Fund Ch 21 + 22 Flashcards
listening for sounds produced within the body, usually with a stethoscope
auscultation
the rate at which heat is produced when the body is at rest
basal metabolic rate (BMR)
respirations that are shallow for two or three breaths with a period of variable apnea
biot respirations
pulse that is less than 60 beats per minute
bradycardia
slow and shallow breathing
bradypnea
respirations that gradually become more shallow and are followed by periods of apnea (no breathing), with repetition of the pattern
cheyne-stokes respirations
abnormal, nonmusical sound heard on auscultation of the lungs during inspiration; also called rales
crackles
abrupt decline in fever
crisis
bluish discoloration or skin color changes, particularly around the mouth and in the nail beds, due to lack of oxygen
cyanosis
abatement (ending) of fever
defervescence
the lower pressure exerted on the artery when the heart is at rest between contractions
diastolic pressure
decreased amount of oxygen in the bloodstream
hypoxemia
state of insufficient oxygen in the blood
hypoxia
respirations having an increased rate and depth with panting and long, grunting exhalations
kussmaul repirations
breakdown, disintegrations; also reduction or abatement
lysis
fever; when a body temperature risues above 100.5F
pyrexia
substance that causes fever
pyrogen
continuous dry, rattling sounds heard on auscultation of the lungs; caused by partial obstruction. Newer term: gurgles
rhonchi
condition of circulatory failure
shock
snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
stertor
shrill, harsh sound on inspiration; caused by obstruction of the upper air passages, as occurs in croup or laryngitis
stridor
the maximum pressure exerted on the artery during left ventricular contraction
systolic pressure
Heart rate greater than 100 beats per minute
Tachycardia
Increased or rapid breathing
Tachypnea
Abnormal lung sounds elicited upon auscultation of the lungs during assessment
Adventitious sounds
Those lung sounds heard over the central chest or back
Bronchovesicular sounds
Increased curve in thoracic spine
Kyphosis
Exaggerated lumbar curve
Lordosis
Involuntary, rapid, rhythmic movement of the eyeball
Nystagmus
Soft, rustling sounds heard in the periphery of the lungs field
Vesicular sounds
(know) Know how to care for someone who has a fever, if they have chills you’re muscles will shiver and it will produce more heat so you need to be careful if they start shivering
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(know) Know about dehydration and how it affects blood pressure and pulse (decrease bp increase pulse)
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(know) when metabolism increases, more heat is produced. This is what causes fever. When pathogens invade the body and the body attempts to destroy them, the increased activity causes fever. Pyrogens produced by some pathogens act on the body’s thermostat and raise the body temperature.
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(know) the hypothalamus, located between the cerebral hemispheres, acts as a thermostat and controls body temperature by a feedback mechanism
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heat loss occurs through the skins exposure to the environment. It occurs through (4)
#1 radiation #2 conduction #3 convection #4 evaporation
(know) when the metabolic rate rises and there is a greater demand for oxygen at the cellular level, fever occurs
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(know) heart and respiratory rates rise to help the body meet the increased metabolic demand. If the oxygen demand cannot be met, cellular hypoxia occurs. Cerebral hypoxia may cause confusion in the individual
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(know) blood pressure is the pressure exerted on the arterial wall. the pressure changes depending on whether the heart is pumping or resting
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(know) 98.6f is 37c
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(know) the temporal artery thermometer is the most accurate noninvasive way to measure body temperature
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(know) the tympanic membrane temperature is a good indicator of core body temperature of the deep tissues of the body
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(know) if the patient has recently swallowed hot or cold foods or liquids or has been smoking or chewing gum, wait 15 to 30 minutes
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(know) patients older than 75 tend to have a lower base body temperature
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(know) hold the thermometer in place for 3 to 5 minutes or until the correct temperature is indicated
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Phase one is ___, phase 2 is __, phase 3 is ___, phase 4 is ___, phase 5 is ___
tapping, swishing, knocking, muffling, silence