Week 2- Vital Signs Flashcards
IN addition to pulse rate, you should also note _______ & ______ of pulse
rhythm & volume
Most common reason for fever is
infection
Normal oral temperature for adults
98.6 F or 37 C
fever greater than 100.5
febrile
fever aka ; extremely high fever
pyrexia; hyperpyrexia
normal temperature
98.6-99.1 (afebrile)
least accurate temperature
axilla
most accurate temp
rectal
Tympanic (aurally/ ear) adult temp method
Pull ear up and back
Tympanic (aurally/ ear) child temp method
pull ear down and back
Most important part of taking a rectal temp is
Holding thermometer in place
Normal pulse
60-100 bpm
less than 60 bpm
bradycardia
more than 100 bpm
tachycardia
pulse is to be measured at the
radial artery
pulse should be counted for
1 min (if irregular) or 30 seconds times 2
method of obtaining pulse on an infant
apical pulse using sethoscope
one inhalation + one exhalation
respiration
Normal respirations in adults
12-20
-pnea
breathing
crackling sounds; fluid in the lungs
rales
deep rattling; asthma
rhonchi
period of breathing cessation
apnea
measure of pressure where left ventricle contracts (top #)
systolic pressure
measure of pressure released when the heart relaxes (bottom number)
diastolic
normal adult blood pressure
120/80
Prehypertension values
120-139 ,mmHg / 80-89 mmHg
hypertension values
140/90 mmHg
What is important when taking oral temperature
Patient must be able to breathe through the nose
device that amplifies body sounds
stethoscope
Artery used to measure blood pressure
Brachial artery
determines the palpatory pressure that represents the target peak inflation
palpatory method
When taking blood pressure, you want to inflate the cuff _______
30 mmHG more than the palpatory result or between 180 & 200 mmHG
When taking blood pressure, once cuff is inflated _______
listen for 1st vascular sound, (systolic) , then second vascular sound (diastolic)
generated when blood pressure cuff changes the flow of blood through the artery
koroktoff sounds (phase 1- systolic…. phase 5- diastolic)
Avoid BP arm measurement w/
arm on the same side of a masectomy, arm w/ an injury or blocked artery. arm w/ a device implanted under the skin
if blood pressure cuff is too small _____; if too big _____
artifically elevated; artificially low
listening w/ a stethoscope
auscultation
Most common pulse point
radial artery