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outcome 4 Flashcards

1
Q

When to take vital signs (5 things)

A
  1. no nurse when patient condition changes
  2. no chart to provide previous vitals
  3. to establish a baseline
  4. before & after med. administration
  5. you notice patient state changes/they say they feel off.
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2
Q

Temp. factors

A

environment, time, age, weight, hormones, emotions, exercise, digestion, injury, illness

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3
Q

temp range

A

36.4-36.7

fever is above 38

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4
Q

pyrexia vs. hyperpyrexia

A

fever & high temp (O2 demand)
exceptionally high temp

(hypothalamus)

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5
Q

hyperthermia vs. hypothermia

A

high body temp from imbalance
low body temp

(body core temp)

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6
Q

pulse - -def. and measures

A

pressure wave in artery by explosion of blood

of heart beats/contractions, strength and regularity

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7
Q

pulse sites

A

radial, apical, carotid, femoral, temporal, popliteal, pedal,

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8
Q

pulse adult range

A

60-100

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9
Q

pulse child range

A

85-100

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10
Q

pulse infant range

A

120

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11
Q

tachycardia vs. bradycardia

A

abnormally rapid (over 100 & 20 breaths)
abnormally slow (under 60 & 12 breaths)

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12
Q

Respiration def & measures

A

gas exchange btwn external and blood circulation
assess rate, depth, quality, pattern

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13
Q

respiration adult range

A

12-20

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14
Q

respiration infant range

A

30-60

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15
Q

dyspnea

A

laboured, difficulty breathing

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16
Q

cyanosis

A

bue colour, lack of O2

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17
Q

Blood Pressure def.

A

force for circulation of blood on artery walls

facotrs - meds, heart action, blood volume/viscosity, elasticity

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18
Q

systolic vs. dystolic

A

highest point of pressure in vessels. contraction and heart pumping

lowest pressure in vessels, relaxation, arteries accepting blood.

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19
Q

BLOOD PRESSURE
normal range
prehypertension range
hyper. stage 1
hyper stage 2
hypotension

A

95-119/60-79

120-139/80-89

140-159/90-99

over 160/over 100

under 90/under 50

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20
Q

pulse oximeter def/measure/units

A

measures pulse rate and blood O2 saturation/hemoglobin - the ability to supply O2 to tissues
SPO2 %

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21
Q

oxy pulse % normal
low
inadequate range

A

96-100%
under 95%
under 85%

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22
Q

Glasgow Coma Scale
three behaviors

A

objectively assess consciousness
a system to score/measure conscious.
behaviors - eye opening, verbal, motor response.

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23
Q

abnormal flexion - decorticate

A

flexion in arms, flexed at elbows, wrist rotated outwards

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24
Q

abnormal extension - decerebrate

A

body extension, rigid, arms rotated externally, arched back and neck, toes pointed down

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25
Shock def
failure of circulation / blood flow the body's pathological reaction to illness, trauma, physiological and emotional stress
26
shock continuum
1. compensatory 2. progressive 3. irreversible
27
treating shock
stop exam, call code, dorsi recumbent position and elevate feet, prep O2, crash cart, CPR if LOC, turn head to one side.
28
hypovolemic shock
low fluid volume hemorrhage, loss of plasma/fluid
29
cardiogenic
failure of heart pumping blood to organs cardiac tamponade, dysrhythmias, myocardial infraction
30
distributive
blood vessel inability to assist in return of blood to heart
31
neurogenic
loss of sympathetic tone of peripheral vessels that cause their vasodilation spinal cord, neuro damage
32
septic
bacteria invading body from disease, antibiotics, injection, surgery, transplant
33
anaphylactic
result of hypersensitivity to antigen allergic reaction
34
taking vitals after shock
every 5 minutes
35
shock tech. response
stop injection, code blue, alert radiology nurse, reassure patient, CPR, AED, O2, IV fluids, maintain airway, crash cart.
36
pulmonary embolism
clot through vascular and lodges in pulmonary vessel - interrupts blood to lung
37
PE symptoms
may enter shock, weak/rapid pulse, chest pain, tachycardia, LOC
38
PE tech response
stop exam, call help, vital, O2, IV and meds.
39
Stroke name and def and caused by
cerebrovascular accident CVA interruption of blood supply to brain caused by occlusion or rupture (blockage of blood to brain or hemorrhage)
40
Stroke BEFAST and symptoms
balance, eyes, face, arms, speech, time headache, numb, muscle weak on one side, loss of vision, dizzy, LOC, vomit
41
TIA
transient ischemic attack mini strokes lasting minutes or hours
42
stroke tech. response
stop exam, call code, stay, vitals, recumbent and head up.
43
Respiratory emerg. def. and tech response
dysfunction or inadequate gas exchange airway obstruction, foreign object, disease, overdose, injury, coma stop exam, call code, CPR, AED, vitals, O2
44
asthma
cough, wheeze, SOB inhaler, O2, Ventolin, corticosteroids, epinephrine
45
airway obstruction
mucus, edema, object - stopped breathing and heart J thrust or Heimlich maneuver, call code, CPR, AED
46
cardiac arrest
electrical impulse, LOC, seizure, no pulse or blood pressure. code, CPR, AED, defibrillator
47
myocardial infraction
heart attack damaged heart muscle blocked artery crushing chest pain, L side pain, faint, weak, SOB
48
cardiac emerg. tech role
waiting - send someone to guide team. vitals, CPR, crash cart during - document, equipment, phone calls, CPR,
49
seizures
disturbance of brain function / hyper excitation of cerebral neurons. a sudden alteration in brain function de to illness, fever, stress, trauma, tumor, epilepsy.
50
generalized vs. focal seizure
all brain affected, LOC one part of brain, impaired/aware.
51
seizure tech. role.
stay with patient, supine, slowly breathing, protect from falling, do not restrain, privacy, keep track of time when done - sims position, face down
52
Diabetic emerg. hypoglycemia hyperglycemia (K) HHNS
low blood sugar, high insulin high blood suger, low insulin high high blood sugar, low insulin
53
ambu bag / bag valve mask
deliver manual breathes positive pressure ventilation
54
defibrillator
apply an electrical charge/shock to restore normal heart beat
55
laryngoscope
small tube in throat allows for placement of endotracheal tube to maintain airway to see or remove object in throat
56
epinephrine
medication constricts blood vessels high cardiac output increase blood pressure aids in respiration during cardiac arrest
57
PT - Prothrombin time
monitor patient on blood thinners and diagnose clotting disorders
58
PTT - Partial thromboplastin time
checks for bleeding disorders and monitors heparin therapy.
59
BUN and creatinine
BUN - blood urea nitrogen - by product of protein metabolism creatinine - metabolite associated with skeletal muscle mass checks levels to assess renal function
60
SBAR
S - situation B - background A - assessment R - recommendation
61
WBC count
detects infection or inflammation diagnosing leukemia

1120 (1 decks)

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