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22 Cards in this Set

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What are the 5 vital signs?
Temperature
Pulse
Respiration
Blood Pressure
O2 Saturation
Body temperature is controlled by the ____________ and varies _____ deg C; body temp in children is naturally higher from ___________ years old
Body temperature is controlled by the hypothalamus and varies +/- 1 deg C; body temp in children is naturally higher from 3 mo to 13 years old
What are the 4 main sites to take body temperature and their normal reading?
Oral - 98.6 deg F
Tympanic - 99.1 - 99.6 deg F
Axillary - 97.6 - 98 deg F
Rectal - 99.6 deg F
Normal respiration for adults is _______ bpm and ______ for an infant
Normal respiration for adults is 15 - 20 bpm and 30 - 60 for an infant
Normal systolic pressure is _________ mmHg and diastolic is _______; while in children normal systolic is _______ and diastolic is ________ mm Hg
Normal systolic pressure is 110 - 140 mmHg and diastolic is 60 - 80; while in children normal systolic is 90 - 120 and diastolic is 50 - 70 mm Hg
What is O2 saturation and how is it measured?
measures the % of hemoglobin binding sites that are occupied by Oxygen
Pulse oximeter measures O2
what is the normal range?
90 -100%; below 85% means tissues are not receiving enough oxygen
What is shock?
The body's reaction to illness, trauma or severe physiologic or emotional stress
What causes shock?
fluid loss, cardiac failure, decreased tone of the blood vessels, obstruction of blood flow to organs
What are the 2 stages of shock?
compensatory stage followed by progressive stage
Symptoms of compensatory stage shock?
cold clammy skin
decreased urine output
increased respiration
normal blood pressure
increased anxiety
Symptoms of progressive stage shock?
blood pressure falls
respiration rapid and shallow
pulmonary edema
tachycardia
chest pain
mental status changes-confusion, lethargy, loss of consciousness
Definition and symptoms of cardiogenic shock?
failure of the heart to pump adequate blood to vital organs.
chest pain, radiates to jaw and arms
dizziness & respiratory distress
cyanosis
restlessness and anxiety
change in level of consciousness
irregular slow pulse (difficult to find carotid pulse)
cool, clammy skin
Definition and symptoms of Neurogenic shock?
loss of sympathetic tone causes vasodialation or peripheral vessels, caused by pain, neurological damage, medication, adverse reaction to anesthesia
hypotension
bradycardia
warm, dry skin
cool extremities
Definition and symptoms of Septic shock?
body's immune response to infection by gram-negative bacteria in bloodstream.
hot, dry, flushed skin
increased pulse and respiration
fever
nausea, vomiting, diarrhea
confusion
Definition and symptoms of Anaphylactic Shock?
allergic reaction caused by re exposure to an antigen previously encountered by the body's immune system.
nasal congestion, periorbital swelling, itching and tearing of the eyes
tingling or itching at injection site
feeling of fullness or tightness in chest, mouth or throat
flushing, feeling of warmth, itching, uticaria cont-------->
anxiety
bronchospasm, edema of larynx
dyspnea, cough, wheezing
decreasing bp
cyanosis
seizures
respiratory and cardiac arrest
What causes seizures?
discharge of neurons that results in alteration of brain function
what are the 2 types?
generalized and partial
What is important to do when seeing someone having a seizure?
keep airway clear, turn pt on side so they do not aspirate fluid
What is the term for fainting?
syncope
If you see a pt with the following symptoms what might it be?
rapid weak pulse, hyperventilation, dyspnea, tachypnea, tachycardia, apprehension, cough with hemoptysis, diaphoresis, syncope, hypotension, cyanosis, rapidly changing levels of consciousness
Pulmonary embolism
occulsion in lungs by blood thrombus
What might this persons condition be if they had the following symptoms?
mild tremor, sweating, complaint of hunger, tachycardia, nervousness,irritability, dizziness, headache, numbness of lips or tongue, diaphoresis, slurred speech, disorientation, impaired motor function, diminishing level of consciousness, seizures, coma
Acute hypoglycemia, diabetes mellitus
blood glucose levels <50 mg/dL

what should you do right away
give oj, candy, if unconscious give jelly or sugar sublingually
Suddenly you notice a pt has the following symptoms, what might be happening:
severe headache, numbness, muscle weakness, flaccity of face or extremities, usually one sided, one sided eye deviation, confusion, dizziness or stupor, difficult or no speech, ataxia, nausea or vomiting, loss of consciousness
Stroke or Cerebral Vascular Accident
occlusion of the blood supply to the brain, AKA brain attacks
mild ones are called TIA's transient ischemic attacks
You come upon a pt and notice they have labored breathing, wheezing, distended neck veins and using accessory muscles of neck or abdomen on inspiration. they have diaphoresis, anxiety, cyanosis and cough with pink-tinged frothy sputum. What is the problem?
Obstructed airway