S1_L5_Obj - 2-4 Flashcards

1
Q

Phase 2 is known as the _

A

soft swishing sound

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2
Q

phase 3 is known as the _

A

crisp sound

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3
Q

phase 4 is known as the _

A

blowing sound

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4
Q

after phase 4, what do u hear?

A

none, phase 5 is silence

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5
Q

what mmHg do u hear phase 1

A

120-110

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6
Q

what mmHg do u hear phase 2

A

110-100

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7
Q

what mmHg do u hear phase 3

A

100-90

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8
Q

what mmHg do u hear phase 4

A

90-80

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9
Q

what mmHg do u hear phase 5

A

<80

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10
Q

the BP cuff should be a _ machine

A

well-calibrated

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11
Q

the sphygmomanometer should be set at _

A

0 mmHg

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12
Q

Pt should be seated quietly for _ min before getting the BP

A

5 mins

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13
Q

what to refrain prior to taking BP

A

Refrain from smoking or ingesting caffeine 30 min prior

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14
Q

Refrain from smoking or ingesting caffeine _ min prior

A

30 mins

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15
Q

_ (rubber in the cuff) should encircle at least how many percent of
(lower or upper?) arm

A

bladder, 80%, upper

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16
Q

bladder should be how many inches above what landmark

A

1-2 inches above the antecubital fossa

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17
Q

__ of stethoscope should be tilted _; placed
above what artery

A

earpieces, forward, brachial artery

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18
Q

why does it need to be tilted forward?

A

Tilted forward to be aligned to eustachian tube

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19
Q

Quickly inflate to how many mmHg above what sound

A

> 20 mmHg above the 1st Korotkoff sound

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20
Q

If it’s the first time to meet pt or not sure of the baseline of pt, what to do?

A

palpate and locate pulse first and identify on what pressure does it disappear (more accurate than asking pt for baseline BP)

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21
Q

how many mmHg/second will u release the pressure?

A

slowly release the pressure, 2-3 mmHg/seconds

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22
Q

how many BP measurements will you take?

A

At least 2 measurements (minimum of 1-2 min apart), then
take the average

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23
Q

Decreased orthostatic tolerance is called

A

POSTURAL ORTHOSTATIC HYPOTENSION (OH)

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24
Q

postural OH is the sudden drop in SBP of at least _ or drop in DBP of
at least _ AND what percent increase in pulse rate

A

Sudden drop in SBP of at least 20 mmHg or drop in DBP of at least 10 mmHg
and 10-20% increase in pulse rate

