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48 Cards in this Set

  • Front
  • Back
Four areas temperature may be taken
*tympanic membrane
Vital(cardinal) signs to be taken
*blood pressure
Hand held device - close to core body temp
Tympanic membrane thermometer
Use carefully, cannot use on everyone
Oral thermometer
Safest method, good for infants but unreliable
Axillary temperature
Most reliable way to take temp
Rectal temperature
PR over apex of heart, over nipple
PR over radial artery at wrist at base of thumb
PR over carotid artery at front of neck
PR over temporal artery in front of ear
PR groove between biceps and triceps
PR over femoral artery in the groin
PR at posterior surface of the knee
PR inner side of the ankles
posterior tibial
PR at top of foot in line with groove between the tendions of great and 1st toe
dorsalis pedis
The average rate of respiration for an adult
14 to 20 breaths/min
The average rate of respiration for an infant
30 to 60 breaths/min
Fewer than ___ breaths per min for an adult will result in cyanosis, restlessness...
Three things to look at when assessing respiration rate
If blood volume decreases, blood pressure _____.
measures blood pressure
highest point reached during contraction of left ventricle as it pumps to aorta
systolic pressure
lowest point pressure drops during relaxation of ventricles
diastolic pressure
systolic >140
systolic <90
2 types of sphygmanometer
*mercury manometer(more accurate)

*aneroid (we use)
Used to moniter oxygen saturation of hemoglobin. A fast, nonivasive method of monitering sudden change in O2. Saturation sensor attached to fingertip.
pulse oximetry
Causes reversible tracheobronchitis
mild O2 toxicity
Causes irreversible parenchyma lung injury
severe O2 toxicity
Patient with chronic lung disease relies on _________ as a respiratory stimulus.
Procedure for emergency
report to dr.
stop prcedure
stay with pt.
summon help- dr. heart-8500
low volume of circulating blood volume due to hemorrhage
ex- gun shot wound
hypovolemic shock
failure of heart to pump adequate amount of blood to vital organs. put pt. in semi-Fowlers
cardiogenic shock
pooling of blood in peripheral blood vessels that result in decreased venous return of blood to the heart, decreased bp and decreased tissue perfusion
distributive shock
vasodialation of peripheral vessels, caused by spinal cord injury, sever pain, neurologic damage
*poor practice of medical or surgical asepsis
*skin is hot and dry everything increased
*skin is cool and pale everything normal
*1st phase
*2nd phase
exaggerated hypersensitivity
allergic reaction
caused by contrast
beginning within 2 hours of exposure, nasal congestion, eyes swelling, apprehension
mild early systemic reactions
all symptoms above with rapid onset; flushing, itching
moderate systemic reactions
sudden stoppage of heart
cardiac arrest
technical term for heart attack
(MI) myocardial infarction
occlusion of blood suppy ot brain or rupture of cerebral artery aka-stroke
CVA- cerebrovascular accidents
transient loss of consciousness usually from insufficient blood supply to brain (fainting)
happens with little or no warning
muscle spasms, cyanosis
seizure, may cry out- muscles reigid eyes open- jerky movements
generalized seizure
seizure, activity restricted to certain parts of the brain- lasts 1 to 40 min-
complex partial seizure
seizure, brief- occurs in clusters of several episodes over 1-2 days
absence seizure
during grand mal seizure, pt. should be ________.
protected from injury