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46 Cards in this Set

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Includes body temperature, heart rate, blood pressure, respiration rate and also oxygen saturation

Vital signs

Is also done routinely when patient is hospitalized

Vital signs taking

Usually obtained during the patient's initial visit

Baseline assessment of vital signs

To ascertain a baseline, medical practitioner may be required to take vital signs...

More than once

Two important habits that must be developed by the nurse before taking a patients vital signs

Aseptic technique in form of hand washing


Correction of factors that may influence results of vital signs

Variations in results can indicate:

A new disease process


Patients response to treatment


Patient's compliance with a treatment plan

Body temperature is maintained and regulated by two processes functioning in conjunction with one another. What are these

Heat production


Heat loss

The body loses heat by a combination of five processes

Convection, conduction, radiation, evaporation, elimination

The process by which heat is lost through the skin by being transferred from the skin by air currents flowing across it

Convection

The transfer of heat from within the body to the surface of the skin and then to the surrounding cooler objects touching the skin, such as clothing

Conduction

It is where the body lost from the surface of the skin to a cooler environment, much like a cool room becoming warm when occupied by many people

Radiation

A heat loss mechanism that uses heat absorption through vaporisation of perspiration

Evaporation

Heat that is lost through the normal functioning of the intestinal, urinary, and respiratory tracts

Elimination

In increase in temperature may result from

Bacterial infection


Increased physical activity


Food intake


Exposure to heat


Pregnancy


Drugs that increase metabolism


Stress and severe emotional reactions


Age


Decrease in temperature may result from:

Viral infections


Decreased muscular activity


Fasting


A depressed emotional state


Exposure to cold


Drugs that decreases metabolic activities


Age


Time of day

Absence of fever

Afebrile

Fever is present

Febrile

Body temperature increased beyond normal range

Fever

Is another term for fever

Pyrexia

A fluctuating fever that returns to or below the baseline, then increases again

Intermittent

A fluctuating fever that does not return to the baseline temperature; it fluctuates but remains increased

Remittent

A fever that remains above the baseline; it does not fluctuate but remains fairly constant

Continuous

Types of thermometers

Disposable


Electronic and digital


Tympanic

Thermometers that are individually wrapped strips with heat sensitive dots that change color to indicate temperature

Disposable thermometer

Thermometers that are widely used, handheld, battery-operated or plug in units that have easy to read electronic display screens

Electronic and digital thermometer

Thermometers that are more popular because they are fast, provide no discomfort to the patient, can be used on patients over 2 years of age as well as adults, and usually are accurate

Tympanic thermometer

Is the beat of the heart felt at an artery as a wave of blood passes through the artery

Pulse

Pulse sites

Radial, carotid, brachial, temporal, femoral, popliteal, dorsalis, apical

Pulse that is used for cardiac patients and patients with arrhythmia

Apical pulse

Pulse abnormalities

Bradycardia


Tachycardia

Is the number of respirations per minute

Respiratory rate

Normal range of respiration

12-20 breaths per minute

Normal breathing

Eupnea

Respiration with more than 24 cycles per minute

Tachypnea

Respiration that has 8-12 breath per minute

Bradypnea

Results from shallow breaths that may be seen with sedation

Hypoventilation

Is rapid deep breaths that may be seen with metabolic acidosis hypoxia, anxiety, or exercise

Hyperventilation

Difficulty in breathing

Dyspnea

Is the temporary or complete absence of breathing for more than 10 seconds

Apnea

Measures cardiovascular function by measuring the force of blood exerted on peripheral arteries during the cardial cycle or heart beat

Blood pressure

Measurement of the pressure when the heart is contracted

Systolic blood pressure

The pressure in the large arteries during the relaxation of the left ventricle

Diastolic blood pressure

Persistent elevation of either diastolic or systolic blood pressure

Hypertension

High blood pressure with no identifiable cause

Essential (primary) hypertension

High blood pressure with a known cause

Secondary hypertension

Equipment for measuring blood pressure

Mercury/aneroid manometer, digital BP apparatus