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22 Cards in this Set
- Front
- Back
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avg temp adult
oral, rectal, axilla |
37, 37.5,36.5
temp range 36-38 |
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avg pulse adult
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60-100beats/min
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respirations adult
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12-20 breaths per minute
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blood presssure
pulse pressure |
180/20mm Hg
30-50mm Hg |
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when do you take vital signs?
9 |
page 563
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what brain center controls the temperature regulation in the body
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HYPOTHALAMUS BABY!
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What are the core(tissues) and surface(skin) temperature sites?
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CORE:rectum, tympanic membrane, esophagus, pulmonary artery, urinary bladder
SURFACE:skin, oral, axillae |
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What time of the day is the body temp the lowest? highest?
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LOWEST: 1am-4am
HIGHEST:6pm |
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What does the pulse of eximetry machine measure?
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saturation of 02 in the blood, measures the pulse(not always accurate)
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(pulse of eximetry)
What must be present in the clients finger/hand to ensure a good reading? |
good peripheral situtaion, warm/vinyl glove
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What are the 10 pulse sites?
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Brachial,
Temporal, Carotid, Apical, Radial, Ulnar, Femoral, Popliteal, Posterior tibial Dorsalis pedis |
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How do you take a pulse?
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hand over radial pulse site
time on the clock using the seconds hand start as desired time for 30 seconds X 2= 60 beats per minute |
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What if the pulse were irregular?
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Repeate same instructions as normal pulse but time for 60seconds= beats per minute
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How do you take a clients respirations?
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place hand over stomach while pretending to take a full pulse rate of 60 seconds. take 30 pulse and 30 respirations.
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What are the types of respiration sounds?
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Wheezing
gurgling Depth Rhythm Stength(weak and thready or bounding) |
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What is the name of the sounds you hear when you take blood pressure?
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Corticoff.
first and last sounds |
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List reasons why you wouldnt take a BP on a clients arm?
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Amputee, Intravenous, Surgery, Lymphatic drainage
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What does the term orthostatic hypotension mean and why would it occur and when??
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A person with normal blood pressure develops symptoms and low BP when rising to an upright position.
WHEN: Lying to sitting Sitting to standing |
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When wrapping a wound what is the acronym to follow?
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Color
Circulation Heat Movement |
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What factors impact vital signs?
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Age,
exercise, hormones, circadian rhythm, stress, environment (temperature) |
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Does blood pressure increase or decrease after daily activites?
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INCREASE BLOOD PRESSURE
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Why is it important to have a base line data on a patient?
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Because vital signs vary amongst individuals so a baseline provides a normal range to compare to
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