PCS 3 Vitals Flashcards

1
Q

who you give baseline measurements to

A
elderly patients (older than 65) 
very young pts (younger than 2) 
debilitated pts
low aerobic capability
cardioV probs
pts recovering from trauma/surgery
cardioP issues
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2
Q

Body Temperature - time of day

A

LOW in morning HIGH at noon

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3
Q

body temp - age

A

HIGHER when real young LOW when older

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4
Q

body temp - environment

A

LIL HIGHER in hot LIL LOWER in cold

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5
Q

body temp - infection

A

HIGHER

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6
Q

body temp - physical activity

A

LIL HIGHER with exercise but PLATEAU’s with training

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7
Q

body temp - emo status

A

LIL HIGHER when stressed/sad/angry!!!

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8
Q

body temp - measurement site

A

HIGHER in butt LOWER in axilla

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9
Q

body temp - menstrual

A

HIGHER

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10
Q

body temp - oral cavity

A

temp can be a bad representation, wait 14 to 30 minutes after cold/hot drink or smoking

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11
Q

body temp - range

A

oral - 96.8 F to 99.3 F (36 C to 37.3 C)

rectal - 97.8 to 100.3 (36.6 to 38.1)

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12
Q

body temp - sites

A

oral cavity, rectum, axilla, ear canal, forehead or temporal lobe, and occasionally inguinal fold
Most Accurate - rectal
Most Convenient - orally

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13
Q

Pulse

A

indirect measure of contraction of the left ventricle of the heart and indicates the rate at which the heart is beating.
rate of da squeezin of the left side heart
Movement of blood in an artery which can be felt at sites of the body.

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14
Q

pulse - range

A

newborns - 100-130 bpm
1yr - 7yr - 80-120 bpm
adultes - 60-100bpm

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15
Q

pulse - age

A

lower 65 and older Higher young persons

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16
Q

pulse - gender

A

HIGHER females LOWER males

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17
Q

pulse - environment

A

HIGHER in high temp LOWER in low temp

18
Q

pulse - infection

A

HIGHER with infection

19
Q

pulse - physical activity

A

relative to the exercise
post exercise 3-5 min to return to resting
can change with training

20
Q

pulse - emo status

A

HIGHER with stress/sad/angry

can be LOWER during sleep

21
Q

pulse - meds

A

varies

22
Q

pulse - cardioP disease

A

heart functioning alters, so does the pulse… varies

23
Q

pulse - conditioning

A

people who exercise may have LOWER pulse

24
Q

pulse sites

A

temporal
carotid
brachial
radial
femoral
popliteal-midline posterior knee crease between the tendons of the hamstring muscles
dorsal pedal-slightly medial on the dorsum of the foot
posterior tibial-medial aspect of the foot inferior to the medial malleolus

25
Q

BP definition

A

force by the blood against any unit area of the vessel wall. systolic diastolic

26
Q

systolic pressure

A

point of pump of left ventricle heart

27
Q

diastolic

A

point of rest of the heart

28
Q

normal bp reading

A

120 systolic/80 diastolic

29
Q

prehypertension

A

120-139/80-89

30
Q

stage 1 hypertension

A

140-159/90-99

31
Q

stage 2 hypertension

A

160-179/100-109

32
Q

stage 3 hypertension

A

180-209/110-119

33
Q

stage 4 hypertension

A

> 210/>120

34
Q

the rise in hypertension calc

A

from 120/80

to +19/+9

35
Q

BP - age

A

LOWER younger HIGHER older

36
Q

BP - exercise

A

systolic relates to exercise - 3-5 min should return to norm

diastolic doesnt change too much, but an increase of 15 is abnormal

37
Q

BP - emo

A

HIGHER with stress/sad/stressed!!

38
Q

BP - meds

A

varies

39
Q

BP - size and condition of arteries

A

decreased lumen INCREASE BP

decreased elasticity INCREASE BP

40
Q

BP - arm position

A

SHOULD be forearm at the level of the 4th intercostal space and elbow extended
lowered may INCREASE BP
raised may DECREASE BP

41
Q

BP - blood volume

A

decrease in blood DECREASE BP

increase in blood INCREASE BP

42
Q

BP - values bilaterally

A

HIGHER on left arm than right arm
systolic HIGHER on thigh than left arm
Diastolic not change that much