PCS 3 Vitals Flashcards
who you give baseline measurements to
elderly patients (older than 65) very young pts (younger than 2) debilitated pts low aerobic capability cardioV probs pts recovering from trauma/surgery cardioP issues
Body Temperature - time of day
LOW in morning HIGH at noon
body temp - age
HIGHER when real young LOW when older
body temp - environment
LIL HIGHER in hot LIL LOWER in cold
body temp - infection
HIGHER
body temp - physical activity
LIL HIGHER with exercise but PLATEAU’s with training
body temp - emo status
LIL HIGHER when stressed/sad/angry!!!
body temp - measurement site
HIGHER in butt LOWER in axilla
body temp - menstrual
HIGHER
body temp - oral cavity
temp can be a bad representation, wait 14 to 30 minutes after cold/hot drink or smoking
body temp - range
oral - 96.8 F to 99.3 F (36 C to 37.3 C)
rectal - 97.8 to 100.3 (36.6 to 38.1)
body temp - sites
oral cavity, rectum, axilla, ear canal, forehead or temporal lobe, and occasionally inguinal fold
Most Accurate - rectal
Most Convenient - orally
Pulse
indirect measure of contraction of the left ventricle of the heart and indicates the rate at which the heart is beating.
rate of da squeezin of the left side heart
Movement of blood in an artery which can be felt at sites of the body.
pulse - range
newborns - 100-130 bpm
1yr - 7yr - 80-120 bpm
adultes - 60-100bpm
pulse - age
lower 65 and older Higher young persons
pulse - gender
HIGHER females LOWER males
pulse - environment
HIGHER in high temp LOWER in low temp
pulse - infection
HIGHER with infection
pulse - physical activity
relative to the exercise
post exercise 3-5 min to return to resting
can change with training
pulse - emo status
HIGHER with stress/sad/angry
can be LOWER during sleep
pulse - meds
varies
pulse - cardioP disease
heart functioning alters, so does the pulse… varies
pulse - conditioning
people who exercise may have LOWER pulse
pulse sites
temporal
carotid
brachial
radial
femoral
popliteal-midline posterior knee crease between the tendons of the hamstring muscles
dorsal pedal-slightly medial on the dorsum of the foot
posterior tibial-medial aspect of the foot inferior to the medial malleolus
BP definition
force by the blood against any unit area of the vessel wall. systolic diastolic
systolic pressure
point of pump of left ventricle heart
diastolic
point of rest of the heart
normal bp reading
120 systolic/80 diastolic
prehypertension
120-139/80-89
stage 1 hypertension
140-159/90-99
stage 2 hypertension
160-179/100-109
stage 3 hypertension
180-209/110-119
stage 4 hypertension
> 210/>120
the rise in hypertension calc
from 120/80
to +19/+9
BP - age
LOWER younger HIGHER older
BP - exercise
systolic relates to exercise - 3-5 min should return to norm
diastolic doesnt change too much, but an increase of 15 is abnormal
BP - emo
HIGHER with stress/sad/stressed!!
BP - meds
varies
BP - size and condition of arteries
decreased lumen INCREASE BP
decreased elasticity INCREASE BP
BP - arm position
SHOULD be forearm at the level of the 4th intercostal space and elbow extended
lowered may INCREASE BP
raised may DECREASE BP
BP - blood volume
decrease in blood DECREASE BP
increase in blood INCREASE BP
BP - values bilaterally
HIGHER on left arm than right arm
systolic HIGHER on thigh than left arm
Diastolic not change that much
