Vital signs Flashcards

1
Q

What should you look for when taking someone’s respiratory rate?

A
  • Was your person breathing slowly or rapidly?
  • Were they having to work hard to breathe?
  • Were they breathing through their nose or their mouth?
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2
Q

What should you listen for when taking someone’s respiratory rate?

A
  • Did you hear any extra breath sounds?
  • Did it sound normal?
  • Was the person coughing?
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3
Q

What should you feel for when taking someone’s respiratory rate?

A
  • Did you feel the chest rise and fall?
  • What is equal and bilateral?
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4
Q

What should you look for when taking someone’s pulse?

A
  • What was the colour of the person?
  • Were they pale?
  • Was their skin tone ‘normal’ for them?
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5
Q

What should you feel for when taking someone’s pulse?

A
  • Was the pulse strong or weak?
  • Was it bounding or thready?
  • What did the person’s skin feel like?
  • Were they hot or cold?
  • Sweaty or clammy?
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6
Q

What should you look for when taking someone’s blood pressure?

A
  • What was the colour of the person?
  • Were they pale?
  • Was their skin tone ‘normal’ for them?
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7
Q

What should you listen for when taking someone’s blood pressure?

A
  • Was the person’s blood pressure easy to take?
  • Did you clearly hear a karotkoff sound?
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8
Q

What should you feel for when taking someone’s blood pressure?

A
  • Did you find the radial pulse first?
  • Did you find the brachial pulse?
  • Was it strong or weak?
  • What did the person’s skin feel like?
  • Were they hot or cold?
  • Sweaty or clammy?
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9
Q

In a hospital setting, what people have their vital signs at least every 4 hours?

A

Patients who have:
- Elevated temperatures
- High or low blood pressures
- Changes in heart rate or rhythm
- Respiratory difficulty
- Had surgery
- Taken medications that affect cardiovascular or respiratory function

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10
Q

When should you assess vital signs?

A
  • Anytime there is a change in a patient’s condition
  • Before administering medications that affect cardiovascular or respiratory function
  • Before and after any surgical or invasive procedure
  • If the patient loses consciousness
  • On admission
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11
Q

What is diastolic pressure?

A

The minimum pressure that is exerted when the heart rests between beats.

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12
Q

What is pulse pressure?

A

The difference between the systolic and diastolic pressure.

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13
Q

What is systolic pressure?

A

The maximum pressure that is exerted when the left ventricle ejects blood into the aorta.

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14
Q

What is the average blood pressure of a newborn?

A

73/55 mmHg

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15
Q

What is the average blood pressure of a 1-3 year old?

A

90/55 mmHg

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16
Q

What is the average blood pressure of a 6-8 year old?

A

95/75 mmHg

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17
Q

What is the average blood pressure of a 10 year old?

A

102/62 mmHg

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18
Q

What is the average blood pressure of a teen?

A

102/80 mmHg

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19
Q

What is the average blood pressure of an adult?

A

120/80 mmHg

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20
Q

What is the average blood pressure of an over 70 year old?

A

120/80 mmHg (may be up to 160/95)

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21
Q

What are the two factors that help maintain normal blood pressure?

A
  • Arterioles are normally partially contracted to create a relatively constant level of peripheral resistance
  • Arteries have lots of elastic tissue that allow them to stretch, distend, and recoil between heart beats
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22
Q

How is cardiac output another physiological factor that contributes to blood pressure variations?

A

Pressure increases when the heart pumps more blood.

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23
Q

How is peripheral vascular resistance another physiological factor that contributes to blood pressure variations?

A

An increase in resistance also increases blood pressure.

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24
Q

How is circulating blood volume another physiological factor that contributes to blood pressure variations?

A

Blood pressure increases with volume.

