Cardiopulmonary Assessment Flashcards
(164 cards)
1
Q
What is the normal temperature for a newborn?
A
37 - 37.7 degrees Celcius
2
Q
What is the normal PR for a newborn?
A
120-160 bpm
3
Q
What is the normal RR = for a newborn?
A
30-80 breaths/min
4
Q
What is the normal BP for a newborn?
A
50-52/25-30
5
Q
What is the normal temperature for a 3 y/o?
A
36.9 - 37.5 degrees Celcius
5
Q
What is the normal PR for a 3 y/o?
A
80-125 bpm
6
Q
What is the normal RR for a 3 y/o?
A
20-30 breaths/min
7
Q
What is the normal BP for a 3 y/o?
A
78-114/46-78
8
Q
What is the normal temperature for a 10 y/o?
A
36.3 - 37 degrees Celcius
9
Q
What is the normal PR for a 10 y/o?
A
70-110 bpm
10
Q
What is the normal RR for a 10 y/o?
A
16-22 breaths/min
11
Q
What is the normal BP for a 10 y/o?
A
90-132/50-86
12
Q
What is the normal temperature for a 16 y/o?
A
36.4 - 37.1 degrees Celcius
13
Q
What is the normal PR for a 16 y/o?
A
55-100 bpm
14
Q
What is the normal RR for a 16 y/o?
A
15-20 breaths/min
14
Q
What is the normal BP for a 16 y/o?
A
104-108/60-92
15
Q
What is the normal temperature for an adult?
A
36 - 37.5 degrees Celcius
16
Q
What is the normal PR for an adult?
A
60-100 bpm
17
Q
What is the normal RR for an adult?
A
12-20 breaths/min
18
Q
What is the normal BP for an adult?
A
<120/<80
19
Q
What is the normal temperature for an older adult?
A
35.9 - 36.3 degrees Celcius
20
Q
What is the normal PR for an older adult?
A
60-100 bpm
21
Q
What is the normal RR for an older adult?
A
15-25 breaths/min
21
Q
What is the normal BP for an older adult?
A
<120/<80
21
Normal BP values
<120/<80
22
Elevated BP values
120-129/<80
23
Stage 1 HTN values
130-139/80-89
24
Stage 2 HTN values
>140/>90
25
HTN crisis values
>/160/>/120
26
Grade 0 pulse
Absent
No perceptible pulse even with max. pressure
27
Grade 1+ pulse
Thready
Barely perceptible; easily obliterated w/ slight pressure; fades in and out
28
Grade 2+ pulse
Weak
Difficult to palpate; slightly stronger than thready; can be obliterated w/ light pressure
29
Grade 3+ pulse
Normal
requires moderate pressure to obliterate
30
Grade 4+ pulse
bounding
Very strong; hyperactive; not easily obliterated w/ moderate pressure
31
Normal PAO2
80-100 mmHg
32
Moderate tachycardia
60-80 mmHg
33
50-60 mmHg
Malaise or nausea
Possible onset of respiratory distress
Restlessness
34
35-50 mmHg
respsiratory distress
35
25-35 mmHg
marked respiratory distress
36
<25 mmHg
Hypoventilation, apnea
37
Normal respiration
Eupnea
38
Slow respiration; <10 breaths/min
Bradypnea
39
Fast respiration; >24 breaths/min
Tachypnea
40
Normal respirations but abnormally deep and increase in rate
Kussmaul's respiration
41
Irregular respirations of variable depth (usually shallow)
Biot's respirations
41
Gradual increase in depth of respirations, followed by gradual decrease and then a period of apnea
Cheyne-Stokes respirations
42
Absence of breathing
Apnea
43
Body temperature is constantly elevated more than normal throughout the day but does not fluctuate more than 1.8 degrees F
Continuous/Constant/Sustained Fever
44
Body temperature alternates between periods of fever for some hours of the day with a return to normal for the remaining hours; seen in septicemia and malaria.
