Vitals

Question 1

heart rate timing

Answer 1

if RRR, count HR for 15 seconds and multiply by 4

if not, count HR for the full 60 seconds

Question 2

Locations for HR

Answer 2

radial artery, brachial artery, and carotid artery

Question 3

oral temperature

Answer 3

will be skewed if pt has had anything hot or cold to eat or drink within the past 10-15 minutes
needs to be placed under tongue until it beeps

Question 4

tympanic membrane temperature

Answer 4

placed in ear canal pointed forward (to eyes)

reading will be higher by about 0.8* C vs oral

Question 5

axillary temperature

Answer 5

placed under the armpit

reading will be lower by about 1*C

Question 6

rectal temperature

Answer 6

not used much

reading will be higher by about 0.5*C

Question 7

temporal temperature

Answer 7

becoming much more popular

reading will be higher by about 0.4*C

Question 8

BP goal for >60 year

Answer 8

150/90

Question 9

BP goal for <60 year

Answer 9

140/90

Question 10

BP goal for diabetes

Answer 10

140/90

Question 11

BP goal for CKD

Answer 11

140/90

Question 12

definition of orthostatic hypotension

Answer 12

drop in SBP >20mmHg or DBP >10mmHg within 3 minutes of standing

Question 13

assessment for orthostatic hypotension

Answer 13

allow the patient to lay supine for 3-10 minutes. Take BP. With cuff still on, have the patient stand up. Retake BP within 3 minutes.

Question 14

symptoms of orthostatic hypotension

Answer 14

lightheadedness, visual blurring, unsteadiness, and syncope

Question 15

BP reading for hypertensive crisis

Answer 15

> 180/120

Question 16

symptoms of hypertensive crisis

Answer 16

headache, epistaxis, faint/dizzy, agitated, chest pain, dyspnea, vertigo, paresthesia, arrhythmia, neurologic deficit, and vomiting

Question 17

complications of hypertensive crisis

Answer 17

encephalopathy, intracerebral hemorrhage, MI, acute HF, pulmonary edema, unstable angina, dissecting aortic aneurysm, preeclampsia/eclampsia, acute kidney injury