General Assessment/Vitals Flashcards

1
Q

What level of consciousness?

A

the state of arousability, behavior, and response to stimuli (verbal –> touch –> pain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should u document in LOC?

A

Eye opening
Verbal responses
Motor responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 3 categories of nutritional status?

A

Well nourished
Undernourished
Overnourished

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is well nurished?

A

Appearance suggesting caloric intake over expenditure that allows for preservation of subcutaneous tissues and muscle mass.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is undernurished?

A

Appearance of having overall caloric expenditure greater than intake presented by a body habitus which is underweight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is overnurished?

A

Appearance of having overall caloric intake greater than that of expenditure with increased:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

“Appears younger than the stated age” implies what?

A

overall higher state of health than others in the same age group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

“Appears stated age” implies what?

A

state of health equal to that of others in the same age group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

“Appears older than the stated age” implies what?

A

implies a lower state of health than, and past or present morbidity greater than, those of others in the same age group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 3 types of distress a pt can encounter?

A

pain, respiratory, or emotional/psychological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is somatic pain?

A

Such as seen with musculoskeletal conditions or trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Charactersitics of somatic pain?

A

Often described as sharp or stabbing (sympathetic)
Usually well-localized
Demonstration of protective guarding or hesitancy in movement of the area
Movement may appear stiff, slow, and purposeful in an attempt to avoid triggering the pain
Facial grimacing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Charactersitics of acute visceral pain?

A

Results in diffuse peritonitis
Movement exacerbates the pain resulting in the patient attempting to remain still
Respirations are shallow in avoidance of moving the diaphragm
Abdomen is often guarded by the upper extremities
Contracture of abdominal muscles results in rigidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Signs of resp distress in adult?

A
increase in respiratory rate
open-mouth breathing
exaggerated chest wall motion
use of accessory muscles
intercostal retractions
cyanosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Signs of resp distress in infant?

A

increased rate
exaggerated chest wall motion and accessory muscle use
intercostal retractions
cyanosis - look for perioral involvement
nasal flaring - newborns are obligate nose breathers
Position of comfort - tripoding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Signs of emotional pain?

A
Expressions of anxiety and depression
Facial expressions
sadness
anguish
tearfulness
crying
Nervousness, apprehension, muted responses, and even hysteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are some colors of a pt’s skin?

A

diffuse pallor – anemia
cyanosis – hypooxygenation
jaundice – hyperbilirubinemia
erythema - polycythemia, infection, drug reaction, or carbon monoxide poisoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does hygine mean?

A

Can be a reflection of the overall health of the patient
May equate to self-neglect in more than grooming
May be signs of medical conditions or an inability to care for oneself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

this

A

is so stupid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How many cm are in an inch?

A

2.54

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How many lbs are in a kg?

A

2.2 (what i learned is an ez conversion is take the pt’s weight in lbs, say 180 lbs, divide it by 2, so 90, and then subtract that by the first #, so 90-9 = 81kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the BMI conversion in metric?

A

BMI = weight in kg ÷ (height in m)2

23
Q

What is the BMI conversion in english coversion?

A

weight in lb ÷ (height in inches)2 x 703

24
Q

Healthy BMI?

A

18.5-24.9

25
Q

overweight BMI?

A

25-30

26
Q

obese class I BMI?

A

30-35

27
Q

obese class II BMI?

A

35-40

28
Q

obese class III BMI?

A

> 40

29
Q

What are the 5 components to vitals?

A
Temperature
Pulse 
Respirations
Blood pressure
Pain
30
Q

Temperature calc for degrees F?

A

F = C x 9/5 + 32

31
Q

Temperature calc for degrees C?

A

C = (f-32) x 5/9

32
Q

Butt temperatures are 1 degree higher or lower than oral?

A

higher

33
Q

Armpit temperatures are 1 degree higher or lower than oral?

A

lower

34
Q

What is pyrexia?

A

Elevated body temperature most commonly associated with inflammation and infection resulting in an elevation of the body’s temperature set point

35
Q

What is hyperthermia?

A

Elevation of body temperature not caused by fever but rather the inability of the body to dissipate heat
Certain medications, drugs, and heat stroke

36
Q

What is hypothermia?

A

refers to lower than normal body temperature

most commonly as a result of environmental exposure

37
Q

What are the 3 things to assess for on a pulse?

A

Rate
Rhythm
Character

38
Q

Normal HR?

A

60-100

39
Q

Normal RR?

A

12-20 bpm

40
Q

What is apneustic breathing?

A

inspiration longer than expiration

41
Q

What is obstructive breathing?

A

expiration longer than inspiration

Asthma, COPD

42
Q

What is restrictive breathing?

A

shallow inspirations, become rapid with exertion

Restrictive lung diseases

43
Q

What is hypernea?

A

rapid, deep inspirations

44
Q

What is Kussmaul breathing?

A

deep gasping respirations such as found in diabetic acidosis

45
Q

What is sighing?

A

deep inspirations with the breathing pattern

normal variant if occasional

46
Q

What is cheyne-stokes?

A

increasing then decreasing amplitude of respiration with periods of apnea. depression of the frontal lobe

47
Q

What is ataxic breahting?

A

irregular, unpredictable pattern with periods of apnea. meningitis, increased intracranial pressure

48
Q

What is the systolic measurement of the BP?

A

the pressure of the blood on the arterial wall at the peak of left ventricular contraction

49
Q

What is the distolic measurement of the BP?

A

the resting pressure on the arterial wall, occurring during ventricular relaxation.

50
Q

What is the preHTN bp?

A

120-140

51
Q

What is the HTN stage 1 BP?

A

140-160

52
Q

What is the HTN stage 2 BP?

A

> 160

53
Q

definition of orthostatic hypoTN?

A

a drop in blood pressure of 20 mmHg or the rise of pulse by 20 beats per minute from supine to standing

54
Q

What is pain?

A

My brain for doing these flashcards right now.