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1120 > outcome 4 > Flashcards

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
Q

Shock def

A

failure of circulation / blood flow

the body’s pathological reaction to illness, trauma, physiological and emotional stress

26
Q

shock continuum

A
  1. compensatory
  2. progressive
  3. irreversible
27
Q

treating shock

A

stop exam, call code, dorsi recumbent position and elevate feet, prep O2, crash cart, CPR if LOC, turn head to one side.

28
Q

hypovolemic shock

A

low fluid volume
hemorrhage, loss of plasma/fluid

29
Q

cardiogenic

A

failure of heart pumping blood to organs
cardiac tamponade, dysrhythmias, myocardial infraction

30
Q

distributive

A

blood vessel inability to assist in return of blood to heart

31
Q

neurogenic

A

loss of sympathetic tone of peripheral vessels that cause their vasodilation
spinal cord, neuro damage

32
Q

septic

A

bacteria invading body
from disease, antibiotics, injection, surgery, transplant

33
Q

anaphylactic

A

result of hypersensitivity to antigen
allergic reaction

34
Q

taking vitals after shock

A

every 5 minutes

35
Q

shock tech. response

A

stop injection, code blue, alert radiology nurse, reassure patient, CPR, AED, O2, IV fluids, maintain airway, crash cart.

36
Q

pulmonary embolism

A

clot through vascular and lodges in pulmonary vessel - interrupts blood to lung

37
Q

PE symptoms

A

may enter shock, weak/rapid pulse, chest pain, tachycardia, LOC

38
Q

PE tech response

A

stop exam, call help, vital, O2, IV and meds.

39
Q

Stroke name and def and caused by

A

cerebrovascular accident CVA
interruption of blood supply to brain
caused by occlusion or rupture (blockage of blood to brain or hemorrhage)

40
Q

Stroke BEFAST and symptoms

A

balance, eyes, face, arms, speech, time

headache, numb, muscle weak on one side, loss of vision, dizzy, LOC, vomit

41
Q

TIA

A

transient ischemic attack
mini strokes lasting minutes or hours

42
Q

stroke tech. response

A

stop exam, call code, stay, vitals, recumbent and head up.

43
Q

Respiratory emerg. def. and tech response

A

dysfunction or inadequate gas exchange
airway obstruction, foreign object, disease, overdose, injury, coma

stop exam, call code, CPR, AED, vitals, O2

44
Q

asthma

A

cough, wheeze, SOB
inhaler, O2, Ventolin, corticosteroids, epinephrine

45
Q

airway obstruction

A

mucus, edema, object - stopped breathing and heart

J thrust or Heimlich maneuver, call code, CPR, AED

46
Q

cardiac arrest

A

electrical impulse, LOC, seizure, no pulse or blood pressure.

code, CPR, AED, defibrillator

47
Q

myocardial infraction

A

heart attack
damaged heart muscle
blocked artery

crushing chest pain, L side pain, faint, weak, SOB

48
Q

cardiac emerg. tech role

A

waiting - send someone to guide team. vitals, CPR, crash cart
during - document, equipment, phone calls, CPR,

49
Q

seizures

A

disturbance of brain function / hyper excitation of cerebral neurons.
a sudden alteration in brain function de to illness, fever, stress, trauma, tumor, epilepsy.

50
Q

generalized vs. focal seizure

A

all brain affected, LOC

one part of brain, impaired/aware.

51
Q

seizure tech. role.

A

stay with patient, supine, slowly breathing, protect from falling, do not restrain, privacy, keep track of time

when done - sims position, face down

52
Q

Diabetic emerg.
hypoglycemia
hyperglycemia (K)
HHNS

A

low blood sugar, high insulin

high blood suger, low insulin

high high blood sugar, low insulin

53
Q

ambu bag / bag valve mask

A

deliver manual breathes
positive pressure ventilation

54
Q

defibrillator

A

apply an electrical charge/shock to restore normal heart beat

55
Q

laryngoscope

A

small tube in throat
allows for placement of endotracheal tube to maintain airway
to see or remove object in throat

56
Q

epinephrine

A

medication
constricts blood vessels
high cardiac output
increase blood pressure
aids in respiration during cardiac arrest

57
Q

PT - Prothrombin time

A

monitor patient on blood thinners and diagnose clotting disorders

58
Q

PTT - Partial thromboplastin time

A

checks for bleeding disorders and monitors heparin therapy.

59
Q

BUN and creatinine

A

BUN - blood urea nitrogen - by product of protein metabolism
creatinine - metabolite associated with skeletal muscle mass

checks levels to assess renal function

60
Q

SBAR

A

S - situation
B - background
A - assessment
R - recommendation

61
Q

WBC count

A

detects infection or inflammation
diagnosing leukemia

1120 (1 decks)

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