Exam 2 - Chapter 25 (Vital Signs) Flashcards
T stands for?
Temperature
P stands for?
Pulse
R stands for?
Respiration
BP stands for?
BLood Pressure
Normal Oral Temperature?
37 C , 98.6 F
Normal Rectal Temperature?
37.5 C, 99.5 F
Normal Axillary Temperature?
36.5 C, 97.7 F
Normal Tympanic Temperature?
37.5 C, 99.5 F
Normal Forehead Temperature?
34.4 C, 94 F
Normal Pulse rate?
60 - 100 (80 average)
Normal REspiration?
12-18 breaths/min
Normal blood pressure?
120/80
Normal Pain Scale?
0-10
Afebrile
Without fever
Febrile
With fever
Appropriate Times to Measure Vital Signs
Screenings at health fairs
In the home
Upon admission to any health care agency
When medications affect cardiac rate
How to exactly document vital sign of axillary?
Axillary Temp of 97.7
Heat Source - Primary source is
metabolosm
Heat Source - What increases metabolism?
Hormones, muscle movements, and exercise
Heat Source - What is released when additional heat is required?
Epinephrine and Norepinephrine
Heat Source - What increases heat production?
Shivering
Heat Loss - Whats the primary source?
Skin
Equipment for Assessing Temperature
Electronic and Digital Thermometers Tympanic Membrane Disposable Sing Use Temporal Artery Automated Monitoring DEvicecs
Temp is highest during
4-8 PM
What is a Neurogenic Fever?
Brain damage that causes damage to hypothalamus
What can cause decreased temperatures?
Alcoholism Hypothyroidism Malnutrition Perioperative PEriod External Cold Temperatures
Peripheral Pulse
Throbbing sensation that can be felt over a peripheral artery
Apical Pulse is located where?
5th intercostal, mid clavicular
Tachycardia
When the pulse rate is 100 to 170 beats/min
Bradycardia
Is a pulse below 60 beats/min
Pulse Amplitude of 0
Absent, Unable to Palpate
Pulse Amplitude of +1
Diminished, weaker than expected
Pulse Amplitude of +2
Brisk, expected (normal)
Pulse amplitude of +3
Bounding
Dysrhythmia
An irregular pattern of heartbeats
Pulmonary Ventilation
Movement of air in and out of lungs
Diffusion
Exchange of oxygen and carbon dioxide between the alveoli of lungs and circulating blood
Perfusion
Exchange of oxygen and carbon dioxide beween circulating blood and tissue cells
Eupnea
Normal, unlabored respiration
Tachypnea
Increased respiratory rate, may be related to a fever
Bradypnea
A decrease in respiratory rate
Apnea
The period during which there is no breathing
Dyspnea
Difficult or labored breathing
Orthopnea
When Dyspneic people can often breathe in the upright position
Cheyne-Stokes Repirations
Alternating periods of deep, rapid breathing following by periods of apnea
Blood pressure
Refers to the force of the moving blood against the arterial walls
What is Systolic Pressure?
The highest pressure, created during ventricular contraction
What is Diastolic Pressure?
The lowest pressure
What factors affect Hypertension?
Older Age
African Americans
High Sodium
Obesity
What causes Hypotension?
Body Position
Women have lower BP
Regular exercise can lower BP
Orthostatic Hypotension
A decrease in systolic BP of>20 mmHG or a decrease in diastolic blood pressure of >10 mmHg
What two arteries are commonly used to assess blood pressure?
Brachial Artery and Popliteal Artery