Karteikarten
Vital Signs
Karten in diesem Stapel (49)
- 1The Vital SignsTemperature
Pulse
Respirations
Arterial Blood Pressure
SpO2 - 2Temp Range96.8-100.4
36-38 - 3Core TemperatureTemperature in the deep tissues of the body
- 4Differences in temperatureOral is 1 higher than axillary
Oral is 1 lower than rectal
axillary- oral- Rectal - 5Contraindications for Oral temperatureoral surgery- breath through mouth- are confused or unconscious
- 6contraindications for rectal temperatureRectal surgery- Bleeding disorders- Cardiac Patients (vagus Nerve) - Newborns
- 7Forehead temperature2-4 degrees less than core
- 8Contraindications for axillary temperatureDiaphoresis (Sweating)
- 9Is the axillary a core temperature reading?No
- 10Tympanic Temperature ContraindicationsPatients who have had ear surgery or an ear infection.
- 11Temporal Artery Temperature ReadingCore Reading- Effected by hair
- 12Skin TemperatureNot core
- 13PyrexiaFever- Body's natural defense against infection- response to pyrogens
- 14FebrileA person who has a fever present
- 15AfebrileA fever is not present
- 16HyperpyrexiaA fever above 105.8 F
- 17Intermittent FeverTemperature alternates between periods of fever and periods of normal temperature without pharmacological intervention. (Temp is normal at least once in 24 hours)
- 18Remittent FeverTemperature Fluctuations greater than 3.6 F above normal during a 24 hr period
- 19Sustained FeverTemperature may fluctuate slightly but is always above normal.
- 20Relapsing Fever (Recurrent)Short Periods of fever alternating with short periods of normal temp lasting 1-2 days.
- 21Hyper thermiaBody cannot promote heat loss- heat exhaustion and heat stroke
- 22HypothermiaA core temperature < 95 F
- 23Normal Pulse Rate60-100 Bpm
- 24Tachycardia> 100 Bpm
- 25BradyCardia< 60 Bpm
- 26Apical Pulse is auscultated at ?left 5th intercostal space midclavicular
- 27DysrhythmiaIntervals between heartbeats is abnormal
- 28Pulse DeficitDifference between apical and peripheral rates
- 29Pulse QualityPulse volume- equality bilaterally
0-Absent
1-Weak, thready, Obliterated
2. Diminished
3.Normal
4. Bounding - 30Normal Respiratory rate12- 20 breathes per minute
- 31Eupneanormal respirations
- 32ApneaAbsence of respirations
- 33Bradypneaslow respirations (<12)
- 34Tachypnearapid respirations (>20)
- 35Respiratory RhythmRegular or irregular
- 36Respiratory DepthDeep normal or shallow
- 37Respiratory effectDegree of work someone is putting into breathing
- 38DyspneaLabored breathing
- 3902 saturationlevel of 02 carried on the hemoglobin
Normal on room air is 98-100% - 40Blood pressurepressure of blood as it is forced against arterial walls during contraction
- 41Systolicpeak pressure- as ventricles contract
- 42Diastolicminimum pressure exerted against the arterial walls when heart is at rest.
- 43Pulse PressureDifference between systolic and diastolic pressures
- 44Mean Arterial Pressure (MAP)average pressure during a given cardiac cycle, occurs in the aorta.
- 45Normal Ranges for BPless than 140/90
Average= 120/80 - 46How much higher is the systolic BP when measured at the popliteal artery?10-20mm
- 47what happens when the cuff is too loose? Too tight? What should the width of the cuff be equal to?Too loose= too low
Too tight= too high
40% circumference of limb - 48Should you measure BP in both arms?ABSOLUTELY
- 49Korotokoff SoundsSounds heard during cuff deflation
Informationen
- Beschreibung
- NCLEX NURSING 110 (Exam 1 ) Karteikarten am Vital Signs , erstellt von Gwen Paparone am 27/09/2016.
- Erstellt von
- Gwen Paparone
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- 1
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