emt ch 13 Flashcards
1
Q
you will obtain vital signs during your ____ assessment
A
secondary
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
3
Q
the assessment of the __ should be obtained also when getting the vital signs
A
mental status
4
Q
the rhythmic beats felt as the heart pumps blood through the arteries
A
pulse
5
Q
when taking a patients pulse you are concerned with what two things
A
rate and quality
6
Q
the number of pulse beats per min
A
pulse rate
7
Q
the normal pulse rate for someone at rest is ______
A
60-100 beats per min
8
Q
a rapid pulse any pulse rate above 100 beats per min?
A
tachycardia
9
Q
a slow pulse rate any pulse rate below 60 beats per min ?
A
bradycardia
10
Q
an athlete may have a normal at rest pulse rate at _____ beats per min
A
40-50
11
Q
in an emergency it is not unusual for a patients pulse to be _____ beats per min
A
100-140
12
Q
adolescent 11-18 yrs old normal pulse rate is?
A
60 to 105
13
Q
6-10 yrs old normal pulse rate is?
A
70-110
14
Q
preschoolers 3-5 yrs old normal pulse rate is?
A
80-120
15
Q
toddlers 1-3 yrs old normal pulse rate is?
A
80-130
16
Q
infants 6-12 mths old normal pulse rate is?
A
80-140
17
Q
infant 0-5 mths old normal pulse rate is?
A
90-140
18
Q
a newborns normal pulse rate is?
A
120-160
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
20
Q
if you have a rapid, regular, and thready pulse this could cause?
A
shock, later stages of blood loss
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
22
Q
if you have no pulse this could cause?
A
cardiac arrest ( death )
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
24
Q
2 factors determine pulse quality are?
A
force and rhythm
25
the rhythm and force of the pulse?
pulse quality
26
this refers to the pressure of the pulse wave as it expands the artery
pulse force
27
when the pulse feels weak and thin the patient has a _____ pulse
thready
28
during your assessment you should find a ___ pulse in anyone 1 yrs old and older
radial
29
in an infant 1 yrs old and younger you should find a ____ pulse
brachial
30
when you cannot use the radial or the brachial pulse find the ___ pulse
carotid
31
the act of breathing in and out _____
respiration
32
the number of breaths taken in one minute
respiratory rate
33
the respiratory rate is classified as?
normal, rapid or slow
34
the normal respiratory rate for adults is___
12-20 above 24 is serious below 10 is serious
35
the normal respiratory rate for adolescents 13-18 yrs old ia?
12-20
36
the normal respiratory rate for school age kids 6-12 yrs old is?
15-30
37
the normal respiratory rate for preschoolers 3-5 yrs old is?
20-30
38
the normal respiratory rate for toddlers 1-3 yrs old is?
20-30
39
the normal respiratory rate for infants 6-12 mths old is?
20-30
40
the normal respiratory rate for infants 0-5 mths old is?
25-40
41
the normal respiratory rate for newborns is
30-50
42
this sound means you have a blocked airway, you need to open the airway and transport patient quickly
snoring
43
this sound comes from someone with asthma, assist a patient in taking prescribed medications, transport quickly
wheezing
44
this sound is fluid in airway you need to suction and transport quickly
gurgling
45
this sound is from a medical problem that can't be treated on the scene you need to transport quickly
crowing
46
the normal or abnormal character of breathing
respiratory rate
47
respiratory rate can fall into 4 categories?
normal, shallow, labored, and noisy
48
the regular or irregular space of breaths
respiratory rhythm
49
constriction causes the skin to turn ____
pale
50
the best places to determine skin are?
nail beds, inside the cheeks, and in the lower eyelids
51
in kids where do you look to determine if skin color is normal
palms and hands and soles of feet
52
in darker patients you can check where to determine if their skin is normal color
their lips, and nail beds
53
this skin color is normal in light skinned patients, normal at the inner eyelids, lips, and nail beds of darker skinned patients
pink
54
this skin color means constricted blood vessels possibly resulting from blood loss, shock, hypotension, and emotional distress
pale
55
this skin color is a lack of oxygen in blood cells and tissues resulting from inadequate breathing or heart function
cyanotic
56
this skin color is exposure to heat, emotional excitement
flushed ( red)
57
this skin color is abnormalities of the liver
jaundiced ( yellow )
58
this skin color is occasionally in patients with shock
mottled ( blotchy )
59
in children under 6 yrs old check their___ for good circulation
nail beds by pressing them to see if they refill
60
when theres not a lot of light your pupil will
dilate get bigger
61
when there a lot of light your pupil will?
