Week 12: Vital Signs II

Question 1

Key takeaway from course

Answer 1

Does this make sense for my patient?

Question 2

Normal Oral Temp

Answer 2

36.5-37.5

Question 3

Normal Axilla Temp

What is axilla?

Answer 3

35.9-37.2

Armpit

Question 4

Normal Tympanic Temp

What is tympanic?

Answer 4

36-37.5

Ear

Question 5

Normal Temporal Temp

What is temporal?

Answer 5

36.5-37.5

skin

Question 6

Normal Rectal Temp

Answer 6

37-37.5

Question 7

red is for; blue is for (temps)

Answer 7

red = anal 
blue = oral

Question 8

What is considered a fever

Answer 8

38

Question 9

Afebrile

Answer 9

fever

Question 10

pyrogen

Answer 10

something that increases temp

Question 11

antipyretic

Answer 11

something that decreases temp

Question 12

diaphoresis

Answer 12

sweating

Question 13

diaphoretic

Answer 13

sweating due to fever

Question 14

hypothermia temp

Answer 14

lower than 35

Question 15

what can you assess in ventilations?

Answer 15

rate
rhythm
depth
effort of respirations

Question 16

ventilation

Answer 16

just breathing

Question 17

diffusion

Answer 17

gas exchange

Question 18

perfusion

Answer 18

get O2 around body

Question 19

right side of the lung

Answer 19

3 lobes

Question 20

left side of the lung

Answer 20

2 lobes

Question 21

assessing rate of respiration

Answer 21

of inspirations/expirations (1cycle) per 30 secs (60 if it is irregular)

Question 22

Assessing rhythm respiration

Answer 22

regularity of inspiration/expiration. Observe muscle group use.

• Are there pauses?
• Changes?

Question 23

respiration: Depth/effort

Answer 23

degree of movement in chest wall, use of accessory muscles, labored

How hard the body has to work to breathe

Question 24

What are other things you should look for when assessing breathing?

Answer 24

Skin pigmentation (blue – not enough O2)

Risks? - COPD, medications, smoking history

Wheezing, crackles

Positioning (“tripoding”)

Labored breathing – fast ventilation

Muscle movement

Question 25

how to count respirations

Answer 25

Count for 30, X2

Be sneaky about it

I am going to do your pulse (30s)

Still “check” pulse, turn attention to breath

Children, other people with abnormal breathing – count for whole 60s

Question 26

expected values respirations: newborn

Answer 26

30-40

Question 27

expected values respirations: infant

Answer 27

20-40

Question 28

expected values respirations: toddler

Answer 28

25-32

Question 29

expected values respirations: preteen

Answer 29

18-26

Question 30

expected values respirations: teen

Answer 30

12-22

Question 31

expected values respirations: adult

Answer 31

12-20

Question 32

expected values respirations: elite athlete

Answer 32

10-20

Question 33

expected values respirations: elderly

Answer 33

12-24

Question 34

expected values respirations: child

Answer 34

20-26

Question 35

tachypnea

Answer 35

fast breathing

Question 36

bradypnea

Answer 36

slow breathing

Question 37

apnea

Answer 37

not preathing

Question 38

sleep apnea

Answer 38

snoring, go through period of not breathing, then huge snore

Obesity

Cardiovascular disease

Question 39

what increases breathing

Answer 39

young age, exercise, anxiety, smoking, anemia

Question 40

what decreases breathing

Answer 40

hyperthermia, upright body position, opioid/narcotic medications

Question 41

what is normal O2 levels

Answer 41

95-100
some say 92
Under 90 BAD

Question 42

how do you measure oxygen saturation

Answer 42

infrared light source “reads” the patient’s red blood cells and determines the percent of those blood cells that are full stocked with oxygen

Question 43

what can interfere with an accurate oxygen saturation measure

Answer 43

• nail polish
• other lights in the room
• not using the equipment properly (finger has to be all the way in the probe & light must be against nail bed)