A

70-110

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14
Q

preschoolers 3-5 yrs old normal pulse rate is?

A

80-120

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15
Q

toddlers 1-3 yrs old normal pulse rate is?

A

80-130

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16
Q

infants 6-12 mths old normal pulse rate is?

A

80-140

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17
Q

infant 0-5 mths old normal pulse rate is?

A

90-140

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18
Q

a newborns normal pulse rate is?

A

120-160

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19
Q

if you have a rapid, regular , and full pulse this could cause?

A

fright, exertion, fever, high bp, first stage of blood loss

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20
Q

if you have a rapid, regular, and thready pulse this could cause?

A

shock, later stages of blood loss

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21
Q

if you have a slow pulse rate this could cause?

A

head injury, drugs, some poisons, heart problems, lack of oxygen in kids

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22
Q

if you have no pulse this could cause?

A

cardiac arrest ( death )

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23
Q

infants and kids with a high pulse is not a great concern as a low pulse a low pulse can cause _____

A

imminent cardiac arrest

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24
Q

2 factors determine pulse quality are?

A

force and rhythm

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25
Q

the rhythm and force of the pulse?

A

pulse quality

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26
Q

this refers to the pressure of the pulse wave as it expands the artery

A

pulse force

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27
Q

when the pulse feels weak and thin the patient has a _____ pulse

A

thready

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28
Q

during your assessment you should find a ___ pulse in anyone 1 yrs old and older

A

radial

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29
Q

in an infant 1 yrs old and younger you should find a ____ pulse

A

brachial

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30
Q

when you cannot use the radial or the brachial pulse find the ___ pulse

A

carotid

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31
Q

the act of breathing in and out _____

A

respiration

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32
Q

the number of breaths taken in one minute

A

respiratory rate

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33
Q

the respiratory rate is classified as?

A

normal, rapid or slow

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34
Q

the normal respiratory rate for adults is___

A

12-20 above 24 is serious below 10 is serious

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35
Q

the normal respiratory rate for adolescents 13-18 yrs old ia?

A

12-20

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36
Q

the normal respiratory rate for school age kids 6-12 yrs old is?

A

15-30

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37
Q

the normal respiratory rate for preschoolers 3-5 yrs old is?

A

20-30

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38
Q

the normal respiratory rate for toddlers 1-3 yrs old is?

A

20-30

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39
Q

the normal respiratory rate for infants 6-12 mths old is?

A

20-30

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40
Q

the normal respiratory rate for infants 0-5 mths old is?

A

25-40

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41
Q

the normal respiratory rate for newborns is

A

30-50

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42
Q

this sound means you have a blocked airway, you need to open the airway and transport patient quickly

A

snoring

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43
Q

this sound comes from someone with asthma, assist a patient in taking prescribed medications, transport quickly

A

wheezing

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44
Q

this sound is fluid in airway you need to suction and transport quickly

A

gurgling

45
Q

this sound is from a medical problem that can’t be treated on the scene you need to transport quickly

A

crowing

46
Q

the normal or abnormal character of breathing

A

respiratory rate

47
Q

respiratory rate can fall into 4 categories?

A

normal, shallow, labored, and noisy

48
Q

the regular or irregular space of breaths

A

respiratory rhythm

49
Q

constriction causes the skin to turn ____

A

pale

50
Q

the best places to determine skin are?

A

nail beds, inside the cheeks, and in the lower eyelids

51
Q

in kids where do you look to determine if skin color is normal

A

palms and hands and soles of feet

52
Q

in darker patients you can check where to determine if their skin is normal color

A

their lips, and nail beds

53
Q

this skin color is normal in light skinned patients, normal at the inner eyelids, lips, and nail beds of darker skinned patients

A

pink

54
Q

this skin color means constricted blood vessels possibly resulting from blood loss, shock, hypotension, and emotional distress

A

pale

55
Q

this skin color is a lack of oxygen in blood cells and tissues resulting from inadequate breathing or heart function

A

cyanotic

56
Q

this skin color is exposure to heat, emotional excitement

A

flushed ( red)

57
Q

this skin color is abnormalities of the liver

A

jaundiced ( yellow )

58
Q

this skin color is occasionally in patients with shock

A

mottled ( blotchy )

59
Q

in children under 6 yrs old check their___ for good circulation

A

nail beds by pressing them to see if they refill

60
Q

when theres not a lot of light your pupil will

A

dilate get bigger

61
Q

when there a lot of light your pupil will?

