Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Practice Exam 1 > Vital Observations > Flashcards

Vital Observations Flashcards

1
Q

What are the 6 vital observations?

A
  • respiratory rate
  • pulse
  • CRT (capillary refill time)
  • blood pressure
  • temperature
  • oxygen saturation levels (Sp02%)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which vital observation can be an early indicator of acute illness?

A

respiratory rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in terms of breathing, what does bradypnoea mean?

A

abnormally slow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does tachypnoea mean?

A

elevated and rapid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does dyspnoea mean?

A

shortness of breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does hyperpnoea mean?

A

abnormally deep and laboured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does apnoea mean?

A

absence of breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the normal respiratory rate for an adult?

A

12-20bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what rate does hypoventilation occur?

A

RR<12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what rate does hyperventilation occur?

A

RR>20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what does the pulse measure?

A

pressure wave of blood caused by the arteries of each heart beat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the normal pulse for an adult?

A

55-90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the 10 steps of taking a pulse reading?

A
  1. wash hands, apply PPE
  2. gain consent
  3. locate the radial artery
  4. ensure the patient is rested when recording the pulse
  5. using 2/3 fingers, palate the radial artery
  6. ensure enough pressure is applied
  7. count the pulse for 60 seconds
  8. take note of the rate, rhythm and amplitude
  9. wash hands, remove PPE
  10. document the reading
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the normal CRT rate?

A

normal CRT should return within 2-3 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the target oxygen saturation levels for a healthy individual?

A

95-100%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the target sp02% for an acutely ill patient?

A

94-98%

17
Q

what is the optimal body temperature?

A

36.0 - 37.5

18
Q

How is blood pressure written?

A

120/70 mmHg

19
Q

What is systolic pressure? x/00

A

this is when the arteries contain maximum pressure

20
Q

what is diastolic pressure? 00/x

A

this is when the arteries contain the least pressure

21
Q

what value indicates hypertension?

A

BP systolic>140

22
Q

what value indicates hypotension?

A

BP systolic <100

23
Q

How would the Korotkoff sounds be during taking BP?

A
  1. tapping/thudding sound
  2. sound changes to a murmur/ swishing sound
  3. sound changes to knocking sounds louder than stage 1
  4. sound is muffled as pressure decreases
  5. silence
24
Q

what are the tips in taking manual blood pressure?

A
  1. ensure equipment is clean and working
  2. wash hands, apply PPE
  3. ensure patient is rested
  4. ask patient not to eat or speak while taking the observation
  5. ensure legs are uncrossed
  6. take an estimated systolic reading
  7. ensure the stethoscope is in your ear correctly
  8. ask for help if needed
25
Q

What are the main key points when taking vital observations?

A
  • introduce yourself
  • gain consent
  • maintain privacy and dignity
  • PPE
  • documentation
  • handover information
26
Q

What is the response when the NEWS2 score is 1-4?

A
  • inform nurse, who then must assess the patient
  • 4-6 hourly monitoring
27
Q

what is the response when the NEWS2 score is 5+

A
  • inform nurse, urgent assessment
  • minimum 1 hour monitoring
28
Q

what is the response when the NEWS2 score is 7 or more?

A
  • emergency assessment, taken to higher dependency unit
  • continuous monitoring

Practice Exam 1 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions