Vital signs review Flashcards

1
Q

What are the vital signs

A
  • heart rate
  • o2 saturation
  • respiratory rate
  • pain
  • blood pressure
  • temperature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why are vital signs important

A

to detect or monitor potential medical problems

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

What does body temp depend on

A

gender, menstruation, time of day, fluid intake, recent activity, and food

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

Average body temperature?

A

36.5 - 37.2 C

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

How can temperature be taken

A

Orally (mouth), Tympanic (ear), Rectal (Anus), temporal (skin), axillary (armpit)

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

Hyperthermia? Hypothermia?

A

Hyper- increased temperature (37.5–38.3 °C)
Hypo- decreased temperature (below 35)

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

Temperature during a fever + when is temperature the highest

A

38.5, during the evening

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

Temperatures we can take

A

Above 40 is life threatening (body)
41- brain death begins
45- near death
internal above 50- immediate death and rigid muscles

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

What is the pulse; what are you feeling?

A

Change in the diameter of the arteries that can be felt on the body’s surface following heart contractions

As the heart pushes blood through the arteries, the arteries expand and contract with the flow of the blood.

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

What does a pulse measure…HR..and..

A

HR, rhythm, and strength

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

Normal Heart Rate

A

60 to 100 beats per minute, average 70-72bpm

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

What can cause differences in HR

A

exercise, illness, injury, and emotions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Females tend to have faster heart rates.. T/F

A

T; females above 12

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

Where can you take HR

A

carotid artery (neck); radial artery (wrist); brachial artery (elbow); femoral artery (groin); dorsalis pedis artery (foot) – for most people the easiest place to take the pulse and get a starting value is at the wrist (lease invasive)

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

Why would you never press both carotid arteries at the same time?

A

would cause a stroke; preventing blood from getting to Brain, cerebrovascular accident

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

Why would you not use your thumb while taking HR?

A

Your thumb has its own pulse

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

Why is RR done during HR?

A

So the patient can’t alter their regular breathing pattern

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

What can cause alterations?
(Temp)

A

Fever, illness, and other medical conditions

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

Adult avg RR

A

12-20

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

O2 saturation measures…?

A

Measure of the oxygen saturated hemoglobin relative to the total hemoglobin (saturated and unsaturated) in the blood

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

Acceptable Measures? Acceptable measure during covid
(O2 SAT)

A

Pre-Covid: 95-100
After/During Covid- 93+

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

What is O2 sat measured with

A

oximeter

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

The redder the blood…

A

Higher the O2 Sat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is BP measured with

A

sphygmomanometer= cuff
+ stethoscope

25
Q

What is BP?

A

Force of blood pushing off artery walls…
- heart pumps blood into arteries as It beats, so higher BP occurs when it contracts

26
Q

Higher Measurement of BP

A

systolic pressure, refers to the pressure inside the artery when the heart contracts and pumps blood through the body.

27
Q

Lower measurement of BP

A

The lower number, or diastolic pressure, refers to the pressure inside the artery when the heart is at rest and is filling with blood.

28
Q

Average Measurement of BP

A

120/80 mm Hg

29
Q

Medical term for high bp

A

hypertension: 140/90 +**cHECK

30
Q

Medical term for heart attack

A

Myocardial Infarction

31
Q

Medical term for stroke

A

Cerebrovascular accident

32
Q

Effects of High BP

A

With high blood pressure, the arteries may have an increased resistance against the flow of blood, causing the heart to pump harder to circulate the blood.

33
Q

High BP

A

140 and +, 90 and +

34
Q

Normal

A

120-139, 80-89

35
Q

Low BP

A

less than 120, less than 80

36
Q

a single elevated bp is evident of a problem..t/f

A

f

37
Q

what is white coat syndrome

A

variations in bp that are higher in medical settings

38
Q

What to do while taking BP

A
  • legs uncrossed
  • back supported
  • sit comfortably
  • cuff should fit one finger in it
  • bottom part of cuff should be an inch above elbow crease
  • using the proper sized cuff
39
Q

Subjective Data

A

What patients tell you; describe the pain

40
Q

objective data

A

what you tell the patient

41
Q

what scale is used to measure pain for kids, those with language barriers, etc.

A

wong baker face scale

42
Q

what is also used to measure pain

A

dallas pain questionnaire

43
Q

Core temperatures can be…

A

1/2-1 degree higher than surface compared to oral

44
Q

Temporal Temperatures can be iffy….

A

Depends on weather, clothing, diet, etc.

45
Q

Most accurate:

A

Oral- not very invasive, reasonably accurate, inside the body

46
Q

Least accurate:

A

Axillary- surface temperature, clothing, etc.

47
Q

Sign vs Symptoms

A

Sign- objective (what you can observe on the patient)
Symptom- subjective (what the patient feels)

48
Q

Medical term for a fever, what is the required temperature and how can it be treated

A

Prexia, 38.5 or higher, its a sign that the body is fighting an infection
- can be treated: Tylenol, fluid, rest, lukewarm bath

49
Q

gallop

A

abnormal rhythm; 3-4 sounds at once

50
Q

murmur

A

abnormal heart sounds, whooshing, rasping sounds

51
Q

malignant hypertension

A

sudden hypertension, highly elevated and comes on quickly

52
Q

prehypertension ranges (make sure you have the ranges for the other ones too)

A

120-139
80-89

hypotension: 90/60 and lower

53
Q

hypopnea

A

slow, and shallow breathing occurring in 10 second intervals during sleep

54
Q

stridor
wheezes
rales
rhonchi
crackles

A

STRIDOR: high pitch sound caused by irregular airflow in narrowed airway

WHEEZES: whistling breathing sound; airway obstruction

RALES: clicking or bubbling lung sounds

RHONCHI: coarse loud sounds caused by constricting larger airways

CRACKLES: short interrupted breath sounds

55
Q

anoxia
ischemia

A
  • state of total o2 depletion in body
  • blood flow and o2 restriction
56
Q

nocireceptor
arthlagia
allodynia
anaglesia
cephalagia
NSAID

A

NOCIRECEPTOR: sensory receptor for painful stimuli

ARTHLAGIA: joint pain

ALLODYNIA: PAIN FROM STIMULUS THAT DOESN’T USUALLY CAUSE PAIN
(ex. light feather touch)

ANAGLESIA: INABILITY TO FEEL PAIN

CEPHALAGIA: ANY PAIN IN THE HEAD

NSAID: non-steroidal anti-inflammatory drug used to relieve pain

57
Q

febrile
heat stroke vs exhaustion

A

FEBRILE: having/showing symptoms of a fever
HEAT STROKE VS EXHAUSTION:
- stroke requires immediate medical attention
- exhaustion: weak pulse, dizzy, excessive sweating
- stroke: NO SWEATING, loss of consciousness, red hot and dry skin (40 or higher temp)

58
Q

(make sure to study what makes vs increase and decrease)

A