Vital Signs Flashcards

1
Q

6 Vital Signs

A

Temperature, Pulse, Blood Pressure, Respiratory Rate, Oxygen Saturation, Pain

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2
Q

When to measure vital signs?

A

On admission, per physician order, any change in patient condition, before/ after procedures, during blood transfusion, after meds or interventions

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3
Q

Normal Temp Ranges

A

96.8-100.4

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4
Q

Oral/ tympanic/temporal

A

97.6-99.6

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5
Q

Rectal Temp

A

98.6-100.4

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6
Q

Axilla Temp

A

96.6-98.6

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7
Q

Normal Pulse

A

60-100 beats per minute

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8
Q

Normal Respirations

A

12-20 breaths per minute

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9
Q

Normal Blood Pressure

A

Less than 120/80

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10
Q

Blood pressure- Pre- Hypertensive

A

120-139
80-89

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11
Q

Blood pressure- Hypertensive

A

> 140
90

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12
Q

Blood pressure- Hypotensive

A

Systolic <90 and symptomatic

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13
Q

Hypothalamus

A

Thermostat of the body

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14
Q

Anterior Hypothalamus (front)

A

Controls heat loss, sweating

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15
Q

Posterior Hypothalamus

A

Controls best production, vasoconstriction (creates shivering)

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16
Q

Basal metabolic rate

A

Metabolism creates heat

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17
Q

Heat Loss- Radiation

A

Transfer of heat from surface of one object to surface of another without direct contact

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18
Q

Heat Loss- Conduction

A

Transfer of heat from one object to another with direct contact

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19
Q

Heat loss- Convection

A

Transfer of heat away by air movement

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20
Q

Heat loss- Evaporation

A

Transfer of heat energy when a liquid is changed to gas

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21
Q

Heat loss- Diaphoresis

A

Visible perspiration

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22
Q

Factors affect Body Temp

A

Age, exercise, hormonal levels, circadian rhythm, environment, temperature alterations

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23
Q

Fever (pyrexia)

A

Usually not Hangul if below 102.2°
Defense mechanism

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24
Q

Febrile

A

Fever present

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25
Q

Afebrile

A

No fever

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26
Q

FUO

A

Fever of unknown origin

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27
Q

Hyperthermia

A

Inability to promote heat loss
High temp

28
Q

Heatstroke

A

104° or more
S/S- dry, hot skin, confusion, excess thirst, muscle cramps,
Increased HR, decrease BP
NO SWEATING

29
Q

Heat Exhaustion

A

Diaphoresis (sweat) results in excess water and electrolyte loss

30
Q

Hypothermia

A

<86-96.8
Below 86 is not livable
Cold decreases body’s ability to produce heat
Accidental/ Intentional

31
Q

Fahrenheit to Celsius 

A

C= (F-32)x5/9

32
Q

Celsius to Fahrenheit

A

F= (9/5 x C) +32

33
Q

Rectal Temp

A

Closest to core temp
Adult- insert 1.5 inches
Child- 1 inch
Infant- half inch

34
Q

Axillary Temp

A

Under arm
Considered safest
Left for 5-10 minutes

35
Q

Tympanic

A

In ear
Rapid
Unaffected by PO intake

36
Q

Temporal

A

Most accurate compared to core temp
Fast read 2-3 minutes

37
Q

Diaphragm

A

High pitch sounds

38
Q

Bell

A

Low pitch sounds

39
Q

Pulse- wrist- radial

A

Most common
Assesses circulation status to hand

40
Q

Pulse- Apical- mid clavicular- 5th intercostal space

A

If pulse is abnormal listen full minute
If taking meds that affect HR

41
Q

Pulse- Neck- Carotid

A

Need pulse quick
If patient condition suddenly worsens

42
Q

Pulse- Dorsalis Pedis

A

Top of foot
Asses circulation

43
Q

Pulse

A

60-100
Rhythm- normal irregular, dysthymia
Strength- 4+, 3+, 2+, normal, 1+, 0
Equality

44
Q

Gas exchange

A

The process of transporting oxygen into cells. Transport of carbon dioxide out of cells

45
Q

Ventilation

A

Process of moving air in and out of lungs
- inspiration and expiration

46
Q

Ischemia

A

Insufficient oxygen supply. Lead to cell injury or death

47
Q

Hypoxia

A

Cells do not have enough oxygen. Cell death

48
Q

Hypoxemia

A

Arterial blood does not have enough oxygen

49
Q

Respiratory acidosis

A

Not moving carbons dioxide out of cells with leads to increase carbon dioxide

50
Q

Alveoli

A

Smallest part of lungs, where gas exchange happens

51
Q

Ventilation

A

Movement of gases into and out of the lung

52
Q

Surfactant

A

What allows lungs to expand

53
Q

Transport

A

The movement of hemoglobin

54
Q

Anemia

A

Lack of red blood cells

55
Q

Perfusion

A

Distribution of red blood cells to and from the pulmonary capillaries

56
Q

Eupnea

A

Ventilation of normal rate and depth

57
Q

Cheyne-Stokes

A

Regular cycle where the rate and depth of breathing increase then decrease until apnea (about 20 seconds)

58
Q

Biots respiration

A

Periods of normal breathing followed by a varying period of apnea (usually 10 second to 1 minute)

59
Q

Pulse saturation O2

A

Estimates arterial saturation
95-100% good

60
Q

Blood pressure

A

Force exerted against the blood vessels by the blood

61
Q

Systolic

A

Maximum amount of blood pressure

62
Q

Diastolic

A

Minimum exertion

63
Q

Pulse pressure

A

Subtract systolic and diastolic

64
Q

Hypertension

A

Major underlaying factor of stroke
Contributing doctor to heart attack
Frequently no symptoms

65
Q

Hypotension

A

Skin mottling (discoloration), clamminess, confusion, increased HR, decrease urine output

66
Q

Pain- PQRST

A

Provokes/ palliates, quality, region/radiation, severity/ setting, timing