VitalSigns Flashcards
1
Q
Temperature Adult
A
36-38º
1
Q
Temperature Older Adult
A
35-36º
1
Q
Pulse
A
60-100 BPM
1
Q
Pulse regular
A
count for 30 seconds X 2
1
Q
Plus 4
A
bounding
1
Q
Plus 3
A
strong
1
Q
Plus 2
A
weak
1
Q
Plus 1
A
thready
1
Q
Zero
A
absent
1
Q
Absent
A
0
1
Q
Thready
A
Plus 1
1
Q
Weak
A
Plus 2
1
Q
Strong
A
Plus 3
1
Q
Bounding
A
Plus 4
1
Q
Respiration Adult
A
12-20 breaths/minute
1
Q
Respiration Older Adult
A
15-22 breaths/minute
1
Q
BP Optimal
A
120/80
1
Q
BP Normal
A
130/85
1
Q
BP High Normal
A
130-139 / 85-89
1
Q
Grade 1 Hypertension
A
140-159 / 90-99
1
Q
Grade 2 Hypertension
A
160-179 / 100-109
1
Q
Grade 3 Hypertension
A
≥180/≥110
1
Q
Hypotension
A
Systolic below 90
1
Q
Orthostatic Hypotension
A
Drop of 20 mmHg or more systolic, 10 mmHg diastolic
1
Assess orthostatic hypotension
supine, sitting, standing 1-3 minutes after each position change
1
120/80
BP Optimal
1
130/85
BP Normal
1
130-139 / 85-89
BP High Normal
1
140-159 / 90-99
Grade 1 Hypertension
1
160-179 / 100-109
Grade 2 Hypertension
1
≥180/≥110
Grade 3 Hypertension
5
Pulse irregular
count for 60 seconds
assess frequency
assess pattern of irregularity
compare bilateral radial pulses
