Vitals slide Flashcards
Types of Temp(4)
oral, rectal, axillary, Tympanic
Oral temp:
1.
Location:
- most common
cover thermom
place under tongue(hot pocket)
Rectal temp:
When often in?
Temp# vs oral temp?
Reflects?
often in children
Temp is (+1) vs. oral
Reflects CORE TEMP
Rectal procedure:
7 steps
charts as?
- pt lie one side/ hips flxed
- cover thermom
- apply lubricant
- insert 1-1 1/2 in
- beep
- remover cover
- disinfect thermom
- Chart”97.6 degrees R”
Axillary temp: accuracy? temp# vs. oral Steps: Chart as?
Not v. accurat temp=(-1) vs. oral 1. place under armpit 2. beep "97.6 degrees AX"
Tympanic Temp
need?
tem# vs. oral
Chart as?
infrared beam
(+1.4) vs oral
99.6 degrees tympanic
how to use for Tympanic Temp:
location:
Movement steps
location: temporal artery Hold close to surface of skin 1. center forehead 2. press infrared button 3.down to CHEEK 4.behind EAR
Normal Temperature oral rectal axillary tympanic
oral: 98.6
R: 99.6
AX: 97.6
tympanic: oral+1.4
Oral fever?
Rectal/tympanic fever?
oral: 101+
R/tympanic=102+
fever chills come because?
Endogenous pyogens INCREASE hypothalamic temp
fever aka (4 names)
febrile
hyperthermia
hyperpyrexia
pyrexia
HYPOthermia =
temp lower then 98.6
exposure to cold
elderly more susceptible
Pulse
taken from?
Cause by?
Recorded as:
artery.
L,ventricular systolic contraction ejection blood to artery.
(BPM)
pulse areas ypu can take it? list 4
radial
ulnar
carotid
femoral
Pulse steps
1,2,3
If pulse is chaotic do a?
- index/middle finger on pulse site
- 30 sec x 2
- record as BPM
a EKG
Carotid pulse when?
Femoral pulse when?
CPR
Peripheral vascular disease PVD
Resp Rate (RR)
breathes taken in?
expected #?
Calculate by?
of breaths in 1 min
expected# 12-20
30 sec x 2
trachypnea
bradynea
RR over 20
RR less than 12
Blood Pressure =
aka name ?
Force from circulating blood on the walls of blood vessels.
AKA: arterial blood pressure
BP considerations:
- No smoking,caffine, alcohol, vig exercise 30 minutes to
- postion: back supported, feet on floor
- Hx: current meds, hx of hypertension, pulse rate
Systolic
Peak pressure in arteries occurring near beginning of cardiac cycle
Diastolic
lowest pressure (bk pressure on arteries)
BP STEPS:
4 steps
- Estimate systolic
(fingers pulse position, inflate cuff, when pulse dissapears = systolic, and you will need to pump 30+ that #) - place stethoscope diaphragm on brachial pulse.
- pump 30+ systolic #
- deflate slowly….
1st sound & last sound.
RECORD
Elevated systolic 4 levels ?
120+ elevated
130+ HP stage 1
140+ HP stage 2
180+ HP CRISIS
elevated Diastolic levels
80- elevated
80-89. HP stage 1
90+. HP stage 2
120+. HP CRISIS
korokoff Sounds
5 types
- snapping-systolic
- murmur(btwn sys/dia)
3/4. thumping(10mm above diastolic) - silence
small/tight cuff=
big/loose cuff=
increase BP
decrease BP
(false #s)
Orthostatic Vital Signs
determines?
steps?
HYPOtension
- supine pos
- repeat after 3 minutes standing pos
POS ortho vital=
systolic or pulse increase of
20mm diff from supine pos to standing
PAIN vital sign# use_for children associated w._damage Chronic: time period?
5th vital sign
wong-baker chart for kids
tissue damage
more then 1 mo
Pain Eval:
OPQRST =
Onset(start when) Provoking facts(what brings pain) Quality(burning,stabbig,throbbing) Radiation(radiates anywhere) Severity(1-10) Timing(occurs WHEN)
Types of pain: (3) explain it
- somatic-tissue damage
- neuropathic- damage to PNS/CNS
- psychogenic
Factors that can influence pts reporting pain:
anxiety/depresion
cultual norms
lack of support system
Skill summary: 1. 2. 3. 4. 5. 6. 7.
- wash hands
- gen observation
- Radial pulse
- RR
- BP both arms
- Assess for orthostatic (changes in pulse/BP)
- Eval pain
