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53 Cards in this Set
- Front
- Back
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What are the 4 vital signs:
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Temperature
Pulse B/P Respiration |
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What is considered the 5th vital sign:
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Pain
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How often do you assess pain:
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every 4 hours
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Where can you assess core temperatures?
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Tympanic
Rectal |
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Where can you assess surface temperatures:
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Oral
Axillary |
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What contradictions effect temperature readings: (5)
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External Temp
Metabolism Thyroid Age Brain Injury (ponds/medulla) |
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When during the day is the pt temperature lowest?
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Mornings
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Temperature Range: Oral
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97.6 - 99.6 F
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Temperature Range: Axillary
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96.6 - 98.6 F
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Temperature Range: Rectal
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98.6 - 100 F
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Temperature Range:Tympanic
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98.2 - 100 F
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Why should you be careful when getting a rectal temperature:
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Can stimulate the Vagus nerve which decrease heart rate
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How far into the rectum do you assess children for temp:
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1/2 inch
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How far into the rectum do you assess adults for temp:
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1 inch
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When is pulse at it's max impulse:
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When LV contracts
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Term used when Pulse is >100
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Tachycardia
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Term used when pulse is <60
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Bradycardia
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Amplitude and Quality asses how good your..
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Arterial Walls are
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Factors Influencing Pulse (7)
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Blood Loss
Anxiety Anemia Disease Fever Medications Pain |
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Where can you find the Apical pulse:
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Mid Clavicular Between 5-6 rib
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Where are the Peripheral Pulses located: (9)
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Temporal
Carotid Apical Brachial Radial Femoral Popliteal P. Tibia Dorsialis Ped |
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When would you use the bell of the stethoscope:
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To listen for murmurs
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Term used for the difference between apical and radial pulse:
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Pulse Deficit
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What is the major stimulation of Respiration:
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Increase in CO2
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Term used for no breathing:
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Apnea
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Term used for decreased respirations
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Bradypnea
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Term used for increased respirations:
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Tachypnea
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Term used for normal respirations
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Eupnea
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Term used for breathing in excess of what the body needs:
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Hyperventilation
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Term used for when breathing is inadequate of what the body needs:
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Hypoventilation
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Term used for periods of apnea, common in diabetics
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Cheyne Strokes
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Term used for irregular respirations:
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Biot's
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Term used for difficulty breathing:
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Dyspnea
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Term used for breathing made easier while sitting up:
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Orthopnea
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Factors that inhibit Respirations
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Lung Disease
Heart Disease Fluid Overload |
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Normal number of respirations per minute:
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12-20
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term used when pressure on arterial walls during ventricular contarction:
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Systole
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Term used for when arterial walls relax
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Diastole
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What is a direct measurement of blood pressure:
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Catheter in heart
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How often is the equipment calibrated for taking Blood Pressure
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every 6 mos.
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What influences the readings of bp:
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Laying down (lower)
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Term used for the sound you hear using the stethoscope:
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Sound of Korotkoff
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Method for Taking BP
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Palpate bracial to estimate systolic pressure
Pump 30 mm Hg above estimated |
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Normal range for Adult BP:
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90-119 Systolic
60-79 Diastolic |
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Term used for when BP drops when standing:
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Postural Hypotension
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Normal Pulse in Children
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180
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Normal Respirations in Children
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80
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Where would you put a pulse oximetry on a child:
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Foot
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What is the purpose of putting on an Ace Bandage
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Secure a Dressing
Apply Pressure Prevent Fluid Accumulation |
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How do you apply a spiral bandage:
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Start distal and work your way up
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How do you assess circulation after applying an Ace wrap:
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Press Nails
Feel Hand (for warmth) Numbness |
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What is normal pulse ox range:
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95-100%
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What influences Pulse ox?(5)
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1. Low hemoglobin
2. hypertension 3. poor circulation 4. nail polish 5. Being old |
