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Q1 nursing > Vital Signs CNST ch 5 & FN ch 29 Jen > Flashcards

Vital Signs CNST ch 5 & FN ch 29 Jen Flashcards

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0
Q

Antipyretic

A

Fever reducer

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1
Q

Define auscultation

A

Listening

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2
Q

Ambulate

A

Move

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3
Q

Dysthymia

A

Abnormality in heart (or brain) rhythm

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4
Q

Normotensive

A

Normal BP

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5
Q

Hypertension

A

High BP

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6
Q

Pyrexia

A

Fever

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7
Q

Tachypnea

A

Rapid respiration

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8
Q

Otitis media

A

Inflammation of ear

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9
Q

Cerumen impaction

A

Earwax blockage of external ear canal

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10
Q

Neutropenia

A

Presence of abnormally few neutrophils in blood - leads to increased susceptibility of infection. (Can be a side affect of some cancer treatments.)

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11
Q

Diaphoresis

A

Sweating; esp. to an unusual degree as a symptom of disease or a side affect of a drug

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12
Q

Intubated

A

Insert tube into person/body part (esp. trachea for ventilation)

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13
Q

Turgor

A

Rigidity of cells (or tissues) typically due to absorption of fluid

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14
Q

Bradycardia

A

Slow heart rate

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15
Q

Contra(-)indicates

A

Condition or circumstance suggests/indicates that a particular drug should not be used in the case in question

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16
Q

Perfusion

A

Pumping a liquid into an organ or tissue (esp. by way of blood vessels)

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17
Q

Vital signs (6)

A

(basis for clinical decision making and problem solving)
• temp, pulse rate, resp rate, B
and Sa O2 & pain

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18
Q

Acceptable temp range

A

36C to 38C or 98.6F to 100.4f

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19
Q

Temp sites (preferred vs not preferred)

A

Preferred: oral, axillary, tympanic mem., temporal artery

Not so much: rectal, esophageal, pulmonary artery

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20
Q

Factors affecting body temp

A

Age, excercise, hormone levels, circadian rhythms, environment, temperature alterations

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21
Q

Febrile vs Afebrile

A

Fever/no fever

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22
Q

FUO

A

“Fever of Unknown Origin”

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23
Q

Heatstroke temp

A

Above 40C or 104F

24
Q

Heat exhaustion cause

A

Water and electrolyte loss

25
Q

Patterns of fever

A
  • sustained: above 38C (100.4F) w/ little fluctuation
  • intermittent: spikes interspersed w/ normal levels
  • remittent: spikes and falls w/o returning to normal
  • relapsing: long periods of febrile episodes and long periods of Afebrile episodes
26
Q

Nursing process

A
  1. Assess
  2. Planning
  3. Implementing
  4. Evaluation
27
Q

Pulse sites

A

Temporal, carotid, apical, brachial, radial, ulnar, femoral, popliteal, posterior tibial, dorsalis pedis

28
Q

Normal pulse rates

A

60 to 100 BPM

29
Q

Ventilation

A

Movement of gases in and out of lungs

30
Q

Diffusion

A

Movement of O2 and CO2 between alveoli and RBC’s

31
Q

Perfusion in resporation

A

Distribution of RBC’s to and from pulmonary capillaries

32
Q

Hypoxemia

A

Low blood level of O2

•helps to control ventilation in patients w/ chronic lung disease.

33
Q

Eupnea

A

Normal respiration

34
Q

Normal range for respiration

A

12-20 breaths/min.

35
Q

Bradypnea

A

Slow respiration

36
Q

Hyperpnea

A

Respiration labored, increased depth, increased rate (normally during excercise)

37
Q

Apnea

A

Respiration ceases for periods of time - can lead to respiration arrest

38
Q

Hyperventilation vs hypoventilatio

A

Rate and depth of respiration up vs down

39
Q

Cheyne-Stokes respiration

A

Irregular w- periods of apnea and hyperventilation (usually before death)

40
Q

Kussmaul’s respiration

A

Respiration abnormally deep, increased rate

41
Q

Biot’s respiration

A

Abnormally shallow for three breaths

42
Q

SaO2 and normal range

A

Oxygen saturation 95-100%

43
Q

Normal BP

A

120/80 (pulse pressure = sys. - Dias.)

44
Q

Factors affecting arterial BP

A
  • cardiac output
  • peripheral resistance
  • blood volume
  • viscosity
  • elasticity
45
Q

Factors which influence overall BP

A
  • age
  • stress
  • ethnicity
  • gender
  • daily variations
  • meds
  • activity/weight
  • smoking
46
Q

Conditions not appropriate for electronic BP measurement

A
  • Irregular heart rate
  • peripheral vascular obstruction (eg clots, narrowed vessels)
  • shivering
  • seizures
  • excessive tremors
  • inability to cooperate
  • Systolic less than 90 mm Hg
47
Q

Dyspnea

A

Difficult or labored breathing

48
Q

Orthopnea

A

Form of dyspnea - person can breathe comfortably only when standing or sitting erect (associated w/ asthma, emphysema, angina pectoris)

49
Q

Strength of pulse levels

A 
4+ bounding
3+ full, increased, strong
2+ expected
1+ barely palpable, diminished
0 absent, not palpable
50
Q

EHR

A

Electronic Health Record

51
Q

Cyanosis

A

Bluish discoloration of the skin and mucous membranes; a sign that O2 in the blood is dangerously diminished (as in CO poisoning)

52
Q

Fahrenheit to Celsius

A

F=(9/5XC)+32

53
Q 
Acceptable ranges of heart rate: 
•infant
•toddler
•preschooler
•school age child
•adolescent
•adult
A
  • infant 120-160
  • toddler 90-140
  • preschooler 80-110
  • School age child 75-100
  • adolescent 60-90
  • Adult 60-100
54
Q 
Ranges of respiratory rate
Newborn 
Infant
Toddler
Child
Adolescent
Adult
A 
Newborn 35-40
Infant 30-50
Toddler 25-32
Child 20-30
Adolescent 16-20
Adult 12-20
55
Q

Optimal blood pressure for age

A 
Newborn 40
1 mo 85/54
1 yr 95/65
6 yr 105/65
10-13 yrs 110/65
14-17 yr ls 119/75
18 and up <120/<80
56
Q

Antihypertensive meds

A

Diuretics, beta-adrenergic blockers, vasodialators, Ca channel blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs)

57
Q

Orthostatic hypotension or postural hypotension

A

Normotensive person develops symptoms and low BP when getting into upright position.

58
Q

Korotkoff sound for diastolic in infants and children vs adolescents and adults

A

Infants and children - 4th sound mark

Adolescents and adults - 5th sound mark

Q1 nursing (27 decks)

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