Vital signs Flashcards

1
Q

Name 5 locations for TEMPERATURE measurement

A
oral
rectal
axillary
tympanic
forehead
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2
Q

Average ORAL temp

A

98.6 F

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3
Q

Average RECTAL temp

A

99.6 F

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4
Q

Average AXILLARY temp

A

97.6 F

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5
Q

Average TYMPANIC temp

A

99.6 F

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6
Q

What is the normal range for TEMPERATURE (per Seidel, v8, p. 52)

A

97.2 - 99.9 F

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7
Q

Does this patient have a fever? Adult, oral temp 100.1 F

A

Yes because its above 100 F (or 37.8 C)

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8
Q

Does this patient have a fever? Adult, inpatient, temp 100.1 F

A

No because 100.1 F is lower than 38 C

100.1 F = 37.8 C, 100.4 F = 38 C

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9
Q

A mother calls the clinic reporting her child’s rectal temperature is 100.5 - does the child have a fever?

A

Yes because the temperature is greater than/equal to 100.4 F (or 38 C)

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10
Q

A 55 yo male reports a tympanic temperature of 100.4 F - does this patient have a fever?

A

No, for adults tympanic temp (and rectal temp) must be > 101 F (or 38.3 C)

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11
Q

Normal RESPIRATION range for ADULTS

A

12 - 20 breaths per minute

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12
Q

How do you know the BP cuff is the right size?

A

cuff bladder is 80% circumference of the arm

cuff width is 1/3 - 1/2 length of upper arm

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13
Q

Name 4 mechanisms for heat loss

A

radiation, vaporization (sweat), conduction (loss via contact - cool rag on forehead), respiration (convection & evaporation)

(I’m adding convection - vasodilation)

not described in book or lecture - info from the internet

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14
Q

Name 3 physiologic factors affecting blood pressure

A
stroke volume (amount of blood pumped by the LEFT ventricle)
heart rate (beats/min)
peripheral vascular resistance (can the artery walls expand)
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15
Q

how do you calculate CARDIAC OUTPUT?

A

stroke volume x heart rate

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16
Q

what is the AUSCULTATORY GAP?

A

gap of 10-15 mmHg where the Korotkoff sounds are heard, disappear, then reappear

Abnormal period of silence that can through of BP measurement

17
Q

Normal respiratory rate for NEONATES

A

40 - 60 breaths per minute

18
Q

Name 4 types of SELF-REPORTED pain scales

A

Wong-Baker FACES - smiley face, sad face
Descriptive scale: mild, moderate, severe
Numeric scale: 0-10
Visual analog: draw a line along a scale (the ends are labeled “no pain” to “worst pain”)