ROS, normal ranges, pulse palpations Flashcards
cardio ROS
chest pain, irregular heartbeat, palpitations, leg swelling
derm ROS
rashes, skin changes
gastro-urinary ROS
blood in urine, pain urinating, incontinence
general ROS
changes in weight, fatigue, fever/chills
GI ROS
abdominal pain, constipation, diarrhea, nausea/vomiting, difficulty swallowing
gyn ROS
change in periods, vaginal discharge, breast pain/discharge
HEENT ROS
vision changes, hearing changes, ear pain, sore throat, nasal discharge, ear discharge
how is BMI calculated
weight in kg / height in m^2
muscular ROS
joint pain or swelling, muscle aches
neuro ROS
headache, dizziness, fainting, weakness
normal BP
90-120 / 60-80
normal HR
60-100 bpm
normal pulse Ox range
96-100%
normal respiratory rate
12-20 bpm
psych ROS
sad, depressed, anxious, trouble with memory
respiratory ROS
SOB (lying down or active), wheezing, coughing
what BMI range is overweight, obese, and morbidly obese?
overweight: 25-29.9
obese: >30
morbidly obese: >35
what BMI range is underweight
<18.5
what is considered a fever?
normal temp: 97-99F
fever: >100.4F
what is considered hypoxemia?
<88% O2 sat
what is normal range of BMI
18.5 - 24.9
what range of BP is considered hypotensive?
<90/60
what questions to ask regarding pain?
OPQRSTU:
Onset
Precipitating and Palliating factors, Place
Quality (how to describe pain)
Radiation
Severity
Temporal
Understanding (what do you think might have caused it?)
where can the brachial artery be palpated?
midarm - medial side between biceps and triceps
anterior to elbow - cubital fossa (medial to biceps tendon - where stethoscope is placed for BP reading)
where can the radial artery be palpated?
distal forearm - lateral to anterior forearm tendons (most common pulse reading site)
at which rib does the inferior border of the lung lie posteriorly?
10th rib
at what vertebral levels are the kidneys found? are they even?
T12-L3
right kidney is usually a little inferior to the left
which lung has 3 lobes
right
where can you hear mitral valve of the LV (apex of the heart)?
place stethoscope at the left 5th ICS in the mid clavicular line
where can the posterior tibial artery be palpated?
between medial malleolus of ankle and calcaneous of heel
where can femoral pulse be palpated?
femoral triangle - inferior to inguinal ligament, halfway between ASIS (anterior superior iliac spine) and pubic tubercle
where can the dorsalis pedis be palpated?
between extensor tendons of great toe and 2nd digit (top of foot near big toe)
