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10410 > Vital signs > Flashcards

Vital signs Flashcards

1
Q

What are the Vital Signs?

A
  1. Temperature
  2. Pulse
  3. Respiration rate
  4. Blood pressure
  5. Oxygen saturation
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2
Q

It is a foundational, psychomotor skill for healthcare providers and students in health related programs.

A

Measurement of Vital Signs

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3
Q

Vital Signs are important indicators of …

A

Important indicators of the body’s physiologic status and reflect the function of internal organs

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4
Q

measurements provide information about a person’s overall state of healt

A

Vital signs

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5
Q

Purpose in obtaining vital signs

A

1, establish database of values
2. Assisting in a goal setting and treatment planning
3. Assisting with assessment
4. Contributing to assessment of effectiveness of treatment activities

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6
Q

General points to consider in vital sign measurement

A
  1. Therapeutic environment and consenr
  2. IPC
  3. Equipment
  4. Pain Assessment
  5. Always introduce yourself
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7
Q

Temperature refers to the..

A

Refers to the degree of heat or cold in an object or a human body

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8
Q

The body’s thermostat

A

Hypothalamus

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9
Q

Why is temperature measured?

A

Can determine state of health and influence clinical conditions

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10
Q

External sources of hyperthermia

A

Exposure to excessive heat (hot day, sauna, etc.)

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11
Q

Internal sources of hyperthermia

A

Fevers

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12
Q

Hypothermia refers to…

A

A lowered body temperature

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13
Q

External source of hypothermia

A

Exposed to the cold for a long period of time

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14
Q

Internal source of hypothermia

A

Sometimes purposefully induced curing surgery

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15
Q

Methods of measuring a client’s body temperature vary based on:

A

○ Developmental age
○ Cognitive functioning
○ Level of consciousness
○ State of health
○ Safety

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16
Q

Methods of temperature measurement include

A

oral, axillary, tympanic, rectal, temporal artery and dermal routes

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17
Q

Normal temperature rangers for adult

A

36.5-37.7 c or 97.7-99.5 f

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18
Q

Normal temperature for infants and young children

A

35.5.-37.7 c or 95.9-99.8 f

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19
Q

Normal oral temp

A

35..8-37.3

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20
Q

Normal axillary temp

A

34.8 - 36.3

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21
Q

Normal tympanic temp

A

36.1 - 37.9

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22
Q

Normal rectal temp

A

36.8 - 38.2

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23
Q

Other factors that influence temperature

A
  1. Diurnal rhythm
  2. Exercise
  3. Stress
  4. Menstrual cycle
  5. Pregnancy
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24
Q

It is the most common and reliable temp measurement because it is close to the sublingual artery.

A

Oral temp

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25
Q

is usually 0.3-0 6°C higher than an oral temperature

A

Tympanic temp

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26
Q

T or F: the tympanic membrane shares the same vascular artery that perfuses the hypothalamus

A

True

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27
Q

It is a minimally invasive way to measure temperature. It is commonly used in children.

A

Axillary temp

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28
Q

It is usually 1°C higher than oral temperature.

A

Rectal Temp

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29
Q

refers to a pressure wave that expands and recoils the artery when the heart contracts/beats.

A

Pulse

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30
Q

The most common locations to accurately assess pulse as part of vital sign measurement are

A

Radial, brachial, carotid, and apical

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31
Q

Normal adult pulse rate os

A

60-100 bpm

32
Q

Newborn resting heart rate ranges from

A

100-175 bpm

33
Q

T or F: Heart rate gradually decreases until young adulthood and then gradually increases again with age.

A

True

34
Q

Newborn to 1 month normal bpm

A

100-175

35
Q

1 month to 2 yrs

A

90-160 bpm

36
Q

2 - 6 yo normal BPM

A

70-150 bpm

37
Q

7 - 11 yo normal bpm

A

60 - 130 bpm

38
Q

12 - 18 yo normal bpm

A

50-110 bpm

39
Q

Adult and older adult pulse rate

A

60-100 bpm

40
Q

refers to an elevated heart rate, typically above 100 bpm for an adult.

A

Tachycardia

41
Q

a condition in which the resting heart rate drops below 60 bpm in adults

A

Bradychardia

42
Q

What are the qualities of pulse that are assessed?

A
  1. Pulse rhythm
  2. Pulse equality
  3. Pulse rate
  4. Pulse force
43
Q

the frequency of the pulsation felt by your fingers follows an even tempo with equal intervals between pulsations.

A

Pulse rhythm

44
Q

the strength of the pulsation felt when palpating the pulse.

A

Pulse force

45
Q

Important to assess because it reflects the volume of blood, heart functioning and cardiac output and arteries elastic properties

A

Pulse force

46
Q

refers to whether the pulse force is comparable on both sides of the body.

A

Pulse equality

47
Q

Refers to a person’s breathing and the movement of air into and out of the lungs.

A

Respiration

48
Q

The process that causes air to enter lungs

A

Inspiration

49
Q

Inspiration is initiated by

A

Contraction of the diaphragm and intercostal muscles

50
Q

The process that causes air to leave the lungs

A

Expiration

51
Q

The passive process of the respiratory cycle

A

Expiration

52
Q

Parameters of respiration assessment

A

Quality and rhythm

53
Q

newborn - 1 month normal resp rate

A

30-65 breaths pm

54
Q

1 month - 1yo normal resp rate

A

26 - 60 breaths pm

55
Q

1 - 10 yo norm resp rate

A

14 - 50 breaths pm

56
Q

11 - 18 normal resp rate

A

12 - 22 resp rate

57
Q

Adult - older adult normal resp rate

A

10-20 breaths pm

58
Q

Refers to a percentage of hemoglobin molecules saturated with oxygen

A

Oxygen saturation

59
Q

Oxygen saturation provides

A

information about how much hemoglobin is carrying oxygen, compared to how much hemoglobin is not carrying oxygen

60
Q

insufficient oxygen in the blood is called

A

Hypoxemia

61
Q

normal oxygen saturation level is

A

97-100%

62
Q

the force of blood exerted against the arterial walls, reported in millimeters of mercury

A

Blood pressure

63
Q

maximum pressure on the arteries during left ventricular contractions

A

Systolic pressure

64
Q

the resting pressure on the arteries between each cardiac contraction when the heart’s chambers are filling with blood

A

Diastolic pressure

65
Q

the amount of blood ejected from the left ventricle in a single contraction.

A

Stroke volume

66
Q

the difference between the systolic and diastolic values and signifies the force required by the heart each time it contracts

A

Pulse pressure

67
Q

Blood pressure increases with

A

increased Cardiac output

68
Q

Blood pressure decreases with

A

Decreased cardiac output

69
Q

appear after you inflate the cuff (which compresses the artery/blood flow) and then begin to deflate the cuff.

A

Korotkoff sounds

70
Q

Normal adult bp (19-40yo)

A

95-135 over 60-80

71
Q

Normal adult bp (41-60)

A

110-145 over 70-80

72
Q

Phase 1 korotkoff

A

Clear tapping sound

73
Q

Phase 2 korotkoff sound

A

‘Mumur’ - Onset of swishing sound or surf murmur

74
Q

Phase 3 korotkoff

A

‘Slap’ -Loud slapping sound

75
Q

Phase 4 korotkoff

A

‘Muffle’ - Sudden muffling sound

76
Q

Phase 5 korotkoff

A

‘Silence’ - Disappearance of sound/ phase of silence

10410 (3 decks)

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