Week 1 & 2 Lecture Flashcards
A condition in which your blood pressure suddenly drops when you stand up from a seated or lying posistion
Orthostatic hypotension
Access (3) areas of respirations
BPM, Depth (shallow/ deep), rhythm (regular/ irregular)
Hypertension Stage 1
Systolic 130 - 139 or Diastolic 80-89
Hypertension Stage 2
Systolic _> 140 or Diastolic _>90
Body temperature 40°C or 104°F is considered
Hyperthermia
pulse deficit is when the heart beats faster than the pulse felt at distal and ____ pulses
Radial
____ is the difference between your systolic and diastolic blood pressure.
A normal range for this number is between ___ & ______
Pulse pressure
40 & 60
Pyrexia
Fever
Systolic pressure (Top Number) measures the pressure in your arteries when your heart beats.
It is the maximum blood pressure during contraction of _____
Ventricles
Heart rate over 100 bmp is…
Tachycardia
98.6 is an Average body temperature but this number is considered a fever
100.4
4 vital signs
Temp, pulse, respiratory, BP
Vital signs are accessed every ___ in hospitalized patients with temperatures, high / low blood pressure, pulse rate / rythm, respiratory difficulty.
4 hours
Part of the brain responsible for temperature regulation
Hypothalamus
How does hyperthermia differ from pyrexia
In pyrexia the hypothalamus is “set” to a higher body temperature.
In hyperthermia the hypothalamus isn’t set to a higher temperature and is actively trying to decrease the temperature.
No one under 19 should take aspirin during fever-causing / flu-like illnesses to prevent this syndrome
Reye’s
Reye’s Syndrome
A rare but serious condition that causes confusion, swelling in the brain, and liver damage
UAP
Unlicensed Assistive Personelle
Automated monitoring device measures…
Temp, pulse, resp, blood pressure
taking temp for else where than oral do what?
Document location of temperature
Neutropenic
Low white blood cells
Stroke volume
Volume of blood ejected with each heart beat
The apical pulse maybe ausculated over the apex of the heart.
Heart sounds:
Closure of the mitral and Tricuspid valve = ______
Closure of the aortic and pulmonic valve = _____
Mitral and Tricuspid = Lub
Aortic and Pulmonic = Dub
Parasympathetic stimulation of the SA node via the _____ nerve causes the heart to slow
Vagus
Women have a slightly __pulse tjan men. Pulse rate ____ as a person ages due to metabolic rate
Higher / Decreases
Normal pulse Rate for Adolescentes and Adults is…
60 / 100 bpm
Tachycardia (increases / decreases) cardiac filling time,which in turn, (increases / decreased) stroke volume
Decreases / Decreases
Tachycardia range in an adult is
100 - 180 bmp
Pulse Amplitude Give a Grade for the following descriptions
Brisk (normal)
Absent
Diminished (weaker than expected)
Bounding
2
0
1
3
Which pulse do you ausculate
Apical
Nurses most often assess (which pulse) by palpation
Radial
Which pulse site is used for paitents in Shock or Cardiac Arrest?
What about infants in this suitation
Carotid/ Brachial
Measure this pulse on infants less than 2 years old
Apical
____ exchange of oxygen and carbon dioxide between the alveoli of lungs and circulating blood
Diffusion
____ is the exchange of oxygen and carbon dioxide between the circulating blood and tissues
Perfusion
What is the most powerful respitory stimulate
Carbon Dioxide
Adults Respitory Rate
Infants breath (slower/quicker)
12 - 20
Quicker
What is the ratio of breathing to heart bests
1:4
The apical pulse can be heard _____ just inside the Midclavicular Line
5th Intercostal
Increase Carbon Dioxide, Decrease Oxygen in Blood
Increases rate and depth of respirations is callled
Hyperventilation
Increase in metabolic rate (fever) will cause Tachypnea/ Bradypnea Why?
Tachypnea. The body is ridding of CO² due to increased CO² from metabolic functions
The difference between Systolic and Diastolic numbers is called
Pulse Pressure
Elevated BP
Systolic 120-129 and Diastolic <80
Hypertension Crisis
Systolic >180 and/or Diastolic >120
Orthostatic hypotension is a decrease in Systolic blood pressure of >____ mm Hg or a decrease in diastolic blood pressure of >____ mm Hg with in 3 minutes of standing up
20 / 10
The series of sounds for which the nurse listens when assessing blood pressure are called…
Korotkoff sounds
Which artery is assessed in BP
Brachial
obese use this artery to measure BP
Radial
Afebrile
Not feverish
Ausxultatory gap
Period of silence or diminished intensity during the manual measurement of blood pressure. AKA silent gap
Distole is when….
The ventricles fill with blood
Systole is when…
The ventricles contract and eject blood
Dyspnea
Hard or labored breathing
Febrile
Having signs of a fever
90 / 60 mmHg or lower is considered
Hypotension, low blood pressur
Body temperature below 35° C or 95 ° F is considered
Hypothermia
Shortness of breath when laying flat and goes away when you sit up or stand
Orthopnea
Most common place to measure temp in neonate
Axillary
Characteristics of the peripheral pulse include (3)
Rate, rhythm, amplitude
Bradycardia is defined as lower than ____ bpm
60
0
1
2
3
4
0 indicating no palpable pulse;
1 Indicating a faint, but detectable pulse; 2 slightly diminished pulse than normal;
3 Normal pulse
4 Bounding pulse
FAST for which ilness
Face Arms Speech Time
Stroke
Week 3 Lab
