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46 Cards in this Set
- Front
- Back
Includes body temperature, heart rate, blood pressure, respiration rate and also oxygen saturation |
Vital signs |
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Is also done routinely when patient is hospitalized |
Vital signs taking |
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Usually obtained during the patient's initial visit |
Baseline assessment of vital signs |
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To ascertain a baseline, medical practitioner may be required to take vital signs... |
More than once |
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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 |
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Variations in results can indicate: |
A new disease process Patients response to treatment Patient's compliance with a treatment plan |
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Body temperature is maintained and regulated by two processes functioning in conjunction with one another. What are these |
Heat production Heat loss |
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The body loses heat by a combination of five processes |
Convection, conduction, radiation, evaporation, elimination |
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The process by which heat is lost through the skin by being transferred from the skin by air currents flowing across it |
Convection |
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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 |
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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 |
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A heat loss mechanism that uses heat absorption through vaporisation of perspiration |
Evaporation |
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Heat that is lost through the normal functioning of the intestinal, urinary, and respiratory tracts |
Elimination |
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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 |
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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 |
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Absence of fever |
Afebrile |
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Fever is present |
Febrile |
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Body temperature increased beyond normal range |
Fever |
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Is another term for fever |
Pyrexia |
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A fluctuating fever that returns to or below the baseline, then increases again |
Intermittent |
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A fluctuating fever that does not return to the baseline temperature; it fluctuates but remains increased |
Remittent |
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A fever that remains above the baseline; it does not fluctuate but remains fairly constant |
Continuous |
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Types of thermometers |
Disposable Electronic and digital Tympanic |
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Thermometers that are individually wrapped strips with heat sensitive dots that change color to indicate temperature |
Disposable thermometer |
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Thermometers that are widely used, handheld, battery-operated or plug in units that have easy to read electronic display screens |
Electronic and digital thermometer |
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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 |
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Is the beat of the heart felt at an artery as a wave of blood passes through the artery |
Pulse |
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Pulse sites |
Radial, carotid, brachial, temporal, femoral, popliteal, dorsalis, apical |
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Pulse that is used for cardiac patients and patients with arrhythmia |
Apical pulse |
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Pulse abnormalities |
Bradycardia Tachycardia |
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Is the number of respirations per minute |
Respiratory rate |
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Normal range of respiration |
12-20 breaths per minute |
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Normal breathing |
Eupnea |
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Respiration with more than 24 cycles per minute |
Tachypnea |
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Respiration that has 8-12 breath per minute |
Bradypnea |
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Results from shallow breaths that may be seen with sedation |
Hypoventilation |
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Is rapid deep breaths that may be seen with metabolic acidosis hypoxia, anxiety, or exercise |
Hyperventilation |
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Difficulty in breathing |
Dyspnea |
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Is the temporary or complete absence of breathing for more than 10 seconds |
Apnea |
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Measures cardiovascular function by measuring the force of blood exerted on peripheral arteries during the cardial cycle or heart beat |
Blood pressure |
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Measurement of the pressure when the heart is contracted |
Systolic blood pressure |
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The pressure in the large arteries during the relaxation of the left ventricle |
Diastolic blood pressure |
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Persistent elevation of either diastolic or systolic blood pressure |
Hypertension |
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High blood pressure with no identifiable cause |
Essential (primary) hypertension |
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High blood pressure with a known cause |
Secondary hypertension |
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Equipment for measuring blood pressure |
Mercury/aneroid manometer, digital BP apparatus |