Vitals Flashcards
BELLSRPGO
Blood Pressure, eyes, Lung sound, Level of consciousness, Skin Signs, respirations, Pulse, Glasgow Coma Scale, Oxygen Sat
Systolic
When the left ventricle contracts
diastolic
when the left ventricle relaxes
How to calculate the pulse pressure?
The difference between the Systolic and diastolic BP
Auscultated Blood Pressure
Manual BP
Adult Systolic Range
90-140
Children Systolic range
80-110
Infant Systolic range
50-95
What is it called when the lungs are clear?
“Clear bilateral in all fields”
Rales
Fluid in base (pulmonary edema) Left heart damage
Bronchial Constriction sign and potential cause
Identified by wheezing. Anaphylaxis, asthma, COPD, Bronchitis
Rhonchi sign and potential cause
Corse bubbling. COPD Bronchitis
Stridor
Upper Airway constriction
Where to listen with scope on front of lungs?
Apice - 2nd intercostal space
Midlobe - 5th intercostal space
Base - 7th intercostal space
Location of 2nd intercostal space anterior
under collarbone, first gap you can feel
Location of 5th intercostal space anterior
Above nipple
Location of 7th intercostal space
Lateral to center to the inferior sternum
Where to listen to lungs on back?
Trace edge of scapula
Where to listen to lungs on female patient?
Midaxillary line
What is Alert and oriented?
AO - Person, Place, Time
How many seconds to measure respirations?
30 seconds, if irregular 1 minute
How to assess quality of Respirations?
Rate, Rhythm, Tidal Volume (Depth)
Normal Respiration Rates
Adult 12-20
Children 15-30
Infant 25-50
Bradypea
Slow Breathing
Tachypnea
Fast Breathing
What systolic can you feel a radial pulse at?
80
How many increments does the systolic decrease to be able to feel brachial and carotid pulse?
10
Normal Pulse Range
Adult 60-100
School age 70-120
Preschool 80-140
toddler 90-150
What can trigger a false Pulse ox reading
Carbon Monoxide poisoning or nail polish
Normal O2 rate
94%-98%
SAMPLE
Signs/Symptoms
Allergies
Medications
Pertinent past Hx
Last Oral Intake
Event leading to incident
OPQRST - Non traumatic medical
Onset, Provoking factors, quality of pain (description), region/radiation/reoccurrence, severity 1-10, time