Lesson 1 (FINALS) Flashcards
Vital signs also called as…
Cardinal Signs
Measurements of the body’s most basic functions
Vital Signs
Enumerate the four main vital signs routinely monitored by medical professionals and health care providers
- Body temperature
- Pulse rate
- Respiration rate
- Blood pressure
This is not considered a vital sign but is often measured along with the vital signs
Blood Pressure
Rate of breathing
Respiration Rate
Useful in detecting or monitoring medical problems
Vital Signs
It can be measured in a medical setting, at home, at the site of a medical emergency, or elsewhere
Vital Signs
This is not required for vital signs to be measured
Physician’s Order
Body temperature is controlled by a small structure in the basal region of the diencephalon of the brain called the…
Hypothalamus
Hypothalamus also referred to as…
Body’s Thermostat
When body’s metabolism increases…
More heat is produced
A patient whose body temperature is elevated above normal limits is said to have a…
Fever or Pyrexia
The normal body temperature remains almost constant; however, a variation of _____ to _____ above or below the average is within normal limits.
0.5º to 1º
It is rare for a person to survive with a body temperature between _____ and _____ or below _____.
105.8º F (41ºC) and 111.2º F (44ºC) or below 93.2ºF (34ºC).
Five areas of the body in which temperature is usually measured
- The oral site
- The tympanic site
- The rectal site
- The axillary site
- The skin
Is taken by mouth under the tongue
Oral Temperature
The average oral temperature is…
98.6 (37ºC)
Is taken in the axilla or armpit.
Axillary Temperature
The average axillary temperature is…
97.6º to 98 º F (36.4 ºC to 36.7 ºC)
Is taken at the anal opening to the rectum.
Rectal Temperature
The average rectal temperature is…
99.6 ºF (37.5 ºC)
Is taken inside the ear.
Tympanic Temperature
An ear (tympanic) temperature is _____ higher than an oral temperature.
0.3°C (0.5°F) to 0.6°C (1°F)
Also called as an aural thermometer.
Tympanic Membrane Thermometer
Is a small, hand-held device that measures the temperature of the blood vessels in the tympanic membrane of the ear.
Tympanic Membrane Thermometer/Aural Thermometer
In oral temperature, the probe is _____ and held in place until the instrument signals that is has registered temperature.
Under the tongue
Safest method of measuring body temperature because it is non-invasive.
Axillary Thermometer
Considered to provide the most reliable measurement of the body temperature because factors that can alter the results are minimized.
Rectal Thermometer
Normally is taken only on infant patients and not in adults.
Rectal Temperature
For rectal temperature, use a thermometer with a…
Blunt tip
Never use an _____ to take a rectal temperature.
Oral Thermometer
Probe covers are often colored _____ for rectal temperature.
Red
It is place on the abdomen or forehead of infants or children to measure temperature.
Temperature-Sensitive Patches
A newer method obtaining a temperature is done by _____ the forehead and the back of the ear with a probe.
They are quick and reliable method for obtaining a baseline temperature.
Scanning
Normal body temperature for adult in °F
97.8 to 99°F
Normal body temperature for child (5 to 13 years) in °F
97.8 to 98.6°F
Normal body temperature for infant (3 months to 3 years) in °F
99 to 99.7°F
Normal body temperature for adult in °C
36.7 to 37.4°C
Normal body temperature for child (5 to 13 years) in °C
36.7 to 37°C
Normal body temperature for infant (3 months to 3 years) in °C
37.2 to 37.7°C
Over the apex of the heart (heard with a stethoscope).
Apical Pulse
As the heart beats, blood is pumped in a pulsating fashion into the arteries. This results in a _____ or _____, of the artery.
Throb or Pulsation
Over the carotid artery at the front of the neck.
Carotid Pulse
Over the radial artery at the wrists at the base of the thumb.
Radial Pulse
At the posterior surface of the knee
Popliteal Pulse
Over the femoral artery in the groin
Femoral Pulse
Over the temporal artery in front of the ear
Temporal Pulse
At the top of the feet in line with the groove between the extensor tendons of the great and the second
Dorsalis Pedis Pulse (Pedal)
On the inner side of the ankles
Posterior Tibial Pulse
In the groove between the biceps and the triceps muscles above the elbow at the antecubital fossa
Brachial Pulse
Normal Average Pulse Rate for adults in beats per minute
60 to 90
Normal Average Pulse Rate for child (4 to 10 years) in beats per minute
90 to 100
Normal Average Pulse Rate for infant in beats per minute
120
Is an abnormally rapid heart rate (over 100 beats per minute).
Tachycardia
Is an abnormally slow heart rate (below 60 beats per minute).
Bradycardia
For infants and children, the _____ is the most accurate for cardiovascular assessment.
Apical Pulse
Equipment needed to assess the pulse includes a _____ and _____ and _____ to record findings.
Watch with a second hand and a pad and pencil
Respiration is _____ in newborns and infants.
Quicker
For monitoring apical pulse, a _____ that has been cleaned will be needed.
Stethoscope
When assessing respiration, observe the _____, _____, _____, and _____.
