Vital sign Flashcards
Vital sign classic 4
Temperature
Pulse
Respiration
Blood pressure
Body Temperature
• Expected: __ with an average of
97.20 to 99.9 °F (36.20 to 37.7 °C) with an average of 98.6 °F (37.0 oC)
An oral temperature above __, a rectal or ear (aural)
temperature above ___, or an axillary temp of __ is considered a fever
100.4 °F (38 °C)
101 °F (38.3 °C)
≥ 37.8 °C(100.04 °F)
Ways to measure the body temperature:
⇒ ORALLY ⇒ RECTALLY ⇒ AXILLARY ⇒ BY EAR ⇒ BY SKIN
rectally tend to be __ higher than when taken by mouth.
0.5 to 0.7 degrees °F
temperatures taken by this route tend to be __
lower than those temperatures taken by mouth
0.3 to 0.4 degrees °F
FACTORS TO CONSIDER FOR TEMPERATURE MONITORING
o Site the temp was taken o Factitious Fever o Diurnal Rhythm o Circamensal Rhythm o Physical Fitness and Age
o Daily elevated temperature (>38 °C or 100.4 °F)
o Returns to baseline but not to normal
Remittent fever
o Return to baseline and to normal
Intermittent Fever (Periodic Fever)
PFAPA Syndrome:
Fever every 3-4 weeks
Relapsing Fever (Borrelia species)
Every 2-3 weeks
Malaria
every other or every third day
Rat Bite Fever
every 3 to 5 days
Cyclic Neutropenia
Fever every 3 weeks
self-induced fever
Factitious fever
multiple febrile attacks lasting about 6 days, separated by afebrile periods (usually infection like TB, malaria)
Relapsing fever
fever accompanied by chills, RUQ pain, and jaundice (due to stones obstructing common duct)
Charcot’s intermittent fever
fever characterized by a daily afternoon spike, often with facial flushing; usually seen with TB
Hectic fever:
fever of some duration without remissions; usually seen with gram (-)sepsis or CNS damage
Continued or sustained fever
febrile period lasting no more than one or two days
Ephemeral fever
a temp greater than 105 degrees °F or 40.6 degrees °
Hyperpyrexia
for every degree of increased temp, the pulse is increased by bpm
10
a measurement of the heart rate, or the number of times
the heart beats per minute.
pulse rate
Sites to measure puls
Poplitea Posterior tibial Brachial Carotid Dorsalis pedis femoral radial Temporal