Vital Signs ppt Flashcards

1
Q

What is included in vital signs?

A

Temperature

Pulse

Respiration

Blood Pressure

Pain

Pulse oximetry

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2
Q

When do you assess vital signs?

A
  1. On admission to any health care facility or institution
  2. Based on facility or institutional policy and procedures
  3. Any time there is a change in patient’s condition
  4. Any time there is a loss of consciousness
  5. Before and after any surgical or invasive procedure
  6. Before or after activity that may increase risk, like ambulation after surgery
  7. Before administering meds that affect cardiovascular and respiratory function
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3
Q

Normal Oral Temp Range for Health Adults (Celsius and Farenheit)

A

35.8-37.5 C

96.4-99.5 F

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4
Q

Normal Pulse Rate Range for Healthy Adult

A

60-100

Average is 80

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5
Q

Normal Respiration Rate Range for Healthy Adult

A

12 to 20 breaths per minute

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6
Q

Normal Blood Pressure Range for Healthy Adult

A

Less than 120/80

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7
Q

What is the primary source of heat production

A

metabolism

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8
Q

What increases metabolism

A

Hormones, muscle movements, and exercise increase metabolism

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9
Q

What occurs to increase heat production

A

Epinephrine and norepinephrine are released when additional heat is required and alter metabolism

Thyroid hormone and shivering also increase heat production

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10
Q

What happens to energy production when heat production increases?

A

Energy production decreases

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11
Q

Sources of Heat Loss

A
  1. Skin (primary source)
  2. Evaporation of sweat
  3. Warming and humidifying inspired air
  4. Eliminating urine and feces
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12
Q

Transfer of Body Heat to External Environment occurs by:

A
  1. Radiation
  2. Convection
  3. Evaporation
  4. Conduction
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13
Q

Factors affecting temperature

A
  1. Circadian rhythms
  2. Age and gender
  3. Physical activity
  4. State of health
  5. Environmental temperature
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14
Q

Afebrile

A

without fever

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15
Q

Pyrexia

A

with fever (febrile)

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16
Q

Intermittent fever

A

temperature returns to normal at least once every 24 hours

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17
Q

Remittent fever:

A

temperature does not return to normal and fluctuates a few degrees up and down

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18
Q

Sustained or continuous fever:

A

Temperature remains above normal with minimal variations

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19
Q

Relapsing or recurrent fever:

A

Temperature returns to normal for one or more days with one or more episodes of fever, each as long as several days

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20
Q

Equipment for Assessing Temperature

A
  1. Electronic and digital thermometers
  2. Tympanic membrane
    thermometers
  3. Disposable single-use
    thermometers
  4. Temporal artery
    thermometers
  5. Automated monitoring
    devices
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21
Q

Normal oral temp adult

A

35.9–37.5°C;
96.6–99.5°F

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22
Q

Normal Rectal Temp adult

A

36.3–38.1°C;
97.4–100.5°F

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23
Q

Normal Axillary Temp Adult

A

35.4–36.9°C;
95.6–98.5°F

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24
Q

Normal Tympanic Temp Adult

A

36.8–38.3ºC;
98.2–100.9°F

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25
Normal Forehead Temp (Temporal artery) for Adults
36.3–38.1°C; 98.7–100.5°F
26
What is pulse regulated by
Regulated by the autonomic nervous system through cardiac sinoatrial node
27
What does sympathetic stimulation do to heart rate?
Increases heart rate
28
What does parasympathetic stimulation do to heart rate?
decreases heart rate
29
What is pulse rate?
The number of contractions over a peripheral artery over 1 minute
30
What are characteristics of Peripheral Pulse?
Rate Amplitude and quality (strong or weak) Volume of Blood ejected with each heart beat Rhythm
31
Sites for detecting pulse by light palpations
1. Temporal 2. Carotid 3. Brachial 4. Radial 5. Femoral 6. Popliteal 7. Doralis pedis 8. Posterior tibial
32
How to grade pulse strength (Amplitude)
Grade 0 Grade +1 Grade +2 Grade +3
33
What is Grade 0 pulse strength
absent, unable to palpate
34
What is Grade +1 pulse strength
diminished, weaker than expected
35
What is Grade +2 pulse strength
normal; brisk, expected
36
What is Grade +3 pulse strength
bounding
37
How to find Apical pulse
fifth intercostal midclavicular line
38
Ventilation
movement of air in and out of lungs
39
What makes up ventilation?
Inhalation Exhalation
40
Inhalation
breathing in
41
Exhalation
breathing out
42
Diffusion
Exchange of oxygen and CO2 between the aveoli of lungs and circulating blood
43
Perfusion
Exchange of oxygen and CO2 between circulating blood and tissue cells
43
Rate and depth change in response to what?
Changes in response to tissue demands
44
Rate and depth are controlled by what?
Controlled by respiratory centers in the medulla and pons
44
Rate and Depth are activated by what
Activated by impulses from chemoreceptors
44
What is the most powerful respiratory stimulant?
Increase in carbon dioxide is the most powerful respiratory stimulant
45
Eupnea
normal, unlabored respiration one respiration to every four heartbeats
45
Bradypnea
Decreased respiratory rate; occurs in some pathologic conditions
45
Tachypnea
Increased respiratory rate; may occur in response to an increased metabolic rate
46
Apnea
Periods when no breathing occurs
47
Dyspnea
Difficult or labored breathing
48
Dyspnea
Difficult or labored breathing
49
Orthopnea
Changes in breathing when sitting or standing
50
Blood pressure
Force of the moving blood against arterial walls
51
Systole/Systolic Pressure
Maximum pressure when left ventricle contracts and pushes blood through aortic valve into the aorta
52
Diastole/Diastolic pressure
Lowest pressure when the heart rests between beats
53
Pulse Pressure
Difference between systolic and diastolic pressure
54
Factors affecting Blood Pressure
Age, Race Exercise Weight Circadian Rhythm Emotional state Food intake Body position Drugs/Meds Biologic sex
55
Two forms of Decreased Hypotension
Hypotension Orthostatic Hypotension
56
Hypotension
less than 90/60mmHg result of disease processes side effect of medications inability of the body to maintain or return back to normal
57
Orthostatic hypotension (postural hypotension)
Results from an inadequate physiologic response to position changes Occurs when rising to an erect position
58
What is orthostatic hypotension caused by?
Caused by dehydration, blood loss, or problems of the neurologic, cardiovascular or endocrine systems
59
Equipment for Assessing BP
Stethoscope and sphygmomanometer Doppler ultrasound Electronic or automated devices
60
Assessing BP what are you listening for
Listening for Korotkoff sounds with stethoscope First sound- systolic Change or cessation of sounds occurs- diastolic pressure
61
What arteries are commonly used for bp?
Brachial Popliteal
62