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25
How is viscosity of blood another physiological factor that contributes to blood pressure variations?
Thicker blood increases pressure.
26
How is elasticity of blood vessels another physiological factor that contributes to blood pressure variations?
Decreased elasticity increases blood pressure.
27
How is age a factor of blood pressure variations?
Older adults have decreases elasticity in their arteries, which increases peripheral resistance and blood pressure.
28
How is circadian rhythm a factor of blood pressure variations?
Blood pressure is lowest upon waking, and rises 5-10 mmHg by late afternoon.
29
How is gender a factor of blood pressure variations?
Women have lower blood pressure compared to men of the same age, until menopause.
30
How is food intake a factor of blood pressure variations?
Blood pressure increases after eating.
31
How is exercise a factor of blood pressure variations?
Systolic pressure increases during exercise.
32
How is weight a factor of blood pressure variations?
Obese people have higher blood pressure.
33
How are emotions a factor of blood pressure variations?
Anger, fear, excitement, and pain increase blood pressure.
34
How is body position a factor of blood pressure variations?
Blood pressure is lower when we're lying down.
35
How are medications a factor of blood pressure variations?
Oral contraceptives cause a mild increase in blood pressure.
36
How is blood pressure assessed?
By listening for Korotkoff sounds. In some people these sounds are heard distinctively, while in others only the first and last sounds are heard.
37
What does the first Korotkoff sound indicate?
Systolic pressure.
38
What does the Korotkoff sound disappearing indicate?
Diastolic pressure.
39
What is the average heart rate for newborns?
80-180 bpm
40
What is the average heart rate for 1-3 years?
80-140 bpm
41
What is the average heart rate for 6-8 years?
75-120 bpm
42
What is the average heart rate for 10 years?
75-110 bpm
43
What is the average heart rate for teens, adults and over 70 years?
60-100 bpm
44
What conditions increase heart rate?
- Decreased blood pressure - Elevated temperature - Exercise - Fear, surprise, anger of anxiety - Medications such as adrenaline and glycosides - Pain
45
What conditions decrease heart rate?
- Hypothermia - Thinner people - Increasing age
46
What is an absent pulse?
No pulsation is felt despite extreme pressure.
47
What is a normal pulse?
Pulsation is easily felt; takes moderate pressure to cause it to disappear.
48
What is a thready pulse?
Pulsation is not easily felt and slight pressure causes it to disappear.
49
What is a weak pulse?
Stronger than a thready pulse; light pressure causes it to disappear.
50
What is a bounding pulse?
The pulsation is strong and does not disappear when moderate pressure.
51
What is tachycardia?
A rapid heart rate decreases cardiac, flling time, which descreases stroke volume and cardiac output.
52
What is bradycardia?
A heart rate below 60 beats per minute.
53
What is the average respiration rate in newborns?
30-80 breaths per minute
54
What is the average respiration rate in 1-3 years?
20-40 breaths per minute
55
What is the average respiration rate in 6-8 years?
15-25 breaths per minute
56
What is the average respiration rate in 10 years?
15-35 breaths per minute
57
What is the average respiration rate in teens and over 70 year olds?
15-20 breaths per minute
58
What is the average respiration rate in adults?
12-20 breaths per minute
59
How does age affect respiration rate?
Respiratory rate decreases with age.
60
How does sex affect respiration rate?
Male respiratory movements are diaphragmatic, while female respiratory movements involve greater intercostal muscle movement.
61
How does exercise affect respiration rate?
Increases respiratory rate and depth.
62
How does acid-based balance affect respiration rate?
Alterations in balance increase rate and depth of respirations. For example, acidosis causes hyperventilation.
63
How does altitude affect respiration rate?
Increased altitude increases rate and depth prior to adaption by increasing hemoglobin levels.
64
How does respiratory disease affect respiration rate?
Any change is respiratory function result in changes in respiratory rate.
65
How does anemia affect respiration rate?
Increases respiration rate.
66
How do medications affect respiration rate?
May slow or increase rate and depth depending on type.
67
How does acute pain affect respiration rate?
Increases rate, but may decrease depth.
68
What is apnea?
A period of no breathing.
69
What is orthopnea?
Breathing more easily in an upright position.
70
What is bradypnea?
Decreased rate that occurs in some pathological conditions.
71
What is dyspnea?
Difficult or laboured breathing.
72
What is tachypnea?
Increased rate in response to an increased metabolic rate.
73
What is eupnea?
Normal respiration; one respiration to four heart beats.
74
What are Cheyne-Stokes respirations?
Alternating periods of deep, rapid breathing followed by periods of apnea.
75
Why are respiration rate and heart rate measured together?
They are measured together so that the person doesn't modify their respiration rate in response to the person being aware of you measuring his or her respiration rate.
76
What is the average body temperate for newborns?
36.8 degrees Celcius
77
What is the average body temperature for 1-3 year olds?
37.7 degrees Celcius
78
What is the average body temperature for 6-10 year olds, teens and adults?
37 degrees Celcius
79
What is the average body temperature for over 70 year olds?
36 degrees Celcius