Intermittent Fever
45
Periods of fever are interspersed with normal temperatures; each last at least one day; seen in RA, Crohn's disease, Malignancy, and Infections caused by ticks and lice
Relapsing/Recurrent/Periodic fever
46
Elevated body temperature throughout the day and fluctuates more than 3.6 degrees F within 24 hours and never returns to normal; seen in infective endocarditis and typhoid infection
Remittent
47
Barely perceptible depression
Grade 1+ edema
48
Easily identified depression; skin rebounds within 15 seconds
Grade 2+ edema
48
EID; skin rebounds within 30 secs
Grade 3+ edema
48
EID; skin rebounds > 30 secs
Grade 4+ edema
49
The volume of gas inhaled and exhaled during normal resting breath
Tidal Volume (500 mL)
49
The volume of gas that can be exhaled beyond a normal resting tidal exhalation
Expiratory Reserve Volume/ERV (1000 mL)
50
The volume of gas that can be inhaled beyond a normal resting tidal inhalation
Inspiratory Reserve Volume/IRV (3000 mL)
51
The volume of gas that remains in the lungs after ERV has been exhaled
Residual Volume/RV (1500mL)
52
The amount of air that can be inhaled from REEP
Inspiratory Capacity (IC)
53
The maximum amount of air a person can expel from the lungs after maximum inhalation
Vital Capacity (VC)
54
Amount of air that resides in the lungs after normal resting tidal inhalation
Functional Residual Capacity
55
The total amount of air that is contained within the thorax during a maximum inspiratory effect
Total Lung Capacity (TLC)
56
Angina Scale: 0
No angina
57
Angina Scale: 1
Light, barely noticeable
58
Angina Scale: 2
Moderate, bothersome
59
Angina Scale: 3
Severe, very uncomfortable; pre-infarction pain
60
Angina Scale: 4
Most painful experience; infarction pain
61
What are the three walk tests?
6-minute walk test
Incremental Shuttle Walk Test
Gait Speed
62
Borg CR10 Scale: 0
Nothing at all
No P
63
Borg CR10 Scale: 0.5
Extremely weak
Just noticeable
64
Borg CR10 Scale: 1
Very weak
65
Borg CR10 Scale: 2
Weak
Light
66
Borg CR10 Scale: 3
Moderate
67
Borg CR10 Scale: 5
Strong
Heavy
68
Borg CR10 Scale: 7
Very strong
69
Borg CR10 Scale: 10
Extremely strong
Max P
70
Borg CR10 Scale: 12
Absolute maximum
Highest possible
71
Borg for Breathlessness: 0
Nothing at all
72
Borg for Breathlessness: 0.5
Very, very slight
73
Borg for Breathlessness: 1
Very slight
74
Borg for Breathlessness: 2
Slight
75
Borg for Breathlessness: 3
Moderate
76
Borg for Breathlessness: 4
Somewhat severe
77
Borg for Breathlessness: 5
Severe
78
Borg for Breathlessness: 7
Very severe
79
Borg for Breathlessness: 9
Very, very severe
80
Borg for Breathlessness: 10
Maximal
81
Tiny red or purple hemorrhagic spots caused by capillary bleeding
Petechiae
82
The skin takes on a yellow-orange hue due to impaired liver function
Jaundice
83
Reddened area of the skin caused by hyperemia
Errythema
84
It is caused by bruising and may be seen anywhere on the body
Ecchymosis
85
Caused by hypoxia from a blocked airway
Acute cyanosis
86
Caused by hypoxia with color changes in the nail beds and lips
Peripheral Cyanosis
87
What are the pulse palpation sites?
Temporal
Carotid
Brachial
Radial
Femoral
Popliteal
Pedal
Posterior Tibial
88
Continuous of high or low sounds
Wheezes
89
Fine discontinued sounds
Crackles
90
Snoring
Stridor
91
"99" "Tres tres"
Bronchophony
92
"Ee" "Aa"
Egophony
There is fluid in air spaces
93
S1 sound
Lub
Closure of the mitral and tricuspid valve
94
S2 sound
Dub
Closure of the semi-lunar valves
95
Resonant percussion
Normal lung tissue
96
Hyperresonant percussion
Emphysematous or PTX
97
Dull
Increased tissue density
98
Where does atrial depolarization occur?
