Cardiopulmonary: Examination of Vital signs Flashcards
(22 cards)
1
Q
Normal Vital signs for
1. Temperature
2. Blood pressure (systolic)
3. Blood pressure (dystolic)
4. Respiratory rate
5. Pulse rate
A
- 98.0-100.3 ºF
- < 120
- < 80
- 12-20
- 60-100
2
Q
Signs and symptoms of increase temperature
A
- Malaise
- increase pulse/RR
- loss of appetite
- nausea
- sweating
- headache
- chills
- pale skin
- restlessness
- thirst
3
Q
Heat exhustion signs
A
- profuse sweating
- fatigue
- faintness
- dizziness
- weak/rapid pulse
- nausea
- headache
- vomitting
4
Q
heat exhustation treatment
A
- stop activity
- move to a cooler environment
- drink fluid
- remove tight clothing
- assume supine w/ legs elevated
- apply cooling methods
5
Q
heat stroke signs
A
- rapid shallow breath
- mental status changes
- strong rapid pulse
- lack of sweating
- faintness
- throbbing headache
- LOC
- Death
6
Q
Tx of heat stroke
A
- immediate medical attention
7
Q
Decrease body temperature symptoms
A
- decreased heart rate and RR
- cold/pale skin
- cyanosis
- decrease cutaneous sensation
- depression of mental and muscular responses
- drowsiness/coma
8
Q
Factors influencing temperature
A
- time of day
- age
- exercise
- external environment
- emotion/stress
- measurement site
- meds
9
Q
Measurement site and how it can differ
A
- rectal and tympanic: 0.5-0.9ºF higher than oral temps
- axillary: 1.1 ºF lower than oral
- normal oral: 98.6ºF
10
Q
when are oral temperatures contraindicated
A
- dyspnea
- mouth breathers
- oral surgery
- hx of epilepsy
- prone to seizues
11
Q
How to measure pulse (documentation)
A
- 0= absent
- 1+ thready
- 2+ weak
- 3+ normal
- 4+ bounding
12
Q
Factors that influence heart rate
A
- age
- sex: men have a lower HR
- emotion/stress
- exercise
- meds
- systemic/local heat (fever = increase HR)
13
Q
What is the most accurate place for taking pulse/HR
A
apical
14
Q
Respiration: factors that influence
A
- age
- body size/stature: tall thin people > VC than shot obese
- exercise
- body position
- spinal cord integrity
- environment
- emotion/stress
- meds
15
Q
Parametes of respiration
A
- depth: volum of air during each breath
- rhythm
- sound
16
Q
Normal breath sounds
A
- vesicular => smooth and soft
17
Q
Wheezing
A
- continuous whistle
- more prominent during exhalation
- common with asthma and CHF
18
Q
Stridor
A
- harsh high pitched sound
- tracheal stenosis and aspiration
19
Q
Crackles:
A
- rattling
- bubbling
- secretions in airway
20
Q
Patterns of respiration
- eupnea
- dyspnea
- orthopnea
- tachycardia
- badycardia
A
- normal breathing
- labored breathing
- labored beathing while lying down
- abnormally fast
- abnormally slow
21
Q
factors affecting BP
A
- blood volume
- diameter/elasticity of arteies
- cardiac output
- age
- exercise
- valsava maneuver
22
Q
orthostatic hypotension
A
- associated with prolonged immobility perdiods of bedrest
- venous return and CO is decreased
- examined by taking HR/BP in supine then sitting then standing
- SBP drops > 20 or DBP drops > 10