constrict get smaller
62
when checking pupils you should look for 3 things?
size, equality, and reactivity
63
in the pupils of the eyes when they react to light by changing their size
reactivity
64
cool and clammy skin is a sign of?
shock, anxiety
65
cold and moist skin is a sign of?
body losing heat
66
cold and dry skin is a sign of?
exposure to cold
67
hot and dry skin is a sign of?
high fever, heat exposure
68
hot and moist skin is a sign of?
high fever, heat exposure
69
goose pimples, shivering, chattering teeth, blue lips and pale skin are signs of?
chills, exposure to cold, pain or fear, and communicable disease
70
unequal pupils can be a sign of what?
a topical drug or head and eye injury
71
the force of blood against the walls of the blood vessels
blood pressure
72
the pressure created when the heart contracts and forces blood out into the arteries
systolic
73
the pressure remaining in the arteries when the left ventricle of the heart is relaxed and refilling
diastolic
74
if the pupils are dilated this is a sign of what
fright, blood loss, drugs, prescription eye drops
75
when the pupils are constricted this is a sign of
drugs, eye drops
76
an unequal pupil is a sign of
stroke, fake eye, head and eye injury , eye drops
77
when the pupil has a lack of reactivity this is a sign of
drugs, lack of oxygen to brain
78
a high blood pressure can be a sign of?
medical condition, fright, excitement, emotional distress
79
a low blood pressure can be a sign of
athlete , blood loss, shock
80
no blood pressure can be a sign of?
a ventricular device in chest
81
blood pressure normally isn't taken on kids under__ yrs old
3
82
if someone has a blood pressure of 140 or greater /90 or greater the person has _____
hypertension
83
readings between 121 to 139 and 81-89 sometime indicate ?
prehypertension
84
results of hypertension are?
storke, heart disease, and kidney disease
85
the cuff and gauge use to measure blood pressure
sphygmomanometer
86
the major artery of the arm is?
brachial artery
87
3 common ways to measure a blood pressure are?
1.) auscultation 2.) palpation 3.) blood pressure monitor
88
listening. a stethoscope is used to auscultate for sounds
auscultation
89
touching or feeling. a pulse or blood pressure may be palpated with the finger tips
palpation
90
a machine that automatically inflates a blood pressure cuff and measures blood pressure
blood pressure monitor
91
palpation is not as accurate as_____
auscultation
92
stable patients need vital signs checked every ____ mins
15
93
unstable patients need vital signs checked every __ min
5
94
one very important use for temperature is screening for ___
influenza
95
an electronic device for determining the amount of oxygen carried in the blood known as the oxygen saturation
pulse oximeter
96
the ratio of the amount of oxygen present in the blood to the amount that could be carried expressed as a %
oxygen saturation
97
uses wavelengths of light to measure oxygen and carbon dioxide is_____
co oximeter
98
oxygen saturation is normally ______ % in a normal person
96-100
99
a reading of 91-95% in oxygen sat indicates what
mild hypoxia
100
a reading of 86-90% in oxygen sat indicates _____
moderate hypoxia
101
a reading 85 % are less oxygen sat indicates
severe hypoxia
102
accuracy of reading oxygen saturation can be affected by?
shock, hypothermia, carbon monoxide and other poisonings, movement, nail polish , anemia
103
measure the quantity of glucose in the blood can help identify diabetic emergencies
blood glucose meter
104
emt's must have permission from a _____ to perform blood glucose monitoring using a blood glucose meter
medical direction
105
if you have a blood glucose monitor on the ambulance they must be _____ and stored to the manufactures recommendations
calibrated
106
the normal blood glucose reading is ____
60-80 but no more than 120-140
107
when determining vital signs in kids the most important factor is?
age
108
infants and kids have a ____ pulse and respiratory rate than adults
faster
109
infants and kids have a _____ blood pressure than adults
lower