P-wave
99
Where does the spread of depolarization and slight delay occur?
PR interval
100
Where does the ventricular depolarization occur?
QRS complex
101
Where does the period of slight pause occur?
ST segment
102
Extraordinary magnitude of effort
4
103
Major magnitude of effort
3
104
Moderate magnitude of effort
2
105
Light magnitude of effort
1
106
No effort
0
107
Class 1 pt w/ heart disease
4.0-6.0 cal/min
Max: 6.5 METS
108
Class 2 pt w/ heart disease
3.0-4.0 cal/min
Max: 4.5 METS
109
Class 3 pt w/ heart disease
2.0-3.0 cal/min
Max: 3.0 METS
110
Class 4 pt w/ heart disease
1.0-2.0
Max: 1.5 METS
111
Claudication Discomfort Grade 1
Initial discomfort
112
Claudication Discomfort Grade 2
moderate discomfort but attention can be diverted to
113
Claudication Discomfort Grade 3
Intense pain that can't be diverted
114
Claudification Discomfort Grade 4
Excruciating and unbearable pain
115
Bluish gray discoloration of the skin and mucuous membranes
Cyanosis
116
The skin takes on a lighter tone
Pallor
117
Reddened area of the skin
erythema
118
Diffuse redness of the face
Flushing
119
What is the angle of the head in jugular vein distention
30-45 degrees with cervical spine in neutral position
120
Ipsilateral mediastinal shift
Atelectasis
Pneumonectomy
Lobectomy
121
Contralateral mediastinal shift
Edema
Pneumothorax
Abdominal Hernia
122
Finger clubbing can be assessed using
the schamroth sign/window
123
Finger clubbing is often associated with
decreased O2 states
124
Whistling sound due to narrowed airways
Wheezing
125
Harsh, high pitched crowing due to upper airway obstruction
Stridor
126
Rattling or bubbling sound due to secretion
Crackles
127
Indicative of emotional stress
Sigh
128
Snoring due to obstruction
Stertor
129
Loud lung sounds location
Tracheal
Bronchial
130
Soft lung sound location
Bronchovesicular
Vesicular
131
Where is the tracheal auscultated?
neck
132
Where is the bronchial auscultated?
jugular notch
133
Where is the bronchovesicular auscultated?
sternum
134
Where is the vesicular auscultated?
Periphery
135
Where to check for the symmetry of the upper chest?
sternal notch
136
Where to check for the symmetry of the middle ches
xiphoid process
137
where to check for the symmetry of the lower chest
spinous process
lower thoracic
138
Clear, thin, and watery
transudate
139
Clear or tinge of brown/red, thin, and watery
Serosanguineous
140
Creamy, yellowish with moderate to very thick thickness
Exudate
141
Yellow, brown with moderate to very thick thickness
Pus
142
Hues of yellow, blue, and green and is thick
Infected pus
143
Functional impairment grade 4
Normal
144
Functional impairment grade 3
Slight impairment
145
Functional impairment grade 2
moderate impairment
146
Functional impairment grade 1
Severe impairment
147
Functional impairment grade 0
Very severe impairment
148
Distance for 6-minute walk test
25-35 meters
149
Two cones are set to ID a 10m walking course
Incremental shuffle walk test
150
Normal distance covered for incremental shuffle walk test
48 meters
151
Pulmonary disease severity grade 0
Normal lung function
152
Pulmonary disease severity grade 1
FEV is >/= 80%
153
Pulmonary disease severity grade 2
FEV is 50-79%
154
Pulmonary disease severity grade 3
FEV is 30-49%
155
Pulmonary disease severity grade 4
FEV is <30%
156
