Physical Assessment Flashcards

0
Q

What is the resting pressure that the blood constantly exerts between each contraction?

A

Diastolic (DBP)

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1
Q

What is the maximum pressure felt on the artery during left ventricular contraction?

A

Systolic (SBP)

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2
Q

What is the difference between SBP and DBP and correlates with stroke volume?

A

Pulse Pressure

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3
Q

What is the pressure on the artery that increases if the heart pumps more blood into the artery?

A

Cardiac Output (CO)

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4
Q

What is the pressure needed to push blood through the artery and increases when the diameter of the artery decreases?

A

Vascular resistance

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5
Q

What is the pressure in the artery that increases when there is more blood/volume circulating in the body?

A

Volume

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6
Q

What is the pressure that increases when the thickness of the blood increases?

A

viscosity

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7
Q

What is the pressure needed to push blood through the artery that increases when the arterial walls are stiff and rigid?

A

Elasticity

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8
Q

What are 5 factors that determine blood pressure?

A
CO
Vascular Resistance
Volume
Viscosity (can get thicker with too many RBCs)
Elasticity
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9
Q

What increases with heavy exercise to meat body demand for increased metabolism?

A

CO

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10
Q

What decreases with pump failure such as weak pumping action after an MI or if in shock?

A

CO

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11
Q

What increases with VC and decreases with VD?

A

vascular resistance

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12
Q

BP varies with many factors such as. . .

A
age
gender
race
diurnal rhythm
weight
exercise
emotions
stress
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13
Q

If the bp cuff is correctly inflated and there is no sound, what does that mean?

A

the cuff is cutting off the brachial artery flow so there should be no sound of blood flow

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14
Q

in phase 1, when you heart soft, clear tapping, increasing in intensity, what does this “mean”?

A

this is the systolic blood pressure (the true SBP is the very FIRST sound)

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15
Q

True or False? Streamlined blood flow is SILENT.

A

TRUE

16
Q

What is the most common error in bp measurement?

A

deflating the cuff too quickly

17
Q

If your patient is obese, and you do not have a large enough cuff, what can you do?

A

use forearm and listen to radial artery near wrist

18
Q

If your patient has had a mastectomy on the right side, where do you take her bp?

A

use her left arm, not her right arm

19
Q

What if your patient has had a double mastectomy, where do you take her bp?

A

on her leg and listen to the artery behind her knee

20
Q

what is a normal pulse?

A

60-100 bpm

21
Q

bradycardia is ___________ bpm

A

<60 bpm

22
Q

tachycardia is ________ bpm

A

> 100 bpm

23
Q

what is sinus arrhythmia?

A

when the pulse speeds up during inspiration and slows down during expiration

*this is common in people in their early 20’s

24
Q

True or False? Like pulse, respirations decrease with age.

A

True

25
Q

What are some factors that affect temperature?

A
diurnal rhythm
ovulation
exercise
age
hydration status (dehydrated=higher temperature)
26
Q

In general, axillary temps are _______________ than the oral route.

A

one degree lower

27
Q

In general, rectal temps are _______________ than the oral route.

A

one degree higher

28
Q

In general, tympanic temps are _______________ than the oral route.

A

1/2 to 1 degree lower