systems review Flashcards
RR measurement gold standard
1 min
RR parameters
rate
depth
rhythm
sound
Pitting edema levels
1+
Barely detectable impression when finger is pressed into skin
2+
Slight indentation. 15 seconds to rebound
3+
Deeper indentation. 30 seconds to rebound.
4+
> 30 seconds to rebound
cyanosis
blue-gray discoloration
indicates inadequate ox
hemosiderin staining
rusty discoloration of LE
Ecchymosis
caused by bruising, new bruises purplish, old bruises yellow
bruising
erythema
Reddened area of skin by increased blood flow
jaundice
caused by liver
yellow/orange skin
pallor
lighter ton more white than normal
petechiae
tiny red or purple hemorrhagic spots caused by capillary bleeding
clubbing
Bulbous swelling of the fingertip
Loss of normal angle between nail bed and skin
Cause: Long standing hypoxia
Associated with cyanosis
beaus liines
Deep indented transverse lines across the nail
Cause: disrupted nail growth due to trauma, psoriasis, infection
mees lines
Transverse white lines across entire nail
Cause: systemic diseases such as renal disease, Hodgkin’s disease, malaria and sickle cell anemia
Motor control unimpaired means
good neuromuscular and neurologic
motor learning
following commands
following directions
appropriate response