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Physical Assessment 1 > Vitals slide > Flashcards

Vitals slide Flashcards

1
Q

Types of Temp(4)

A

oral, rectal, axillary, Tympanic

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2
Q

Oral temp:
1.
Location:

A
  1. most common
    cover thermom
    place under tongue(hot pocket)
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3
Q

Rectal temp:
When often in?
Temp# vs oral temp?
Reflects?

A

often in children
Temp is (+1) vs. oral
Reflects CORE TEMP

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4
Q

Rectal procedure:
7 steps
charts as?

A
  1. pt lie one side/ hips flxed
  2. cover thermom
  3. apply lubricant
  4. insert 1-1 1/2 in
  5. beep
  6. remover cover
  7. disinfect thermom
  8. Chart”97.6 degrees R”
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5
Q 
Axillary temp:
accuracy?
temp# vs. oral
Steps:
Chart as?
A 
Not v. accurat
temp=(-1) vs. oral
1. place under armpit
2. beep
"97.6 degrees AX"
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6
Q

Tympanic Temp
need?
tem# vs. oral
Chart as?

A

infrared beam
(+1.4) vs oral
99.6 degrees tympanic

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7
Q

how to use for Tympanic Temp:
location:
Movement steps

A 
location: temporal artery
Hold close to surface of skin 
1. center forehead
2. press infrared button 
3.down to CHEEK
4.behind EAR
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8
Q 
Normal Temperature
oral
rectal
axillary
tympanic
A

oral: 98.6
R: 99.6
AX: 97.6
tympanic: oral+1.4

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9
Q

Oral fever?

Rectal/tympanic fever?

A

oral: 101+

R/tympanic=102+

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10
Q

fever chills come because?

A

Endogenous pyogens INCREASE hypothalamic temp

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11
Q

fever aka (4 names)

A

febrile
hyperthermia
hyperpyrexia
pyrexia

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12
Q

HYPOthermia =

A

temp lower then 98.6
exposure to cold
elderly more susceptible

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13
Q

Pulse
taken from?
Cause by?
Recorded as:

A

artery.
L,ventricular systolic contraction ejection blood to artery.
(BPM)

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14
Q

pulse areas ypu can take it? list 4

A

radial
ulnar
carotid
femoral

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15
Q

Pulse steps
1,2,3

If pulse is chaotic do a?

A
  1. index/middle finger on pulse site
  2. 30 sec x 2
  3. record as BPM

a EKG

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16
Q

Carotid pulse when?

Femoral pulse when?

A

CPR

Peripheral vascular disease PVD

17
Q

Resp Rate (RR)
breathes taken in?
expected #?
Calculate by?

A

of breaths in 1 min

expected# 12-20
30 sec x 2

18
Q

trachypnea

bradynea

A

RR over 20

RR less than 12

19
Q

Blood Pressure =

aka name ?

A

Force from circulating blood on the walls of blood vessels.

AKA: arterial blood pressure

20
Q

BP considerations:

A
  1. No smoking,caffine, alcohol, vig exercise 30 minutes to
  2. postion: back supported, feet on floor
  3. Hx: current meds, hx of hypertension, pulse rate
21
Q

Systolic

A

Peak pressure in arteries occurring near beginning of cardiac cycle

22
Q

Diastolic

A

lowest pressure (bk pressure on arteries)

23
Q

BP STEPS:

4 steps

A
  1. Estimate systolic
    (fingers pulse position, inflate cuff, when pulse dissapears = systolic, and you will need to pump 30+ that #)
  2. place stethoscope diaphragm on brachial pulse.
  3. pump 30+ systolic #
  4. deflate slowly….
    1st sound & last sound.
    RECORD
24
Q

Elevated systolic 4 levels ?

A

120+ elevated
130+ HP stage 1
140+ HP stage 2
180+ HP CRISIS

25
Q

elevated Diastolic levels

A

80- elevated
80-89. HP stage 1
90+. HP stage 2
120+. HP CRISIS

26
Q

korokoff Sounds

5 types

A
  1. snapping-systolic
  2. murmur(btwn sys/dia)
    3/4. thumping(10mm above diastolic)
  3. silence
27
Q

small/tight cuff=

big/loose cuff=

A

increase BP
decrease BP
(false #s)

28
Q

Orthostatic Vital Signs
determines?
steps?

A

HYPOtension

  1. supine pos
  2. repeat after 3 minutes standing pos
29
Q

POS ortho vital=

A

systolic or pulse increase of

20mm diff from supine pos to standing

30
Q 
PAIN
vital sign#
use_for children
associated w._damage
Chronic:
time period?
A

5th vital sign
wong-baker chart for kids
tissue damage

more then 1 mo

31
Q

Pain Eval:

OPQRST =

A 
Onset(start when)
Provoking facts(what brings pain)
Quality(burning,stabbig,throbbing)
Radiation(radiates anywhere)
Severity(1-10)
Timing(occurs WHEN)
32
Q

Types of pain: (3) explain it

A
  1. somatic-tissue damage
  2. neuropathic- damage to PNS/CNS
  3. psychogenic
33
Q

Factors that can influence pts reporting pain:

A

anxiety/depresion
cultual norms
lack of support system

34
Q 
Skill summary:
1.
2.
3.
4.
5.
6.
7.
A
  1. wash hands
  2. gen observation
  3. Radial pulse
  4. RR
  5. BP both arms
  6. Assess for orthostatic (changes in pulse/BP)
  7. Eval pain

Physical Assessment 1 (3 decks)

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