Vital Signs Flashcards
The hands-on examination
Vital Signs
The status of several body systems
Vital Signs
The survey and interview of the nurse to the patient applied
Structure and Function
The formation of an overall impression
Overall Impression of the Client
Factors in Overall Impression of the Client
Environment
Interactions
Reasons of Vital Signs
General Overview
Spot / Clinical Picture
Dynamic Changes Over Time
Provides Triggers
Accuracy Dependent on Person and Equipment
Equipment of Vital Signs
Thermometer
Wrist Watch
Stethoscope
Sphygmomanometer
Pulse Oximeter
Temperature
Thermometer
Respiratory Rate
Wrist Watch
Pain
Stethoscope
Blood Pressure
Sphygmomanometer
Pulse Rate
Pulse Oximeter
Structure in Vital Signs
Temperature
Pulse Rate
Respiration Rate
Blood Pressure
Pain
From 36.5 C to 37.7 C
Temperature
From Weak, Normal, to Bound
Pulse Rate
From Rate, Rhythm, to Depth
Respiration Rate
From Cardiac Output, Elasticity of Arteries, Blood Volume, Blood Velocity or Heart Rate, to Blood Viscosity or Thickness
Blood Pressure
From Dull, Sharp, Radiating, to Throbbing
Pain
Adjustment to internal and external environment at Hypothalamus
Thermoregulation
Morning
Lowest Body Temperature
Evening
Highest Body Temperature
Shivering / Goosebumps
Increased Body Heat
Sweating / Flushing
Decreased Body Heat
Factors of Temperature
Time
Environment
Exposure
Stress
Physical Activity
Exercise
Physiological Processes
36.3-37.9 C
Temporal
35.9-37.5 C
Oral
35.4-37.0 C
Axillary
36.7-38.3 C
Tympanic
36.3-37.9 C
Rectal
38 C up
Fever
37.5-38.3 C
Febrile
40 C up
Hyperthermia
41 C up
Hyperpyrexia
36.7 C below
Hypothermia
At Autonomic Nervous System
Heart’s Contraction Upon Blood Out Into The Ventricles
0
Absent
+1
Weak
+2
Normal
+3
Strong
+4
Bounding
Frequency
Rate
Beats
Rhythm
More than 100 bpm
Tachycardia
Less than 60 bpm
Bradycardia
Factors of Pulse Rate
Equality
Compliance
Elasticity
Contour
Temporal / Carotid / Apical / Brachial / Radial / Femoral / Popliteal / Posterior
Tibial / Pedal
Points
At Autonomic Nervous System
Gas Exchange of the Atmosphere and Blood
Frequency
Rate
Regular / Irregular
Rhythm
Deepness / Chest Expansion
Depth
More than 20 cpm
Tachypnea
Less than 12 cpm
Bradypnea
Normal
Eupnea
Distress
Dyspnea
Actual
Apnea
Over Unbound
Percentage of Oxygen-Bound Hemoglobin
At Medulla Oblongata
Pressure Exerted By Blood Into Arteries
Blood Pressure = Cardiac Output x Peripheral Resistance
BP = CO x PR
Amount of force
Peripheral Resistance
Amount of blood
Cardiac Output
Frequency of heartbeat
Heart Rate
Amount of heart’s blood
Stroke Volume
Factors of Peripheral Resistance
Autonomic
Pharmacologic
Blood Viscosity
Factors of Cardiac Output
Blood Volume
Heart Structure
Heart Action
SBP > 120 mmHg / DBP > 80 mmHg
Hypertension
SBP < 90 mmHg / DBP < 60 mmHg
Hypotension
Nociceptors / Inflammatory Response / Elicited by Patient / Subjective
Unpleasant Sensory Experience Associated With Acute Potential Or Chronic Damage
Tissues / Movement
Somatic Pain
Organs / Pressure
Visceral Pain
Injury / Origin
Deferred Pain
Expected Period
Acute Pain
Prolonged Time
Chronic Pain
Factors of Pain
Culture
Age
Support System
Environment
Pain Meaning
Pain Experience
Maximum Amount
Tolerance
Least Number
Threshold
Illness / Injury / Idiopathic
Neuropathic Pain
The obtaining of data in a physical examination
Collecting Objective Data: Physical Examination
Major Needs in Objective Data for Physical Examination
Preparing the Client
Equipment
Physical Assessment
The combination of a physiologic phenomena but with psychosocial aspects that influences its perception
Pain
The consideration of pain management into disarray
Opioid Crisis
Emotional Pain / Mental Pain
Psychological Pain
Evolving Physical Pain
Psychosomatic Pain / Psychogenic Pain
Detection Pain
Nociceptive Pain
Dysfunctional Pain
Neuropathic Pain
Enhanced Developing Pain
Inflammatory Pain
Sensory Pain
Somatic Pain
Vague Pain
Visceral Pain
Root Pain
Radicular Pain
Regional Pain
Referred Pain
None Pain
Phantom Pain
Older adults
Developmental Level
Genetics
Biological Level
Culture
Cultural Behavior Variations Level
The obtaining of data in a health history
Collecting Subjective Data: Health History
Major Needs in Subjective Data for Health History
Preparing the Client
Pain Assessment Tools
Physical Assessment
