Vital Signs Flashcards

0
Q

What is normal oral temperature?

A

35.8 - 37.5

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

What is Thermoregulation?

A

The feedback mechanism used by the hypothalamus of the brain to regulate body temperature

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

What is conduction?

A

Heat transfer from object with higher temperature to object with lower temperature

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

What is responsible for 3% of body heat loss?

A

Direct contact with solids, liquids and gas

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

What brings body temp up?

A

Warm bath
Hot pack
Clothes/blankets

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

What brings body temp down?

A

Cold pack

Contact with cool surface/water

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

What is convection?

A

Transfer of heat by fluid (air, water, gas) current movement (responsible for 15% body heat loss)

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

What brings body temp up (convection)?

A

Hair dryer

Forced air warming blankets

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

What brings body temp down convection)?

A

Wind chill

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

What does the hypothalamus do?

A

Senses blood temperature and balances heat production with heat loss

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

What does bodily heat loss mechanisms (negative feedback) do?

A

Redistribute surface blood flow, cause vasodilation and/or sweating

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

What does heat conservation mechanisms (negative feedback) do?

A

Increase cell metabolism, cause vasoconstriction, shivering, hair erection (goose bumps)

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

What are factors that affect body temperature?

A
Age
Exercise
Hormone level
Circadian rhythm 
Stress
Environment
Fever
Non-febrile diseases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to take a oral temperature?

A

Base of tongue to right/left frenulum
Lips closed, avoid biting
Allow 15 min following consumed hot/cold beverages

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

How to take a axillary temp?

A

Place the thermometer in middle of axilla
Leave glass thermometer in place for 5 mins
Placement affects reading

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

How to take a tympanic temp?

A

Attach cover to probe
Place thermometer over entrance to ear canal
Grasp pinna and gently pull up and back, aim probe towards opposite ear
Press start
Wait for signal, beep sound

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

How to take a rectal (don gloves) temp?

A

Position patient with buttocks exposed
Asking the patient to take a deep breath insert lubricated thermometer 1.5-2.5 cm into the anus
Leave for 1 min

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

What is hypothetmia?

A

A decrease in body temperature due to the inability if the body to produce heat usually caused by prolonged exposure to cold

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

What are the symptoms of hypothermia?

A

Sleepiness and coma
Locally frostbite
Arrhythmia/cardiac arrest/ death after 20-30 min exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is hyperthermia?

A

An elevated body temp, related to the inability of the body to promote heat loss or reduce heat production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the symptoms of hyperthermia?

A

Leads to tissue damage (in brain) due to protein losses, lack off oxygen and nutrients to the cells
Death without intervention (41-44)
Fevers below 40 should be allowed to run their course

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the normal rectal temp?

A

36.2-38

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

To where does the heart circulate blood?

A

To all body tissues via arterial blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does each heart beat create?

A

A pressure wave (pulse) throughout the length of the vascular bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Where is the pulse palpated?
At body sites where an artery lies close to the skin and over a bone
25
What is the pulse rate?
The number of pulsating sensations occurring in 1 minute
26
What is the cardiac output?
The volume if blood pumped by the heart (stroke volume-SV) during 1 minute
27
What are the most common sites | to palpate the pulse?
Radial and carotid arteries
28
How do you take a pulse?
Use the pads of first 3 fingers • Apply moderate pressure • Count for 60 seconds
29
What is the rate in obs?
Number of beats per | minute (bpm)
30
What is Bradycardia?
<60 bpm
31
What is Tachycardia?
>100 bpm
32
What is rhythm in pulse?
``` Pattern of beats and intervals Regular • Irregular e.g. dysrythmia/arrythmia • Thready/bounding ```
33
What is the strength/amplitude in pulse?
``` - Force of the blood with each beat • Normal pulse can be felt with moderate pressure, occluded with heavy pressure • Strong/Weak ```
34
What are the normal pulse ranges?
Infant- 120-160bpm • Child- 75-100bpm • Adult- 60-100bpm
35
What are the Factors which affect the | pulse?
``` Age • Gender • Exercise • Fever (body temperature) • Medication • Hypovolaemia • Stress • Positional changes • Pathology • Pregnancy ```
36
When do you record a pulse rate?
``` – On admission (baseline) – Before and after any procedure – Any change to patient condition • After a major fluid loss e.g. bleeding, vomiting, diarrhea – During blood transfusion – During intravenous administration of medication – During introduction of new medication ```
37
What is blood pressure?
the lateral force on the walls of an artery from the blood pulsing under pressure from the heart
38
What is diastolic pressure?
- the resting pressure between each heart beat
39
What is systolic pressure?
the maximum pressure within an artery | when ejection occurs
40
What is Systemic vascular resistance (SVR)?
resistance to blood flow within the systemic vasculature SVR= BP CO
41
What is Pulse pressure (PP)?
- the difference between the highest and the lowest level of blood pressure PP= systolic pressure– diastolic pressure
42
What is Mean arterial pressure (MAP)?
the average pressure in the arteries during a cardiac cycle MAP= diastolic + 1/3 PP
43
What is a direct measure of blood pressure?
arterial cannula connected to a transducer
44
What is a indirect measurement of blood pressure?
Dinamap or sphygmomanometer
45
What are the Factors which affect BP?
``` – Age – Gender – Stress – Race – Medications – Obesity – Diurnal variation – Exercise – Patient’s position – Pain – Cardiovascular disease ```
46
What are the normal ranges of blood pressure?
``` Normal ranges Systolic: 100-140mmHg Diastolic: 60- 80mmHg • Hypertension Diastolic >80mmHg Systolic >140mmHg • Hypotension Systolic <100 mmHg ```
47
What is ventilation?
movement of gases into and out of the lungs
48
What is respiration?
mechanism the body uses to exchange gases between the atmosphere, blood and cells
49
What is diffusion?
movement of oxygen (O2) and carbon dioxide (CO2) between the lung alveoli and red blood cells
50
What is hypoxia?
insufficient levels of arterial O2
51
What is Hypoxeamia?
abnormally low levels of arterial O2
52
What is Hypercapnoea?
abnormally high levels of arterial CO2
53
What is Respiratory failure?
respiratory system is unable to supply necessary oxygen | or cannot eliminate carbon dioxide (CO2)
54
How do you measure respiratory rate?
While fingers still in place from pulse count, observe RR  Observe complete respiratory cycle (inspiration and expiration)  Count rate for 60 seconds if irregular and note pattern  Note depth: shallow, normal, deep  Note audibility: silent, effortless, respiratory sounds  Document and report abnormal findings
55
What is Bradypnoea?
RR <12
56
What is Tachypnoea?
RR >20
57
What is Apnoea?
cessation of breathing
58
What is Dyspnoea?
difficulty breathing
59
What is Orthopnoea?
SOB when lying flat
60
What is Hyperventilation?
abnormally rapid RR at rest
61
What is Hypoventilation?
abnormally shallow and slow RR
62
What are Cheyne Stokes?
alternate apnoea (15-60 secs) and hyperventilation
63
What are Factors which affect respiration?
``` Exercise • Acute pain • Anxiety • Smoking • Body position • Medications • Neurological injury • Haemoglobin function ```
64
State normal ranges RR?
Adults; 12-20 breaths/minute
65
What is oxygen saturation (pulse oximetry)?
Non-invasive device that measures oxygen saturation of haemoglobin (SpO2) Uses spectrophotometry • Normal range: 95-100%