Vitals Flashcards
Baseline Vitals Signs
First measurements of vitals you take
Vital signs
Outward signs of what is going on inside the body
Pulse
The rhythmic beats felt as the heart pumps blood through the arteries
Six Vital Signs
Pulse, BP ( auscultation and palpations), Respiratory (rate and depth), skin(color, temperature, and condition), Pulse Oximetry, Pupils
Tachycardia
Rapid pulse
Bradycardia
Slow pulse
Pulse rate
The number of pulse beats per minute
Normal Adult pulse rate
60-100
Normal Adolescent pulse rate
60-105
School age6-10 years pulse rate
70-110
Preschoolers 3-5 years pulse rate
80-120
Toddlers 1-3 years pulse rate
80-130
Infant 6-12 months pulse rate
80-140
Infant 0-5 months pulse rate
90-140
Newborn pulse rate
120-160
PQ
Pulse quality
PQ: rapid regular and full
Exertion, fright, fever, high BP, first stage of blood loss
PQ: rapid regular and thready
Shock, later stages of blood loss
PQ: slow
Head injury, drugs, some poisons, some heart problems, lack of oxygen in children
PQ: no pulse
Cardiac arrest (clinical death)
In responsive patients where do you check the pulse
Radial
In unresponsive pt. where do you check the pulse
Carotid
Respiratory rate
Number of breathes taken in one minute
RR
Respiratory Rate
Normal RR/adults
12-20
If RR is above 24
It is a serious patient (critical) concentrated oxygen must be administered
If RR below 10 then
It is also serious (critical)concentrated oxygen must be administered
Normal RR/adolescent 11-14
12-20
Normal RR/school age 6-10
15-30
Normal RR/preschooler 3-5
20-30
Normal RR/toddler 1-3
20-30
Normal RR/infant 6-12 months
20-30
Normal RR/infant 0-5
25-40
Normal RR/newborn
30-50
RS
Respiratory Sounds
RS: snoring
Airway blocked/ open pt.’s airway; prompt transport
RS: wheezing
Medical problem such as asthma/assist pt. in taking prescribed medications; prompt transport
RS: gurgling
Fluids in airway/suction airway; prompt transport
RS: crowing ( harsh sound when inhaling)
Medical problems that cannot be treated on the scene/prompt transport
Skin Color: pink
Normal
Skin Color:pale
Constricted blood vessels possibly resulting from blood loss, shock, hypotension, emotional distress
Skin Color:cyanotic
Lack of Oxygen in blood cells and tissues resulting from inadequate breathing or heart function
Skin Color:flushed(red)
Exposure to heat, emotional excitement
Skin Color:jaundiced (yellow)
Abnormalities of the liver
Skin Color: mottled(blotchy)
Occasionally in pt. with shock
Skin temp/condition:cool, clammy
Sign of shock, and anxiety
Skin temp/condition:cold, moist
Body is losing heat
Skin temp/condition: cold, dry
Exposure to cold
Skin temp/condition: hot, dry
High fever, heat exposure
Skin temp/condition:Hot, moist
High fever, heat exposure
Dilate
Get larger
Constrict
Get smaller
What happens to pupils when light gets in them
They constrict
Systolic blood pressure
The pressure created when the heart contracts and forces blood out into the arteries
Diastolic blood pressure
Pressure remaining in the arteries when the left ventricle of the heart is relaxed and refilling
Pupil Appearance:dilated
Fright, blood loss, drugs, prescription eye drops
Pupil Appearance:constricted
Drugs(narcotic), prescription eye drops
Pupil Appearance: unequal
Stroke, head injury, eye injury, artificial eye, prescription eye drops
Pupil Appearance: lack of reactivity
Drugs( narcotics), lack of oxygen
BP normal ranges/adults
Systolic less than or equal to 120
Diastolic less than or equal to 80
BP normal ranges/ infant and children
Systolic approx 80+2•age(years)
Diastolic approx 2/3 systolic
BP normal ranges/ adolescent
Systolic average 114(88 to 120)
Diastolic average 76
BP normal ranges/ school age
Systolic Average 105(80 to 115)
Diastolic average 69
BP normal ranges/ preschoolers
Systolic average 99(78 to 104)
Diastolic average 65
BP: high blood pressure
Medical condition, exertion, fright, emotional distress, or excitement
BP: low blood pressure
Athlete or other person with normally low blood pressure blood loss late sign of shock
Sphygmomanometer
The cuff and gauge used to measure BP
How to write pulse
Regular: ex: 88
Irregular: ex: 88IR
How often do you re assess vitals
Critical: 5 minutes
Non-Critical: 15 minutes