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25
associated sx of postural OH
diaphoresis, cyanosis, sudden LOC
26
OH requires what vital signs?
BP and HR
27
postural OH occurs within _ mins of what position after being _ for how many minutes or at what percent on a tilt table
3, upright/standing, supine, 5, 60% angle
28
att what time will u take BP for OH pts?
Take BP: 5 min after supine (going to sitting); 1 min & 3 min after standing
29
Other manifestations of OH
dizziness, lightheadedness, pallor, diaphoresis (excessive sweating), syncope
30
Full 60-second count in RR and HR recommended for _
cardioulmonary pts
31
normal RR
12-20 cpm
32
tachypnea
>20 cpm (fast)
33
bradypnea
<12 cpm (slow)
34
different respiratory rates
○ Normal: 12-20 cpm ○ Tachypnea: >20 cpm (fast) ○ Bradypnea: <12 cpm (slow) ○ Variable
35
Depth of respiratory rate:
normal, deep, shallow, variable
36
Rhythm of RR
regular or irregular
37
Character
effort or effortless
38
Body _ represents the balance between the heat produced or acquired by the body and the amount lost
temperature
39
Body temperature represents the _ between the heat _ or acquired by the body and the amount _
balance, produced, lost
40
Normothermic/Afebrile (adults):
36.0-37.50C / 96.8-99.50F
41
what part of hand do you use to palpate?
dorsal hand
42
greater than the normal values of temp
febrile
43
febrile also called
fever or pyrexia
44
Hyperpyrexia/Hyperthermia: what temp
>41.1C/106F
45
Hypothermia: what temp
<35.0C / 95 F
46
Location of Measurement for temp
oral, axillary, rectal, tympanic
47
taking temp orally is recommended t or f
f, Oral is now not recommended since there is mercury (toxic);
48
Thermometer types
hand-held electronic oral, hand-held electronic external ear, clinical glass, thermal scanners
49
OXYGEN SATURATION (2)
● Arterial Blood Oxygen Saturation (SaO2) ● Peripheral Oxygen Saturation (SpO2)
50
Arterial Blood Oxygen Saturation also called as _
SaO2
51
Peripheral Oxygen Saturation also called as _
SpO2
52
assesses O2 saturation of hemoglobin
pulse oximeter
53
pulse oximeter assesses O2 saturation of _
hemoglobin
54
Should be complemented by other vital signs and objective findings
Peripheral Oxygen Saturation (SpO2)
55
_is a relative contraindication for pulse oximetry
Abnormal Hgb
56
Placing the probe on the _ or _ fingers has been shown to produce more accurate readings than the _ finger
3rd or 4th, index
57
If pt has a deformation, what finger will u use?
you can use the thumb or little finger
58
what can block the sensor light path in pulse oximeter?
Dirt, fingernail polish, blood
59
OXYGEN SATURATION: Normal blood O2 levels; RBC are well-oxygenated and sufficiently transporting O2 around the body
95-100%
60
OXYGEN SATURATION: Mild hypoxemia; below average; may proceed with PT management with caution; monitor closely the patient
91-94%
61
OXYGEN SATURATION: Moderate hypoxia / Low blood O2 levels; initiate supplemental O2 as prescribed
85 to 90%/88%
62
OXYGEN SATURATION: Severe hypoxia / Low blood O2 levels that affects the brain; administer supplemental O2 immediately
80-85%
63
OXYGEN SATURATION: Severe hypoxia; may require hospitalization
<80%
64
OXYGEN SATURATION: Observable cyanosis; acute danger to life
70%
65
While doing FA, oxygen saturation became 88%, if there’s an initial prescription from MD, what will u put in the pt?
supplemental o2
66
Severe hypoxemia / low blood O2 levels is a medical emergency t or f
t
67
OCULAR INSPECTION (11)
manner of arrival alertness body type head and neck observation wound or scar assessment check the extremities attachments: invasive monitoring or medication/fluid administration attachments: non-invasive life support attachments: invasive ventilatory devices attachments: invasive feeding devices chest deformities/asymmetries
68
can still get out of the bed but stays there due to doctor’s order
bed-fast
69
can’t get out of the bed due to severity of condition (ie comatose, some post-surgical precautions)
bedridden
70
can get out of the bed but is limited by attachments (ie IV lines, chest tube drainage bottles, etc)
bed-bound
71
General status of cognition
○ Cerebral assessments are applicable ○ May use Glasgow Coma Scale (GCS)
72
chronic bronchitis (blue bloater) body type
endomorph
73
emphysema (pink puffer) body type
ectomorph
74
BMI computation:
(kg/m2) or weight/height^2
75
Provides measurement of actual weight density of an individual
BMI
76
unusual heavy perspiration; different from pts who are “pawisin” (might assume incorrectly); ask them if they sweat a lot
Diaphoresis
77
chest pain; difficulty breathing, what can be the look on pt's face
apprehension
78
for infants (usually manifest with crying), tells us if they have breathing problems; respiratory distress
nasal flaring
79
sign of hypoxia
pupillary dilatation
80
longer by 3 mins of pupilllary dilatation can cause _
brain damage
81
Skin Color
cyanosis/paleness facial plethora cherry red lips or skin
82
localized and blue periphery (peripheral or central?)
peripheral
83
Affected brachial artery, only on that area will be blue
peripheral: localized and blue periphery
84
reaches CNS
central
85
Brain tells system that they have less oxygen = bluish discoloration of lips, figernals, toenails
central
86
for central, Compare with oxygen saturation measurements t or f
t
87
redness on face with swelling is called
facial plethora
88
Occurs when there is excessive blood supply going up there or excessive disruption of blood flow
facial plethora
89
facial plethora is seen in _ and _
superior vena cava syndrome; polycythemia vera
90
Beyond normal reddish color in lips
Cherry red lips
91
cherry red lips indicate _
carbon monoxide poisoning
92
The jugular vein is evident and may even throb
Jugular Vein Distention
93
Bulging d/t excessive pressure
Jugular Vein Distention
94
Blood doesn’t go back to the heart, so the vein distends in _
Jugular Vein Distention
95
jugular vein distenion can be a manifestation of _ or _
increased blood pressure, heart failure
96
Hypertrophied muscles may also result to _
Thoracic Outlet Syndrome (TOS)-related symptoms
97
what are some of the respiratory accessory muscles that are hypertrohpied?
SCM, scalenes
98
Sometimes the patients with pulmonary issues will have _ pain to UE and paleness; tingling; paresthesia; diminished blood flow to the area (diminished pulses)
radiating
99
what to assess in a wound esp on post op?
color size ulceration
100
types of scars
hypertrophic keloid