A

constrict get smaller

62
Q

when checking pupils you should look for 3 things?

A

size, equality, and reactivity

63
Q

in the pupils of the eyes when they react to light by changing their size

A

reactivity

64
Q

cool and clammy skin is a sign of?

A

shock, anxiety

65
Q

cold and moist skin is a sign of?

A

body losing heat

66
Q

cold and dry skin is a sign of?

A

exposure to cold

67
Q

hot and dry skin is a sign of?

A

high fever, heat exposure

68
Q

hot and moist skin is a sign of?

A

high fever, heat exposure

69
Q

goose pimples, shivering, chattering teeth, blue lips and pale skin are signs of?

A

chills, exposure to cold, pain or fear, and communicable disease

70
Q

unequal pupils can be a sign of what?

A

a topical drug or head and eye injury

71
Q

the force of blood against the walls of the blood vessels

A

blood pressure

72
Q

the pressure created when the heart contracts and forces blood out into the arteries

A

systolic

73
Q

the pressure remaining in the arteries when the left ventricle of the heart is relaxed and refilling

A

diastolic

74
Q

if the pupils are dilated this is a sign of what

A

fright, blood loss, drugs, prescription eye drops

75
Q

when the pupils are constricted this is a sign of

A

drugs, eye drops

76
Q

an unequal pupil is a sign of

A

stroke, fake eye, head and eye injury , eye drops

77
Q

when the pupil has a lack of reactivity this is a sign of

A

drugs, lack of oxygen to brain

78
Q

a high blood pressure can be a sign of?

A

medical condition, fright, excitement, emotional distress

79
Q

a low blood pressure can be a sign of

A

athlete , blood loss, shock

80
Q

no blood pressure can be a sign of?

A

a ventricular device in chest

81
Q

blood pressure normally isn’t taken on kids under__ yrs old

A

3

82
Q

if someone has a blood pressure of 140 or greater /90 or greater the person has _____

A

hypertension

83
Q

readings between 121 to 139 and 81-89 sometime indicate ?

A

prehypertension

84
Q

results of hypertension are?

A

storke, heart disease, and kidney disease

85
Q

the cuff and gauge use to measure blood pressure

A

sphygmomanometer

86
Q

the major artery of the arm is?

A

brachial artery

87
Q

3 common ways to measure a blood pressure are?

A

1.) auscultation 2.) palpation 3.) blood pressure monitor

88
Q

listening. a stethoscope is used to auscultate for sounds

A

auscultation

89
Q

touching or feeling. a pulse or blood pressure may be palpated with the finger tips

A

palpation

90
Q

a machine that automatically inflates a blood pressure cuff and measures blood pressure

A

blood pressure monitor

91
Q

palpation is not as accurate as_____

A

auscultation

92
Q

stable patients need vital signs checked every ____ mins

A

15

93
Q

unstable patients need vital signs checked every __ min

A

5

94
Q

one very important use for temperature is screening for ___

A

influenza

95
Q

an electronic device for determining the amount of oxygen carried in the blood known as the oxygen saturation

A

pulse oximeter

96
Q

the ratio of the amount of oxygen present in the blood to the amount that could be carried expressed as a %

A

oxygen saturation

97
Q

uses wavelengths of light to measure oxygen and carbon dioxide is_____

A

co oximeter

98
Q

oxygen saturation is normally ______ % in a normal person

A

96-100

99
Q

a reading of 91-95% in oxygen sat indicates what

A

mild hypoxia

100
Q

a reading of 86-90% in oxygen sat indicates _____

A

moderate hypoxia

101
Q

a reading 85 % are less oxygen sat indicates

A

severe hypoxia

102
Q

accuracy of reading oxygen saturation can be affected by?

A

shock, hypothermia, carbon monoxide and other poisonings, movement, nail polish , anemia

103
Q

measure the quantity of glucose in the blood can help identify diabetic emergencies

A

blood glucose meter

104
Q

emt’s must have permission from a _____ to perform blood glucose monitoring using a blood glucose meter

A

medical direction

105
Q

if you have a blood glucose monitor on the ambulance they must be _____ and stored to the manufactures recommendations

A

calibrated

106
Q

the normal blood glucose reading is ____

A

60-80 but no more than 120-140

107
Q

when determining vital signs in kids the most important factor is?

A

age

108
Q

infants and kids have a ____ pulse and respiratory rate than adults

A

faster

109
Q

infants and kids have a _____ blood pressure than adults

A

lower