Patient Care Flashcards
what is the normal temperature for adults?
98.6
what could low temperature indicate? (4)
hypothermia, shock, dying, patient drank something cold
what is a high temperature?
100.5°
what could high temperature indicate? (6)
response to virus or bacteria, tumor fever/necrosis, response to drugs, septic shock, heat exhaustion, patient drank something hot
what is the normal pulse?
60-100 beats per minute
where should a pulse be checked?
radial artery, femoral artery, carotid artery
what is low pulse?
60 bpm or less, bradycardia
what causes bradycardia? (3)
medication, heart disease, athlete
what is high pulse?
100 bpm or greater, tachycardia
what causes tachycardia? (5)
fever, stress, dehydration, pain, heart disease
what is normal respiration?
12-20 bpm
what is low respiration?
rate less than 10
what causes low respiration?
respiratory distress, narcotic or dug overdose, respiratory fatigue
what is high respiration?
rate over 24
what causes high respiration? (3)
fear, anxiety, copd
what is normal blood pressure?
100-140/60-90
what is the maximum pressure exerted against the artery walls when the heart contracts?
systole
what is the pressure exerted against artery walls during relaxation of the heart muscle?
diastole
what is low blood pressure?
hypotension
what are the symptoms of hypotension?
sweaty, pale, rapid pulse, shallow breathing, nausea/vomiting
what is the treatment hypotension?
lay flat or trendelenberg, keep warm, IV fluids
what is high blood pressure?
hypertension
what are the symptoms of hypertension?
usually none; may have headache or appear flushed
what is the treatment for hypertension?
exercise, weight loss, low salt diet, medication
what is the fifth vital sign?
pain
what is myelosuppression?
reduction in bone marrow function
what is the lowest blood count a patient gets post treatment?
Nadir
when does a patient usually experience Nadir?
2-3 weeks after treatment
what causes myelosuppression?
disease, radiation, or chemotherapy
what is the normal white blood cell count?
4,000-10,000
what is the function of white blood cells?
fight infection
what is decreased white blood cell called?
leukopenia
what steers treatment (regarding WBC)?
ANC (absolute neutrophil count)
what are red blood cells?
erythrocytes
what is the function of erythrocytes?
carry oxygen from the lungs, carry carbon dioxide back to the lungs
what is the normal lifespan of erythrocytes?
120 days
what protein is found in erythrocytes?
hemoglobin
what is hemoglobin made of? (3)
iron, folic acid, vitamin B12
where are erythrocytes made?
bone marrow
what is the normal erythrocyte count?
4.1-5.1
what does low erythrocyte count indicate?
anemia
what are the symptoms of anemia? (6)
fatigue, weakness, dizzy, shortness of breath, pounding headache, ringing ears
what is the function of hemoglobin?
oxygen carried on erythrocyte
what is the abbreviation for hemoglobin?
Hgb
what is the normal hemoglobin counts?
12-16 for women; 14-18 for men
where is hemoglobin broken down?
liver
what is the ratio of the packed red cells to the total blood volume?
hematocrit
what is the abbreviation for hematocrit?
Hct
what is the normal hematocrit counts?
36-47 for women; 38-54 for men
what are the patient teachings for anemia? (4)
rest, conserve energy, move slowly especially with change, diet to include foods rich in iron
what is the treatment for Hgb < 9 ?
procrit
what is the treatment for Hgb < 8 ?
blood transfusion
what is the function of platelets?
clotting mechanism
what is the normal platelet count?
150,000-500,000
what is a severely low platelet count?
< 50,000
what is decreased platelets?
thrombocytopenia
at what platelet count should you not treat a patient?
below 50,000
what are symptoms of thrombocytopenia? (7)
nosebleeds, easy bruising, petechiae, prolonged bleeding, black or bloody stools, brown or bloody urine
what are the patient teachings for platelets?
do not take aspirin, do not floss teeth, use soft tooth brush, shave with electric razor, blow nose gently, be careful of sharp objects
acute radiation damage is most prominent in what type of tissues?
rapidly proliferating cells