Patient Care Flashcards

1
Q

what is the normal temperature for adults?

A

98.6

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2
Q

what could low temperature indicate? (4)

A

hypothermia, shock, dying, patient drank something cold

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3
Q

what is a high temperature?

A

100.5°

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4
Q

what could high temperature indicate? (6)

A

response to virus or bacteria, tumor fever/necrosis, response to drugs, septic shock, heat exhaustion, patient drank something hot

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5
Q

what is the normal pulse?

A

60-100 beats per minute

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6
Q

where should a pulse be checked?

A

radial artery, femoral artery, carotid artery

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7
Q

what is low pulse?

A

60 bpm or less, bradycardia

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8
Q

what causes bradycardia? (3)

A

medication, heart disease, athlete

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9
Q

what is high pulse?

A

100 bpm or greater, tachycardia

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10
Q

what causes tachycardia? (5)

A

fever, stress, dehydration, pain, heart disease

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11
Q

what is normal respiration?

A

12-20 bpm

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12
Q

what is low respiration?

A

rate less than 10

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13
Q

what causes low respiration?

A

respiratory distress, narcotic or dug overdose, respiratory fatigue

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14
Q

what is high respiration?

A

rate over 24

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15
Q

what causes high respiration? (3)

A

fear, anxiety, copd

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16
Q

what is normal blood pressure?

A

100-140/60-90

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17
Q

what is the maximum pressure exerted against the artery walls when the heart contracts?

A

systole

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18
Q

what is the pressure exerted against artery walls during relaxation of the heart muscle?

A

diastole

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19
Q

what is low blood pressure?

A

hypotension

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20
Q

what are the symptoms of hypotension?

A

sweaty, pale, rapid pulse, shallow breathing, nausea/vomiting

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21
Q

what is the treatment hypotension?

A

lay flat or trendelenberg, keep warm, IV fluids

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22
Q

what is high blood pressure?

A

hypertension

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23
Q

what are the symptoms of hypertension?

A

usually none; may have headache or appear flushed

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24
Q

what is the treatment for hypertension?

A

exercise, weight loss, low salt diet, medication

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25
what is the fifth vital sign?
pain
26
what is myelosuppression?
reduction in bone marrow function
27
what is the lowest blood count a patient gets post treatment?
Nadir
28
when does a patient usually experience Nadir?
2-3 weeks after treatment
29
what causes myelosuppression?
disease, radiation, or chemotherapy
30
what is the normal white blood cell count?
4,000-10,000
31
what is the function of white blood cells?
fight infection
32
what is decreased white blood cell called?
leukopenia
33
what steers treatment (regarding WBC)?
ANC (absolute neutrophil count)
34
what are red blood cells?
erythrocytes
35
what is the function of erythrocytes?
carry oxygen from the lungs, carry carbon dioxide back to the lungs
36
what is the normal lifespan of erythrocytes?
120 days
37
what protein is found in erythrocytes?
hemoglobin
38
what is hemoglobin made of? (3)
iron, folic acid, vitamin B12
39
where are erythrocytes made?
bone marrow
40
what is the normal erythrocyte count?
4.1-5.1
41
what does low erythrocyte count indicate?
anemia
42
what are the symptoms of anemia? (6)
fatigue, weakness, dizzy, shortness of breath, pounding headache, ringing ears
43
what is the function of hemoglobin?
oxygen carried on erythrocyte
44
what is the abbreviation for hemoglobin?
Hgb
45
what is the normal hemoglobin counts?
12-16 for women; 14-18 for men
46
where is hemoglobin broken down?
liver
47
what is the ratio of the packed red cells to the total blood volume?
hematocrit
48
what is the abbreviation for hematocrit?
Hct
49
what is the normal hematocrit counts?
36-47 for women; 38-54 for men
50
what are the patient teachings for anemia? (4)
rest, conserve energy, move slowly especially with change, diet to include foods rich in iron
51
what is the treatment for Hgb < 9 ?
procrit
52
what is the treatment for Hgb < 8 ?
blood transfusion
53
what is the function of platelets?
clotting mechanism
54
what is the normal platelet count?
150,000-500,000
55
what is a severely low platelet count?
< 50,000
56
what is decreased platelets?
thrombocytopenia
57
at what platelet count should you not treat a patient?
below 50,000
58
what are symptoms of thrombocytopenia? (7)
nosebleeds, easy bruising, petechiae, prolonged bleeding, black or bloody stools, brown or bloody urine
59
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
60
acute radiation damage is most prominent in what type of tissues?
rapidly proliferating cells