Mod 3: Pt Intake & Vitals (56%) Flashcards
the PHQ-2 and PHQ-9 both screen for
depression
the GAD-7 screens for
anxiety
the mini-mental exam assess for
dementia/degenerative mental conditions
in phase II of Korotkoff sounds, it sounds like
swishing
phase III of Korotkoff sounds sounds like
sharp tapping
phase IV of Korotkoff’s sounds sounds like
soft/muffled tapping
wrong BP cuff sizes can raise the _____ up to ____
systolic and diastolic pressure up to 6.9 mmHg
crossing the legs while taking blood pressure can increase the ____ by _____
systolic pressure by 2-8 mmHg
if the arm is above the heart, the BP reading is
lowered
if the arm is dangling, the BP reading will
be elevated
if the arm is help upright, the BP pressure will
increase
t/f: blood volume directly affects BP
true
t/f: peripheral resistance can increase BP
true
t/f: drinking coffee or smoking within 30 min of a BP measurement can affect the reading
true
to do BP on a pt with a one-sided mastectomy, the ma should
use the arm not impacted
to do BP on a pt w/a bilateral mastectomy, the MA should
use leg
to do BP on a pt w/lymphedema, the MA should
use leg
to do BP on a pt with dialysis fistula, the MA should
use the arm not affected
what is the normal BP range for 1-3 yr olds
90-105/55-70
what is the normal BP range for 3-6 yr olds
95-110/60-75
what is the normal BP range for 6-12 yr olds
100-120/60-75
what is the normal BP range for kids older than 12 years
110-120/60-80
what is the range for elevated BP
systolic 120-139 OR diastolic < 80
what is the range for hypertension stage 1
systolic 130-139 OR diastolic 80-89
what is the range for hypertension stage 2
systolic of at least 140 OR diastolic of at least 90
what is the range for hypertensive crisis
systolic higher than 180 OR diastolic greater than 120
what are some causes of orthostatic hypotension
dehydration, heart disease, diabetes, some medications, nervous system disorders
with orthostatic hypotension, the pulse often
increases
how does CDC recommend measuring BP for a pt w/orthostatic hypotension
- lie down 5 min, measure BP and pulse
- stand and wait 1 min before measuring BP & pulse
- keep pt standing & repeat measurements after 3 min
what are other locations to measure the pulse beside the radial, brachial, and carotid sites
temporal, femoral, popliteal, posterior tibial, and dorsalis pedis
apical pulse is typically measured in pts who are
children, infants, or adults w/irregular beats
what is the normal pulse range for 1-12 month olds
100-180
what is the normal pulse range for 1-2 yrs
98-140
what is the normal pulse range for 3-5 yrs
80-120
what is the normal pulse range for 6-15 yr olds
75-118
what is the normal pulse range for pts older than 15 years
60-100
what is the difference between hyperventilation and hyperpnea
hyperventilation = fast/rapid breathing
hyperpnea = excessively deep breathing
define RALES
small clicking, bubbling, or rattling sounds
rales can be caused by
fluid in air sacs or pneumonia
rhonchi can be caused by
COPD, chronic bronchitis, and pneumonia
define rhonchi
large airway sounds
what is the normal respiratory range for 1-12 month olds
30-53
what is the normal respiratory range for 1-2 yr olds
22-37
what is the normal respiratory range for 6-15 yr olds
18-25
what is the normal respiratory range for adults
12-20
axillary temperatures are typically ____ than oral temp
1 degree F (0.6 C) lower
tympanic, rectal, and temporal artery temperatures are typically ___ than oral readings
1 degree F (0.6 C) higher
growth charts (with head circumference) are used until
3 years
a normal or healthy weight on the growth chart is generally
between 5th & 85th percentile
BMI between 18.5 and 24.9 is considered
normal
BMI greater than 24.9 and less than 30 is
overweight
BMI greater than 30 is
obese
what are factors that affect vitals
drinking hot or cold drink, anxiety, smoking, exertion, age, pain, illness, beta-blocker medication
