Brainscape's Knowledge GenomeTM

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


See full index

Nurs 1200 > Vital Signs > Flashcards

Vital Signs Flashcards

1
Q

What are the 5 vital signs

A

Temp
Pulse
Resp
Blood Pressure
Pain

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

Normal Blood Pressure

A

120/80

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

Normal Temp Range

A

96.4 - 99.5

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

Normal Respirations Range

A

12-20 breaths per minute

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

Normal Pluse Range

A

60-100 beats per minute

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

LOC

A

Level Of Consiousness

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

When to asses vitals

A

admission
change in condition
change in LOC
before and after an invasive prodcedure
before and after activites that may cause change
before meds
per facility policy

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

Factors affecting body temp

A

Age
menopause
pregnancy
time of day
physical activity
overall health

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

What temp is does a fever start at

A

100.5

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

What is hyperthermia
causes
benefits

A

increase above normal body temp
causes; illness, cancer, trauma, surgery
benefits; start immune system, inital something is wrong

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

S & SX (signs and symptoms) of Hyperthermia

A

confusion&delerium (older patient)
fatigue
flushed face
hot, dry skin
increased pulse and resp rate
loss of appetite
muscle aches
shivering
thirst

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

Hyperthermia treatment
priority
pharmacological
nonpharmacological

A

Priority; treat the cause
pharmacological; antipyretics(NSAIDS/Acetaminophen)
nonpharmacological; cool sponge baths, increase fluid intake

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

What is hypothermia
-causes

A

decrease in temperature below the lower limit of normal
causes; exposure to cold, chronic conditions, perioperative clients, new born babies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

S & SX (signs and symptoms) of hypothermia

A

poor coordination
slurred speech
poor judgement
amnesia
hallucinations
vital sign decrease

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

Hypothermia treatment

A

rewarming
with a warming blanket, warm fluids, and/or additonal clothing/blankets

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

Temperature routes

A

sublingual
tympanic
temporal
rectal
axillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Advantages and contraindications of sublingual temp

A

advantages;
most common
easily acessible
contraindications:
intake of hot/cold fluids or food
smoking
chewing gum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

advantages and contraindications of tympanic temp

A

advantages;
easily accessible
contraindications;
drainage in ear
ear pain
ear infection
scars on tympanic membrane

19
Q

advantages and contraindications of temporal temp

A

advantages;
more accurate than axillary
contraindications;
forehead coverings
affected by external temps

20
Q

advantages and contraindications of rectal temp

A

advantages;
most accurate
contraindications;
special thermometer
heart disease or surgery (vagual stim. can cause heart rate to bottom)
neutropenic precautions
low platelet count
spinal cord injuries

21
Q

advantages and contraindications for axillary temp

A

advantages;
use when sublingual and rectal sites are contraindicated or not acessible
contraindications;
least accurate of them all
unable to keep arm down until reading is complete

22
Q

pulse characteristics

A

rate
rhythm (regualr or irregular)
amplitude (strength)
bradycardia (-60)
tachycardia (+100)

23
Q

factors affecting pulse rates

A

age
biological sex
fever
medication use
physical activity
presence of disease
stress

athletes have a lower heart rate, stress/anxiety have higher heart rate

24
Q

pulse location

A

temporal
carotid
apical (PMI pulse, between 4&5 rib)
brachial
radial
femoral
popliteal
post. tibia artery
pedal

25
Q

tachycardia
rate
causes

A

fast heart rate
between 100-180 bpm
causes;
drugs
fever
hypotensive
low oxygen blood
pain
stress

26
Q

bradycardia
rate
causes

A

below 60 bpm
causes;
decreased body temp
deleruim
heart attack
hypothyroidism
intracranial pressure
medications
sleep
sleep apnea
vagal stimulation

27
Q

pulse amplitude
how its measured

A

the quality or fullness of the sound
meausured by grades
0-absent, unable to palpate
+1 - deminished, weaker than expected
+2 - brisk, expected
+3 - bounding

28
Q

respiration characteristics

A

rhythm - reg or irreg
depth- force of inhalation/exhalation

29
Q

factors affecting respiration

A

acid-base balance
acute pain
age
anemia
anxiety
brain lesions
exercise
increased altitude
medications
respiratory disease

30
Q

respiration rhythms

A

apnea - without resporations
tachypnea - rate greater than 24 breaths per min
bradypnea - rates less than 10 breaths per min

31
Q

respiration rates

A

normal - 12-20 breath/min
tachypnea - >24 bpm
bradypnea - <10 bpm
hyperventilation - increased rate and depth
hypoventilation - decreased rate and depth
cheyne-stokes - alternating periods of deep rapid breathing, followed by periods of apnea (regular)
Biots resp - varying depth and rate of breathing followed by periods of apnea (irregualr)

32
Q

pulse oximetry
range
false reading causes

A

measures the % of oxygen saturation in the blood
range; 95% - 100%
false reading causes;
cold hands
wrong location
equipment malfunction
fingernail polish/acrylic

33
Q

Blood pressure top number

name

A

systolic

34
Q

Blood Pressure bottom number

name

A

diastolic

35
Q

blood pressure ranges

A

normal; < 120/80

elevated; 120-129/80

hypotension; below 90/60

hypertensive stage 1; 130-139/80-89

hypertensive stage 2; >140/>90

hypertensive crisis; >180/>120

36
Q

factors affecting blood pressure

A

age
biological sex
body position
circadian rhythm
drugs/medications
emotional state
exercise
food intake
race
weight

37
Q

factors causing false low blood pressure readings

A

hearing deficit
noise in enviornment
applying cuff thats too wide
inserting stethoscope in ears incorrectly
releasing valve too fast

38
Q

factors causing false high blood pressure readings

A

incorrectly calibrated manometer
applying cuff that is too narrow
releasing valve too slow
reinflating bladder during ausculatation

39
Q

hypertension
at risk?

A

over 130/80
at risk?
family hx (history)
race
sleep apnea
diabetes
cholesterol
african american males

40
Q

hypotension

A

less than 90/60

41
Q

orthostatic hypotension

preventions

A

rapid movement of sitting to standing, gets dizzy

let patient dangle and get up slowly

42
Q

oxygentation

A

amount of oxygen in the blood

43
Q

perfusion

A

volume of blood

Nurs 1200 (8 decks)

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