Rate, depth, quality, and pattern
Normal Average Respiration Rate for adult in breaths per minute
15 to 20
Normal Average Respiration Rate for infant in breaths per minute
30 to 60
Normal diastolic blood pressure is _____ or below.
80 mmHg
Force of the blood pushing against the artery walls during contraction and relaxation of the heart.
Blood Pressure
Pressure exerted when blood is ejected into arteries.
Systolic Blood Pressure
Pressure blood exerts within arteries between heartbeats.
Diastolic Blood Pressure
Normal systolic blood pressure is _____ or below.
120 mmHg
Both the systolic and diastolic pressures are recorded as…
mmHg/millimeters of mercury
Enumerate categorization of blood pressure
- Normal blood pressure
- Elevated blood pressure
- Stage 1 high blood pressure
- Stage 2 high blood pressure
mmHg recording represents how high the mercury column in an old-fashioned manual blood pressure device (called a _____ or _____) is raised by the pressure of the blood.
Mercury manometer or Sphygmomanometer
Systolic of 120 to 129 and diastolic less than 80
Elevated Blood Pressure
Systolic is 140 or higher or the diastolic is 90 or higher
Stage 2 High Blood Pressure
Systolic of less than 120 and diastolic of less than 80 (120/80)
Normal Blood Pressure
An equipment in which the blood pressure reading flashes on a small screen, can be used to measure blood pressure.
Digital Monitor
Systolic is 130 to 139 or diastolic between 80 to 89
Stage 1 High Blood Pressure
An equipment that has a dial gauge and is read by looking at a pointer.
Aneroid Monitor
Enumerate the American Heart Association guideline before performing blood pressure monitoring.
- Don’t smoke or drink coffee for 30 minutes before taking your blood pressure.
- Go to the bathroom before the test.
- Relax for 5 minutes before taking the measurement.
Enumerate the 6 steps for measurement of blood pressure
- Subject seated on chair and relax for 3-5 minutes
- Explain the process of recording blood pressure
- Loosen the tight clothing and place the cuff in the upper arm
- Place stethoscope and measure pulse over brachial artery
- Pump the cuff till pulse disappears and deflate till pulse reappears. Record the readings
- The reading at the reappearance of the pulse is systolic blood pressure and the disappearance of the pulse is diastolic blood pressure
Normal values of blood pressure for adult
90 to 120 systolic over 50 to 70 diastolic
Normal values of blood pressure for adolescents
85 to 130 systolic over 45 to 85 diastolic
Unless _____ is present to do so, vital
signs should be taken by the _____ when
a patient is brought into the diagnostic imaging
department for invasive diagnostic procedure or
treatment, before and after the patient receives
medication, or anytime the patient’s general
condition suddenly changes.
Registered Nurse & Radiographer
- It is the responsibility of the _____ to make certain that there is a functioning sphygmomanometer, a stethoscope and the equipment necessary to administer oxygen in each diagnostic imaging room at the beginning of each shift
- Emergencies requiring these items arise, and there is no time to look for this equipment .
Radiographer
The normal body temperature of a person varies depending on _____, _____, _____ and _____, _____, and, in women, the stage of the _____
Gender, recent activity, food and fluid consumption, time of day, and, in women, the stage of the menstrual cycle.
The _____, _____, _____, _____, _____, _____, _____, _____ and _____ are some factors that influence body temperature
Environment, time of the day, age, hormone level, emotions, physical exercise, digestion of food, disease, and injury
The site selected for measuring body temperature
must be chosen with care depending on the
_____, _____ and _____.
Patient’s age, state of mind, and ability to
cooperate in the procedure
Because the reading will vary depending on where
it is measured, be sure to specify the _____ used
when reporting the reading.
Example:
* A rectal temperature of 99.6 º F is written 99.6 R.
* An oral temp of 98.6 º F is written 98.6 O.
* An axillary temp of 97.6 º F is written 97.6 Ax.
* A tympanic temp of 97.6 º F is written 97.6 T.
Site
Enumerate the following areas where the pulse can be detected most easily…
- Apical pulse
- Radial pulse
- Carotid pulse
- Femoral pulse
- Popliteal pulse
- Temporal pulse
- Dorsalis Pedis pulse
- Posterior Tibial pulse
- Brachial pulse
The rate of respiration increases with _____ or _____.
Physical exercise or Emotion.
Each time the heart beats, it pumps blood into the arteries, resulting in the _____ pressure as the heart contracts. When the heart relaxes, the blood pressure _____.
Highest blood & Falls
High blood pressure, or hypertension, directly increases the risk of _____, _____ and _____.
Heart attack, heart failure, and stroke
With high blood pressure, the arteries may have an _____ against the flow of blood, causing the heart to pump harder to circulate the blood
Increased resistance
For people with _____, home monitoring allows the doctor to monitor how much the blood pressure changes during the day, and from day to day.
This may also help the doctor determine how effectively the blood pressure medication is working.
Hypertension
At areas of the body in which arteries are _____, the pulse can be felt by gently pushing the artery lying beneath the skin against a solid surface such a bone.
Superficial
As with other vital signs, it is important to establish a _____ because changes in respiration are often an early sign of threatened physiologic state.
Baseline respiratory rate