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26 Cards in this Set
- Front
- Back
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what are the 3 types of health histories? |
Emergency- only pertaining to event Focused- pertaining to chief concern comprehensive- during annual physical exam, hospital admisson, operative admission, screening |
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What does a health history include |
Demographic data, chief concern, present illness, meds, allergies, past health history, family history (genogram), systems review Then a health assessment- physical exam |
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list the 7 vital signs |
1. temp 2. pulse 3. respiration 4. O2 sat 5. BP 6. Pain 7. Functional assessment |
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What's the normal temp for oral and temproal reading |
36.5-37.5 |
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Normal temp for axillary, tympanic and rectal, temporal and difference compared to oral. |
Axillary 35.9-37.3 - .5 lower tympanic- 36-37.5 - .5 higher rectal- 37-37.5 .5 higher
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what does contralateral mean? |
oppiste side of the midline then what you are describing |
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what does ipsilateral mean |
structure on the same side of the midline as the thing you are describing. |
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Wt's a genogram? |
A diagram of the family tree and what each person died with |
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What are the pros and cons of oral temp |
Pros- accurate, easy- gold standard cons- Don't use with people with changes in mental status or infants. Can be altered by food or drink |
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Pros and cons for axillary temp |
Pros- easy for everyone cons- nurse has to hold it. Measures skin temp which can be different then core temp. Less accurate |
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pros and cons for rectal temp |
pros- very accurate, more so then others. Good for constant readings (in dwelling) cons- invasive, should not be used for people with GI issues. |
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pros and cons for tympanic |
Pros- easy, unaffected by eating or smoking Cons- hard to get good technique, not mega accuate. |
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Pros and cons for temporal temp |
pros- mega easy- all patients can use it. cons- sweat can change reading- kinda pricy |
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what does febrile mean? |
fever |
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what 2 things do we check for when we take a pulse? |
rythem and strengh (0-4+) |
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What's the normal heart rate for an adult? |
60-100 bpm |
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what does asystole mean? |
no pulse |
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When would you want to listen to the apical pulse? |
When there is a pulse deficit in the radial |
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What is included in one full respiration? |
inspiration and expiration |
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Normal resp rate? |
12-24 breaths/min |
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what is considered tachypnea and bradypnea? |
tachy- over 20 persistantly brady- under 12 |
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what's normal O2 sat? |
95 % |
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What words describe hyper and hypoventilation |
Hyper- deep and rapid hypo- shallow and slow |
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what does cpp stand for? how do you calculate it? |
cpp=map-icp cranial perfusion pressue= mean artial pressure- inter cranial pressure |
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normal bp? hyper and hypo? |
normal- 120/80 hyper- greater then 140/90 hypo- less then 90 or a 30mmhg drop |
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what is considered emeregency vital signs? |
RR- <10 or >32/min O2 sat <92% HR <55 or >120 bpm SBP <100 or >170 mmHg T <35 or >39.5 |
