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Academy > What's Your Sign > Flashcards

What's Your Sign Flashcards

1
Q

Core Vital Signs

A

BP, HR, RR

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2
Q

Additional vital signs

A

Skin, mental status, pupils, capillary refill, pulse oximetry, glucometry, stroke scale

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3
Q

Pressure generated by ventricular contraction

A

Systole

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4
Q

Pressure exerted by the fluid in the system when the heart is at rest

A

Diastyloic

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5
Q

BP range males

A

Usually 3/2
S=100+Age=max 140
D=<90

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6
Q

BP range females

A

3/2
S=90+age (max 130)
D=<80
Pregnant-3rd trimester 10-15 mmHg lower

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7
Q

BP Range Children-until 10 years

A 
S=80+2x age
D=2/3 SBP
70+ 2x age threshold for hypotension
80+2x age threshold for hypertension
BP difficult to get until age of 2
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8
Q

Narrowing pulse pressure is what% and would be seen when?

A

<25%

Chest injury=tamponade, tension pneumothorax

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9
Q

Widening pulse pressure is what % and would be seen when?

A

> 50%

Increasing ICP

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10
Q

If you have an irregularly irregular pulse you have____ and you are prone to __, __, ___, syncope

A

Atrial fibrillation

clots, strokes, pulmonary embolism, syncope

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11
Q

Where and why would you palpate a pedial pulse?

A

Orthopedic injury
Medial malleous-posterior tibial
Dorsalis pedias

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12
Q

If disparate BP and radial pulses (>20), should be concerned about a ____

A

Thoracic aneurysm

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13
Q

If unequal femoral pulses, should be concerned about an _____

A

Abdominal aortic aneurysm

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14
Q

As person breathes in, the quality of their pulse weakens when they breathe in
Also, as get BP, sound may disappear as individual breathes in

A

Pulsus Paradoxus

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15
Q

Pulses paradoxus is indicative of an individual who may have

A

Tension pneumothorax, pericardial tamponade, profound bronchoconstriction, asthma, COPD

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16
Q

For a pulses paradoxes, when auscultating BP, a paradox greater than ____ is clinically significant

A

10

17
Q

What is one assessing when taking orthostatic vital signs?

A

Assessing hemodynamic status-how stable they are

18
Q

Why would take orthostatic vital signs?

A

To see how stable someone is, especially if they seem stable but you suspect they may not be. Assessing whe the patiant has: Abdominal pain (internal bleeding), blood from orifice (vagina, rectal vomiting), nausa/vomiting/diarreha, dizzy/week, syncope/near synope

19
Q

With orthostatic vital signs, what change in vital signs are you concerned about?

A

HR increases greater than 20

SBP drops more than 20

20
Q

Types of skin color:

A

Normal, flushed, pallor, mottled, cyanotic, jaundice

21
Q

Glasgow Coma Scale-Eye Opening

A

4-Alert
3-Verbal
2-Pain
1-Unconscious

22
Q

Glasgow Coma Scale-Speech

A 
5-Oriented x 4 (person, place, time, event)
4-Confused
3-Inappropiate
2-Incomphrensible 
1-Non-verbal
23
Q

Glasgow Coma Scale-Motor function

A 
6-Obediance 
5-Purposeful
4-Withdrawel from pain
3-Decorticate (flexion)
2-Decerebrate (extension)
1-None
24
Q

In eyeballs looking for:

A

Reactivity
Equality
Size

25
Q

For reactivity and eyes, looking for a___

A

Consenual reponse. If not the case, concerned about a brainstem issue or an eye injury

26
Q

For Equality and eyes, looking for a consenual reponse. Unequal eyes indicate:

A

Increasing ICP

Aniscora (under 10% of the population has this)

27
Q

Pinpoint pupils indicate

A

Opiate, pontine bleed, cholinergics (i.e. sarine)

28
Q

Pontine bleed

A

Intercranial hemorrhage

29
Q

Dilated pupils indicate

A

HYPOXIA, SHOCK, Post ictal, stimulants, darkness, alcohal, CNS depressants other than opiates (sleeping pills), TCA, anticholinergics

30
Q

Fixed-dilated pupils indicate

A

Brain stem death

Hernation

31
Q

Gaze types

A

Conjugate (both eyes tracking together)
Deviated gaze-pupils off to one side, but together
Disconjugate-tracking differently

32
Q

Deviated gaze indicates

A

Head injury, stroke, seizure

33
Q

Disconjugate gaze indicates

A

congential, occular injury, head injury

34
Q

Involuntary eye movement

A

Nystagmus

35
Q

Type of nystagmus

A

Horizontal (usually alcohal)
Vertical
Rotational (torsimal)-PCP

36
Q

One can acquire nystagmus due to

A

Toxicology, neuro event (stroke or traumatic brain injury), congential

37
Q

Unequal pupils indicate

A

Hemmoraghic stroke

38
Q

Accumulation of fluid in the peritoneum

A

Asoites

Indicates liver disease or CHF

Academy (35 decks)

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