Vital Signs Flashcards

1
Q

the 6 vital signs

A

pulse, respiration, BP, temp, pain, and walking speed

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2
Q

components of pulse

A

pulse force, pulse ryhthm, pulse rate,

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3
Q

normal adult pulse rates

A

60-80 bpm

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4
Q

normal pulse rate of children (1-8)

A

80-100 bpm

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5
Q

normal pulse rate of infants (less than 1 year)

A

100-120 bpm

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6
Q

normal pulse rate of highly trained athletes

A

40-60 bpm

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7
Q

tachycardia

A

pulse rate greater than 100 bpm

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8
Q

bradycardia

A

pulse rate lower than 60 bpm

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9
Q

pulse rhythm

A

Regular: pulses felt at typical intervals.

Irregular: pulses felt at variable intervals.

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10
Q

pulse force

A

0=absent

1+=diminished or weak (barely palpable)

2+=normal (easily palpable)

3+=increased force (very easily palpable)

4+=bounding (unable to obliterate with palpation pressure)

Thready=no interval between pulses (very weak and rapid)

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11
Q

factors affecting the pulse

A

age, gender, ANS, environment, drugs, pregnancy, excitement/nerves, arrythmias, POTS, and biofeedback (good effect)

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12
Q

components of respiration

A

breathing rate, ryhthm, and depth

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13
Q

oxygen saturation

A

measure of oxygen within arterial blood

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14
Q

oxygen saturation is dependent upon:

A

O2 availability, gas exchange in the lungs, concentration of hemoglobin for O2,

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15
Q

arterial blood gases

A

SaO2 describes the O2 saturation of the arterial blood; obtained from blood draw

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16
Q

pulse oximetry

A

SpO2; use of probe and wavelengths of light reflected from the blood.

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17
Q

normal SpO2 values

A

96-100% (less than 90% may need supplemental O2)

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18
Q

hypoxemia

A

deficient oxygenation of blood

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19
Q

hypoxia

A

diminished availability of O2 to tissues

20
Q

anoxia

A

complete lack of O2

21
Q

causes of reduced blood O2 saturation

A

Alterations in heart function

Impaired ability of lungs to oxygenate blood

Anemia: Reduced hemoglobin

Hypoventilation

Diffusion impairments that affect blood-gas exchange

Heart problems will cause lungs problems

22
Q

locations for pulse ox

A

fingers, toes, ear lobes

23
Q

measuring respiration rate

A

watch the rise and fall of the chest while “taking radial pulse”

24
Q

breath sounds

A

Normal

Abnormal or Adventitious

Wheezing, rhonchi (lower pitch, similar to wheezing), crackles or rales.

25
Q

normal respiration rate of adults

A

12-20 breaths/min

26
Q

normal respiration rate of children (1-8)

A

15-30 breaths/min

27
Q

normal respiration rate of infants (less than 1 year)

A

25-50 breaths/min

28
Q

tachypnea

A

respiration rate greater than 20 breaths/min

29
Q

bradypnea

A

respiration rate less than 12 breaths/min

30
Q

respiration ryhthm

A

Regular: breaths observed at typical intervals

Irregular: breaths observed at variable intervals.

31
Q

respiration depth

A

Deep: chest rise and fall very obvious.

Normal: chest rise and fall observable.

Shallow: barely perceptible or imperceptible chest rise

32
Q

dyspnea

A

difficult/uncomfortable breathing

33
Q

orthopnea

A

difficulty breathing while lying flat that resolves when resuming an upright position

34
Q

apnea

A

absence of breathing

35
Q

blood pressure

A

represents the range of pressure exhibited throughout ventricle contraction and relaxation

36
Q

BP stages

A

Normal: systolic less than 120, diastolic less than 80

Elevated: systolic 120-129, diastolic less than 80

High BP (hypertension stage 1): systolic 130-131, diastolic 80-89

High BP (hypertension stage 2): systolic 140 or higher, diastolic 90 or higher

Hypertensive crisis (seek emergency care): systolic higher than 180, diastolic higher than 120

37
Q

Kartokoff sounds

A

first and last sounds heard in BP

38
Q

normal core temp

A

98.6

39
Q

accepted range of temp

A

96.4-99.1

40
Q

afebrile (no fever) (oral temp)

A

less than 100

41
Q

febrile (with fever) (oral temp)

A

greater than or equal to 100

42
Q

hypothermia (rectal temp)

A

less than 95

43
Q

hyperthermia (rectal temp)

A

greater than or equal to 106

44
Q

biggest fall risk

A

having had a previous fall

45
Q

gait velocity is linked to what clinically meaningful changes?

A

quality of life and walking behavior

46
Q

measuring gait velocity

A

ambulate 5 feet, time for 20 feet, 5 feet after. (or 5-10-5 meters)

47
Q

normal gait velocity values

A

1.2-1.4 m/sec