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25 Cards in this Set
- Front
- Back
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Blood Pressure and Pulse |
BSI scene is safe |
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Obtains and reports an accurate pulse rate, strength, and regularity. |
Pulse rate is at ___beats per min, pulse is strong with a regular rhythm. |
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Obtain and reports accurate blood pressure |
I will choose the appropriate cuff size for the patient. Make sure the cuff is 1in above the AC and covering 2/3 of the pts bicept. Make sure the cuff is on tight. I will find the pts brachial artery and place the diaphram of the stethoscope on it. Blood pressure is ___ systolic over ___ diastolic. |
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What is the normal range for an adult blood pressure? |
100-140 systolic and 60-90 diastolic. It may be normal for people with small frames to have systolic pressure in the 90s. |
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What is the formula for a normal pediatric blood pressure? |
Systolic is 70-90 +2×Age of the pediatric Diastolic is 2/3 of the Systolic |
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What is the formula to obtain a pulse pressure? |
Pulse pressure=systolic pressure minus diastolic pressure |
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Explain the relationship between pulse points and associated with blood pressure |
Radial pulse indicates systolic pressure of at least 80mmHg Brachial pulse indicates a systolic pressure of at least 70mmHg Carotid pulse indicates a systolic pressure of at least 60mmHg |
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Obtains and reports an accurate respiratory Rate, rhythm , and quality |
Respiratory Rate is 12, regular, and non labored |
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Properly obtains lung sounds (10 ausculatation points: 4 anterior, 6 posterior) |
" Sir I will listen to your lungs if that's okay" "Lungs appear to be clear and equal" |
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What condition(s) are crackles/rapes indicative of? |
Pulmonary edema , congestive heart failure |
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What condition(s) are rhonchi indicative of? |
Pneumonia, aspiration, bronchitis |
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What condition (s) ar3 wheezing indicative? |
Asthma , emphysema |
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How does stridor differ from wheezing? |
Stridor is an upper respiratory sound and is typically heard upon inspiration whereas wheezing is a lower respiratory sound and is typically heard upon expiration, initially. |
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Evaluator asks candidate to obtain a temperature and Pulse oximetry. |
BSI scene is safe. |
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Evaluator asks the candidate to obtain respirations and lung sounds |
BSI scene is safe |
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Obtains and reports an accurate temperature. |
"Sir Im going take your temperature if that's ok" Temperature is at 97F tympanic |
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Obtains and reports an accurate SPO2 reading. |
I'll will go ahead and place an Oxygen Saturation Pulse Oximeter on the pts finger to measure the pts blood oxygen saturation level |
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What factors can affect the accuracy of pulse oximetry? |
The factors that can affect the Poor perfusion, carbon monoxide, nail Polish, and cold extremities. |
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How does anemia affect the clinical relevance of pulse oximetry? |
Anemia can affect the clinical relevance of pulse oximetry bcs a lower amount of circulating hemoglobin will cause a higher concentration of hemoglobin to be saturated with oxygen, leading to a misleading high pulse oximetry reading. |
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Explain how to obtain a rectal temperature. |
1st place a disposable sheath onto thermometer. Then separate the pts buttocks. Then insert 0.5 inch for a pediatric or insert 1.5 inch for an adult. Then hold in until the final result is shown. Then remove from patient, remove sheath, and wipe thermometer with ethyl alcohol. |
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Rectal, Axillary, Oral, Tympanic. State each in order from most to least accurate. |
The most accurate is Rectal, then tympanic, then oral, and then Axillary. |
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What is the normal blood glucose range for an adult? |
The normal blood glucose range for an adult is 70-140. |
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What are the three "poly" symptoms of hyperglycemia? |
The three poly symptoms of hyperglycemia are polyphagia, polydipsia, and polyuria. |
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What role does insulin play in the body? |
Insulin facilitates the movement of glucose into the cell. |
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What is the BLS treatment for hypoglycemia and what route is it given? |
The BLS treatment for hypoglycemia is oral glucose and it can be given via oral or subbucal route. |
