Temperature, Pulse, And Respiration (Tpr)

Front 1

Arteriosclerosis

Back 1

Loss of elasticity in the walls of the blood vessels

Front 2

Atherosclerosis

Back 2

Accumulation of fat deposits inside of arteries, making them more narrow

Front 3

Axilla

Back 3

Armpit

Front 4

Body temperature

Back 4

The amount of heat in the body that is balance between the amount of heat produced and amount lost by the body

Front 5

Cheyne-stokes

Back 5

A pattern of breathing in which respirations gradually increase in rate and depth and then become shallow and slow, breathing may stop for 10 to 20 seconds

Front 6

Congestive heart failure (CHF)

Back 6

The inability of the heart to pump an adequate quantity of blood

Front 7

Emphysema

Back 7

Respiratory condition in which the elasticity of the alveoli is lost, resulting in difficulty breathing.

Front 8

Heart attack/ myocardial infarction (MI)

Back 8

A blockage or clot and occuring in an artery in the heart, resulting in chest pain due to tissue damage

Front 9

Hypertension

Back 9

High blood pressure

Front 10

Hypotension

Back 10

Low blood pressure

Front 11

Pneumonia

Back 11

Inflammation of the lungs with fluid accumulation in the affected alveoli

Front 12

Pulse

Back 12

The beat of the heart felt at an artery as a wave of blood passes through the artery (about 10 millileters per pulse)

Front 13

Pulse rate

Back 13

The number of heartbeats or pulse pulses felt in one minute

Front 14

Respiration

Back 14

Act of breathing in and out of the lungs (inhalation/exhalation)

Front 15

Orthostatic hypotension

Back 15

A sudden drop in blood pressure when the resident moves from lying to sitting or standing position, resulting in fainting

Front 16

Tuberculosis

Back 16

An infection, primarily of the lung, from microbacterium tuberculosis

Front 17

Vital signs

Back 17

Temperature, pulse, respirations, and blood pressure.

Front 18

Cardiovascular system

Back 18

A) organs

1)heart

2)blood vessel

3)blood

Front 19

What is the function of the cardiovascular system?

Back 19

1) carries nutrients and oxygen to the cells

2)removes waste products from cells

Front 20

Cardiovascular system

Back 20

Heart

Front 21

aging process (cardiovascular)

Back 21

1)Decreased ability of the heart to act as a pump

2)pulse rate decreases

3) decreased ability of the cardiovascular system to respond to position changes or increased demand for blood supply.

4) narrowing of blood vessels and loss of elasticity in vessel walls, which results in poor circulation in elevated blood pressure(BP)

Front 22

Related health problems (cardiovascular)

Back 22

1) hypertension

2) heart attack/myocardial infarction

3) congestive heart failure

4) need for a pacemaker

Front 23

Nursing care (cardiovascular)

Back 23

1) report abnormal pulse or BP to the charge nurse

2) encourage resident to change positions slowly to avoid a sudden drop in BP, resulting in fainting

3) a resident with hiccups may have a loose pacemaker wire, report to charge nurse

4) report changes in skin color or temperature

5) observe for shortness of breath or swelling of legs and feet that could indicate CHF

6) immediately report to charge nurse any complaints of chest pain, left arm or jaw pain, difficulty breathing, perspiration, or changing rate of Rhythm. These may be signs of heart attack, backache in women may also be a sign of a heart attack.

Front 24

Respiratory systems

Back 24

Front 25

Respiratory system

Back 25

A) organs

1) nose

2) mouth

3) esophagus

4) pharynx

5) larynx

6) trachea

7) bronchi

8) lungs

9) bronchioles

10) alveoli

Front 26

Functions of the respiratory system?

Back 26

1)provides oxygen to cells

2)removes carbon dioxide from cells

Front 27

Aging process (respiratory)

Back 27

1) loss of elasticity in lungs, lungs to not expand and contract as well

2) chest muscle weakness results in shallow breathing and less effective cough

Front 28

Related health problems (respiratory)

Back 28

1)emphysema

2)pneumonia

3)lung cancer

4)tuberculosis

Front 29

Nursing care (respiratory)

Back 29

1) allow frequent rest periods for president become short of breath with exertion or ADLS

2) Elevate HOB to make breathing easier at night

3) report any changes in Resident color or respiratory rate to the charge nurse

Front 30

Hypothermia

Back 30

When the temperature of the body is below the individuals normal range

Front 31

Pulse range for an elderly adult

Back 31

Between 50 and 100 beats per minute

Front 32

How long do you take a pulse?

Back 32

1 full minute

Front 33

Regular rhythm

Back 33

Pulse is felt in a pattern with the same time interval occurring between Beats

Front 34

Irregular rhythm

Back 34

Note when the beats are unevenly spaced or beats are skipped

Front 35

Temporal pulse

Back 35

1) located on each side of face

2) the beat of the heart is felt over the temporal artery.

Hint 35

Front 36

Carotid pulse

Back 36

1) located on the side of the neck

2) not a preferred method for elderly. CAUTION: may stop circulation to the brain.

Hint 36

Front 37

Apical pulse

Back 37

1) most accurate reading

2) located on the left side of the chest slightly below the nipple; MUST USE A STETHOSCOPE

3) the heartbeat normally sounds like "lub-dub". Each "lub-dub" is counted as one beat

4) use if radial pulse is difficult to take

Hint 37

Front 38

Brachial pulse

Back 38

1) located at the bend of the elbow

Hint 38

Front 39

Radial pulse

Back 39

1) most common and convenient site

2) pulse is located on the underside of the wrist near the residence them. It can be felt by placing the first three fingers of one hand against the radial artery. Do not take the pulse with your thumb.

Hint 39

Front 40

Femoral pulse

Back 40

1)located near the groin area

Hint 40

Front 41

What is the pulse site acronym?

Back 41

The. (temporal)

Caring. (Carotid)

Assistant. (Apical)

Bathes. (Brachial)

Really. (Radial)

Fraile. (Femoral)

People. (Pedal)

Front 42

Pedal pulse

Back 42

1) located on the top of each foot

2l the beat of the heart is felt over the dorsalis pedis artery

Hint 42

Front 43

Respirations

Back 43

1) one respiration includes breathing in and breathing out. It just Rises up on inhalation and falls during exhilation.

2) respiratory rate is the number of respirations in one minute. The normal range for an adult is between 14 and 20. Report to charge nurse with respirations do not fall within this range. There is no difference in the respiratory range for an older adult.

Front 44

What is the respiratory rate?

Back 44

Between 14 and 20

Front 45

Chart for vitals

Back 45

Front 46

What is the oral temperature?

Back 46

95.oo- 98.6

Front 47

What is the rectal temperature?

Back 47

96.00- 99.6

Front 48

What is the axillary temperature?

Back 48

94.00- 97.6

Front 49

What is the pulse rate?

Back 49

50- 100

Front 50

List (3) types of thermometers

Back 50

1) oral

2) rectal

3) electronic

Front 51

List (3) visiting that would indicate NOT to take a temperature by the ORAL route.

Back 51

1) has been smoking

2) is unconscious

3) is recieving oxygen