Unit 1 Flashcards

1
Q

What are the 7 vital signs?

A
  1. RR
  2. HR
  3. O2 Sats
  4. BP
  5. Temp (body)
  6. Exertion scale
  7. Pain Scale
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2
Q

Other vital signs

A
  1. Walking speed
    2 Height = BMI
  2. Weight = BMI
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3
Q

What is the HR for an Adult, N.born + 1 - 7yr

A

Adult: 60-100
N.Born: 100-130
1-7yr: 80-120

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4
Q

HR for Tachycardia +

Bradycardia?

A

Tachycardia (Fast) = >100 bpm

Bradycardia (Slow) =

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5
Q

HR: When is it safe to mobilize?

A

> 40 +

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6
Q

What do you document for HR?

A

Quality + Quantity

  • Strong Vs Weak
  • Regular Vs Irregular
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7
Q

Normal for RR?

A

Eupnea

Adult: 12-18 breaths

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8
Q

Why do we measure RR?

A

SOB

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9
Q

What do we do when measure RR?

A
  • Do not tell client you are counting.

- 30sec to 1 minute

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10
Q

What do we document from RR?

A

Quality of breathing + quantity breathes per minute

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11
Q

What are the two types of Blood Pressure?

A
  1. Systolic - Upper # Contractile Phase Adult: 120-130

2. Diastolic - Lower # Resting Phase Adult: 80 - 85

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12
Q

When is it safe to mob with BP?

A

110 BP

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13
Q

How do you measure BP?

A

With a Sphymonometer

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14
Q

What we document for BP?

A
  • Record systolic + diastolic number’s.
  • Time of day
  • Meds
  • Clients position
  • Pre/post activity
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15
Q

What is a normal O2 Sat reading?

A

> 95% (usually 98-100),

*Adults + kids = 88%

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16
Q

When is safe to mob with O2 Sats?

A
  • Over 88%

* Consider lower levels for COPD

17
Q

What instrument do you use to measure O2 Stats

A

Oximeter

18
Q

Normal body temp

A

37oC measure by thermometer

19
Q

Fever body temp

A

38oC

20
Q

How do we measure the quantity of pain?

A
  1. Numeric
  2. VAS: Visual Analogue Scale
  3. Pictures: Faces
21
Q

Quality of pain is also assessed by…

A
  1. Location
  2. Change or remain static
  3. Description
22
Q

What do we document for pain

A

Quantity + quality

23
Q

How do we measure exertion?

A
  1. Borg: 6-20 pt scale. Cli perception
  2. Dyspnea: 4 pt scale. Cli perception+observer
  3. Talk Test: measure intensity
24
Q

Measure Height + Weight

A
BMI = Mass (kg) / Height (m)
BMI = Mass (lb) / Height (in) x703