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Health Assessment- NUR 202 > Vital Signs > Flashcards

Vital Signs Flashcards

1
Q

Normal Respirations

A

10-20

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2
Q

Normal Heart Rate

Rhythm?

A

50/60-100 BPM

Regular or irregular

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3
Q

Tachycardia

A

BPM>100

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4
Q

Bradycardia

A

BPM

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5
Q

Normal Blood Pressure (goal)

A

120/80

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6
Q

Pre-HTN

A

S: 120-139

D: 80-89

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7
Q

Stage 1 HTN

A

S: 140-159

D: 90-99

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8
Q

Stage 2 HTN

A

160/100

S: >160
D: >100

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9
Q

Temperature (normal ranges)

A
  1. 8-37.3 C

96. 4-99.1 F

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10
Q

Force of pulse

What is normal?

A

0- weak
1- thready
2+- normal
3- bounding

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11
Q

Orthostatic hypotension

A

Occurs upon standing or changing positions

  • if systolic drops greater than 20mmgh OR
  • increase in pulse greater than 20 BPM

Normal is a drop in less than 10 mmHg

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12
Q

Pulse Ox

A

97-99%

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13
Q

Kortkoff sounds

A

Kortkoff 1: (systolic number) first clear sound

Kortkoff 5: is silence, diastolic pressure is the number at which the last sound is heard before silence

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14
Q

Pulse

A

Pulse is a pressure wave created by stroke volume when the heart is pumping
Normal SV-70 ml

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15
Q

Apical pulse

Peripheral pulse

A

Take apical pulse for a full minute

Peripheral pulse for 30 sec and multiply by 2, unless pulse is irregular than take for 1 minute

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16
Q

What affects pulse (rate, rhythm, force)?

A

Fever, meds, anxiety, heart problems, activity, athlete

17
Q

What is always the 1st level priority?

A

Respiratory distress

18
Q

What affects RR?

A 
Narcitics
Exercise
Sleep 
Heart failure 
Head injury 
Sleep
19
Q

What affects O2?

A

Anemia
Lung disease
Heart disease

20
Q

Blood pressure
Blood pushing against vessel wall (S)
Resting BP is pressure against vessel wall between contractions (D)

A

Diastole lasts longer than systole

Pulse pressure is the diff between S and D

21
Q

Factors controlling BP?

A 
Cardiac output 
Vascular resistance 
Volume 
Viscosity 
Elasticity of arterial walls

Health Assessment- NUR 202 (11 decks)

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