Vitals Flashcards

1
Q

___ - measures of bodys most basic functions

A

vitals

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2
Q

vitals should be performed on every ___ patient

A

NEW

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3
Q

4 components of vitals

A

blood pressure
pulse
temp
respiration

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4
Q

appropriate cuff size: ___% of upper arm circumfrence

A

40

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5
Q

if the cuff is too small = reads too ___

A

high

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6
Q

if the cuff is too large = reads too ___

A

low

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7
Q

___ ____ - standing up and you get a head rush/ feel like you need to faint

A

orthrostatic hypotension

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8
Q

inflatable bladder of cuff centered over ___ ___

A

brachial artery

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9
Q

blood pressure should be measured ____

A

bilaterally

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10
Q

greater than 10mmHg difference in BP of one arm to the other may indicate ___ ___ or ___ of the side with lower presure

A

arterial compression

obstruction

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11
Q

BP is the ___ of the blood pushing against the artery walls

A

force

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12
Q

highest BP when the heart ___

A

contracts

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13
Q

____: represents peak pressure within the arteries due to ventricular contraction

A

systolic

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14
Q

_____: represents pressure within the arteries while the heart is at rest

A

diastolic

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15
Q

___ ___: difference between the systolic and diastolic pressures

A

pulse pressure

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16
Q

if there is a low pulse pressure = low ___ ___ or reading error

A

stroke volume

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17
Q

low stroke volume can be indicative of ___ ___ __ or ___

A

congestive heart failure

shock

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18
Q

high stroke volume can be indicative of ____, ___ ____ or ____

A

arteriosclerosis
aortic regurgitation
hyperthyroidism

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19
Q

high pulse pressure is a risk factor for ___ ___

A

heart disease

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20
Q

mechanical influences on BP (5)

A
stroke volume of LV
aortic and arterial distensibility
arterial blood volume
peripheral resistance with the arteries
blood viscosity
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21
Q

5 potential environmental influences on blood pressure

A
physical activity
emotion
pain
strong sensory stimuli
stimulant drugs
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22
Q

less than 80 diastolic pressure =

A

normal

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23
Q

80-89 diastolic pressure =

A

pre-hypertension

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24
Q

90-99 diastolic pressure =

A

stage 1 hypertension

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25
Q

more than 100 diastolic pressure =

A

stage 2 hypertension

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26
Q

less than 120 systolic pressure =

A

normal

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27
Q

120-139 systolic pressure =

A

pre-hypertension

28
Q

140-159 systolic pressure =

A

stage 1 hypertension

29
Q

more than 160 systolic pressure =

A

stage 2 hypertension

30
Q

blood pressure goals for patients with hypertension, diabetes or renal disease is __/__mmHg

A

130/80

31
Q

type I diabetes mellitus =

A

autoimmune attack of the beta cells

do not produce insulin

32
Q

type II diabetes mellitus =

A

insulin resistence

stops producing it

33
Q

malignant hypertension

  • diastolic
  • systolic
A

180+

110+

34
Q

blood pressure is lower in ___ people

A

smaller

  • shorter
  • lower weight
35
Q

hypertension can cause damage to 5 organs

A
eyes
heart
brain
kidneys
any other organ
36
Q

severe hypertension should be managed ___

A

medically

37
Q

___ ___: drop by 20 or more mmHg in systolic or 10 or more in diastolic when going from laying to standing

A

orthostatic hypertension

38
Q

normal range of pulse rate

A

50-90

39
Q

heart rate more than 90

A

tachycardia

40
Q

heart rate less than 50

A

bradycardia

41
Q

indications of tachycardia

A
underlying pathology
hypertension
exercise
illness
injury
emotion
42
Q

indications of bradycardia

A

underlying pathology

well conditioned athlete

43
Q

adult ___ have lower pulse rate than adult ___

A

women

men

44
Q

____ = disturbance of the normal heart rhythm or force

A

arrhythmia

45
Q
pulse intensity
4 pt scale
0=
1=
2=
3=
4=
A
absent
diminished or barely palpable
expected (normal)
full, increased
bounding
46
Q

pulse intensity can be decreased systemically by ___, __ ___ or severe ___ ___

A

hypovolemia
heart failure
aortic stenosis

47
Q

pulse intensity can be decreased locally by ___ and other forms of arterial -___

A

atherosclerosis

48
Q

pulse intensity can be increased systemically by 5

A
exercise
fever
hyperthyroidism
anemia
aortic regurgitation
49
Q

pulse intensity can be increased locally by ___

A

arteriosclerosis

50
Q

aortic sound heard…

A

right 2nd intercostal space at the parasternal margin

51
Q

pulmonic sound heard…

A

left 2nd intercostal space at the parasternal margin

52
Q

tricuspid sound heard…

A

5th intercostal space on the left parasternal margin

53
Q

mitral sound heard..

A

5th intercostal space at the left midclavicular line

54
Q

normal respiratory rate =

A

14-20 breaths per minute

55
Q

normal respiratory rate for babies=

A

as high as 44

56
Q

greater than 20 breaths per minute =

A

tachypnea

57
Q

less than 20 breaths per minute =

A

bradypnea

58
Q

indications of tachypnea

A
restrictive lung disease
pleurisy
elevated diaphragm
exercise
anxiety
59
Q

indications of bradypnea

A

diabetic coma
dugs
increased intracranial pressure

60
Q

___= rapid, deep breathing; may be due to exercise, anxiety, metabolic acidosis, or brainstem damage

A

hyperpnea

hyperventilation

61
Q

____: shortness of breath that begins or incerases when the patient lies down

A

orthopnea

62
Q

___ ___ ___: shortness of breath after a period of sleep; sitting upright helps relieve the symptoms

A

paroxysmal nocturnal dyspnea

63
Q

normal range for temperature

A

96.4-99.1

64
Q

elevated temp more than 99.1 indicative of

A
infection
trauma
malignancy
recent physical activity
hyperthyroidism
acute immune disorders
65
Q

diminished temp less than 96.4 indicative of

A
advanced age
nutritional deficiency
exposure to cold
recent cold drink
hypothyroidism
hypoglycemia
66
Q

___: core temp below 95

A

hypothermia

67
Q

___: an elevated temp at or above 106

A

hyperpyrexia