VITAL SIGNS REVISITED Flashcards

1
Q

what are the temperatures we use for glass thermometers?

A

shake down 35.0 C

96.0 or below

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2
Q

how far into the rectum do we insert the glass thermometer?

A

3-4 cm (1.5 inches)

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3
Q

how far into the rectum do we insert the electronic probe?

A

3-4 cm (1.5 inches)

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4
Q

how do rectal temperatures compare to oral temperatures?

A

0.7 to 0.9 F (0.4 to 0.5 C) higher than oral temperature

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5
Q

how do tympanic membrane temperatures compare to oral or rectal temperatures?

where do we place the probe

A

they are more variable, it measures the core temperature 0.8 C (1.4 F) higher than oral

place probe in the ear canal for 2-3 seconds aimed at the tympanic membrane

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6
Q

what is considered normal temperature? how does it fluctuate in the early morning hours compared to the early evening

A

37 C/98.6 F

as low as 35.8 C (96.4 F)

as high as 37.3 C (99.1 F)

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7
Q

how much lower is the axillary temperature compared to oral temp?

A

1 degree taking 5-10 minutes to register and is the most inaccurate of all the measurements

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8
Q

what is the elevated body temperature for fever?

A

> 99.1 F/37.3 C

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9
Q

what is hyperpyrexia for fever?

A

> 41.1 C (106 F)

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10
Q

what is hypothermia for fever, rectally?

A

<35 C (95 F) rectally

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11
Q

most reliable form of taking temperature?

A

rectal temperatures

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12
Q

what is normal pulse range?

A

60-100 bpm

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13
Q

what is bradycardia for pulse rate?

A

<60 bpm

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14
Q

what is tachycardia for pulse rate?

A

> 100 bpm

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15
Q

name the pulse rate rhythm?

Increased stroke volume
Fever, anemia
Hyperthyroidism
Aortic regurgitation
Arterial venous fistulas
Patent ductus arteriosis
atherosclerosis
A

large bounding pulses

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16
Q

name the pulse rate rhythm?

Aortic regurgitation
Aortic stenosis
Hypertrophic cardiomyopathy

A

bisferians pulse

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17
Q

name the pulse rate rhythm?

LVF w/ S3 sound

A

pulse alternans

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18
Q

name the pulse rate rhythm?

-looks like bisiferan pulses and generated by the electrical activity

A

bigeminal pulse

19
Q

name the pulse rate?

Pericardial tamponade
COPD
Constrictive pericarditis
Asthma

A

paradoxical pulse

20
Q

name the pulse rate?

Decrease SV
Heart failure
Hypovolemia
Aortic stenosis

A

small weak pulse

21
Q

what is considered normal respiratory breathing rate?

A

14-20 beats per minute

22
Q

how many Americans have hypertension?

A

74.5 million americans

23
Q

how high above should the BP cuff be placed on the arm?

A

2.5 cm above the antecubital crease

24
Q

what arms should be measured on an initial visit? on a follow up visit

A

both arms

measure the higher arm

25
Q

what is normal blood pressure?

A

systolic <120

diastolic <80

26
Q

what is prehypertensive?

A

systolic <120-139

diastolic <80-89

27
Q

what is stage I hypertension?

A

> 140-159/90-99

28
Q

what is stage II hypertension? JNC

how does this compare to the AHA and how many more people are added?

A

> 160 or >100

decrease values

it adds approx 100 million more with diagnosis

29
Q

what is the coarctation of the aorta?

A

femora pulse is smaller and later that radlal pulse when measured together

30
Q

what is newborn age?

A

birth up to age 3 months

31
Q

what is the infant age?

A

age 3 months up to 12 months

32
Q

what is early childhood age?

A

1-4 years old

33
Q

what is school age?

A

5-10 years old

34
Q

for pediatric vital signs, when is auditory canal preferable vs rectal?

A

> 3 years old

<3 years old

35
Q

what is the recta temp in infants and children < 3 years of age?

children?

A

above 99.0 F (37.2 C) until after age 3

body temp varies as much as 3 F in a single day and temp may reach 101 F (38.3) in normal children

36
Q

sign of serious infection in infants less 3 months?

A

fever > 38.0 or 100.4 F may be a sign of serious infection and so rectal temp should be used

37
Q

pulse rate in pediatric patients at birth?

age 10-14

ages > or equal to 15

A

90-190

85 bpm (range 55-115)

60-100 bpm

38
Q

what is the respiratory rate for a newborn?

A

30-60

39
Q

what is the respiratory rate for early childhood?

A

20-40

40
Q

what is the respiratory rate for late childhood?

A

15-25

41
Q

what is the respiratory rate for age 15 to the adult level?

A

14-20

42
Q

what is normal blood pressure for the pediatric?

A

<90 percentile for age, sex and height

43
Q

what is high normal pressure for the pediatric patient?

A

90-95 percentile for age sex and height

44
Q

what is high blood pressure for the pediatric patient?

A

> 95 percentile for age, sex, and height