General Appearance and Vitals Flashcards
1
Q
Evaluate level of orientation
A
- does pt know name
- does pt know where they are
- does pt know the time or day of week
2
Q
BMI scale
A
- underweight: < 18.5
- Normal: 18.5-24.9
- overweight: 25-29.9
- obese: > 30
(slightly different than nutrition lecture)
3
Q
Temperature ranges
A
- average: 37 (98.6F)
- hyperpyrexia: > 41.1C (106F) rectally
- hypothermia: < 35C (95F) rectally
4
Q
Rectal, tympanic, and temporal are higher or lower than oral temp?
A
HIGHER
5
Q
Axillary temp are higher or lower than oral temp?
A
LOWER
6
Q
Normal heart rate
A
60-100 beats per minute
7
Q
BP cuff issues
A
- cuff too small/narrow = BP will read high
- cuff to large/wide = BP will read low
8
Q
BP measurement key points
A
- arm at heart level
- no caffeine or smoking 30 min before
- palpate brachial or radial pulse
- cuff 1” above anecubital fossa
- estimate systolic BP (add 20-30)
9
Q
Bell or diaphragm preferred?
A
Bell. Korotkoff sounds are low in pitch
10
Q
BP ranges (old numbers for exam)
A
- normal: <120/<80
- PreHTN: 120-139/80-89
- stage 1: 140-159/90-99
- stage 2: >/= 160 or >/= 100
- If DM or renal disease: <130/<80
11
Q
Normal respiratory rate
A
14-20
12
Q
normal O2 perfusion using pulse oximetry
A
95-100%
- does not detect actue hypoxemia
