Week 10 Chapter 24 Flashcards
How many vital signs are there
5
Obsesity
So overweight unable to function
Weight and height is what
A good baseline
Check height for
Shrinking
How to divert pounds to kg
Divide by 2.2
What does standardized mean
The same everywhere
Best time to weigh client
Morning after voiding before meals
If client is immobile you will measure them how
Laying in spine, with measuring tape
Vital signs are important why
Regulation of body temperature
Breathing
Heart function
The five vital signs
Temperature
Pulse
Respiration
Blood pressure
Oxygen saturation
Normal adult tempature
37 degrees Celsius
Normal pulse for adult
60-100 beats per minute
Normal respiration for adults
12-20 rests per minute
Normal blood pressure for adults
120/80 mm hg
Normal oxygen level for adults
Greater then 95%
Why are vital signs important
Changes in normal body function
Response to treatment
Part of regular client assessment
Often signs of life threatening events
Vital signs are measured
After any clinical change or something happens to them
Admission, start of every shift, once a month in long term
Main problem in health care right now
Almost running out of respiration antibiotics
White coat syndrome
Anxiety when taking vital signs
How long should you wait before taking vital signs again
2-5 mins
Body temperature
The amount of heat in your body
Fever in adults
38 degrees Celsius
A fever in elderly
One above baseline
What are the most common infections
UTI or respiratory
What should you report
Vital signs have changed
Vital signs above the normal range
Vital signs below the normal range
What information should be taken down accurately with vital signs
Clients name
Date
Time
Measurements
How to take someone’s fever in tympanic
Pull ear up and back to straighten
Normal body temperature for the mouth and name
Oral
37 degree Celsius
Normal body temperature for ear and name
Tympanic
37.4 degree Celsius
Normal body temperature for underarm and name
Axillary
36.5 degrees Celsius
Pulse
Beat of the heart felt at an artery as a wave of blood passes through the artery
Sites to take heartbeat
Carotid pulse (neck)
Brachial pulse (arm)
Radial pulse (wrist)
A rapid heart rate
Trachycardia
A slow heart rate
Bradycardia
Your checking the heart rate for
Rhythm and force
How long do you measure a heart rate for
30 seconds then multiply by two
Then count respirations
Pulse oximeter shows
Pulse rate and oxygen level
Spo2
Peripheral capillary oxygen saturation
SOB
Shortness of breath
SOBOE
Shortness of breath on excretion
Hypertension
Greater 140/90
Hypotension
90/60 or lower
Systole
Heart muscle contracting
Diastole
Heart muscle relaxation
Systolic pressure
Amount of force needed to pump blood out of the heart
Nor,al range between 60 and 90 mm hg
Diastolic pressure
Pressure in the arteries when the heart is at rest
Normal range between 100 and 140 mm Hg
How to use a sphygmomanometer
1 inch above artery
Two finger tight
Aligned
Stick probe on other finger
What is key
Accuracy
Systolic pressure is the
Higher pressure
Where should you weigh your clients
On the same scale
What pulse is taken during emergancies
Carotid pulse in adults and brachial pulse in infants
The first sound is
Systolic pressure