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Dental Hygiene > Ch 12 Vital Signs > Flashcards

Ch 12 Vital Signs Flashcards

(76 cards)

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1
Q

12 months old infants temperature

A

99.4-99.7 degree F

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2
Q

12 months old infants resting pulse

A

80-160 bpm

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3
Q

12 months old infants resting respiration

A

30-60 rpm

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4
Q

12 months old infants systolic reading

A

80-89

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5
Q

12 months old infants diastolic reading

A

34-42

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6
Q

1-2 y temperature

A

99-99.7 degree F

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7
Q

1-2 y resting pulse

A

80-130 bpm

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8
Q

1-2 y resting respiration

A

24-40 rpm

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9
Q

1-2 y systolic reading

A

84-91

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10
Q

1-2 y diastolic reading

A

39-47

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11
Q

4-5 y temperature

A

98.6-99 degree F

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12
Q

4-5 y resting pulse

A

80-120 bpm

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13
Q

4-5 y resting respiration

A

22-34 rpm

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14
Q

4-5 y systolic reading

A

88-96

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15
Q

4-5 y diastolic reading

A

47-56

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16
Q

6-11 y temperature

A

98-98.6 degree F

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17
Q

6-11 y resting pulse

A

75-110 bpm

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18
Q

6-11 y resting respiration

A

18-30 rpm

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19
Q

6-11 y systolic reading

A

91-107

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20
Q

6-11 y diastolic reading

A

53-63

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21
Q

13 y and above temperature

A

97-99 degree F

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22
Q

13 y and above resting pulse

A

60-90 bpm

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23
Q

13 y and above resting respiration

A

12-20 rpm

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24
Q

13 y and above systolic reading

A

104-<120

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25
13 y and above diastolic reading
60-<80
26
Adult & older adult temperature
97-99 degree F
27
Adult & older adult resting pulse
60-100 bpm
28
Adult & older adult resting respiration
12-20 rpm
29
Adult & older adult systolic reading
90-<120
30
Adult & older adult diastolic reading
60-<80
31
Patient preparation and instruction for vital signs
- seat them upright, eye level - explain vital signs and obtain consent - explain how vitals can affect treatment - explain each steps
32
Dental hygiene care planning True or false: Vital signs contribute to systemic evaluation
True
33
Dental hygiene care planning True or false: DH care planning and sequencing is not affected by vital signs
False
34
Dental hygiene care planning: If vital are not within normal range, what should you do?
Consult PCP and refer for medical evaluation as needed
35
Indications for taking body temperature
Normal patient record When oral infection is suspected Prior to local anesthesia All appointments
36
Normal temperature
97-99 degree F
37
Pyrexia
99.5+ degree F
38
HYPERthermia
104+ degree F
39
HYPOthermina
Below 96 degree F
40
Locations for taking temperature
Oral, temporal, ear
41
Types of thermometer
Noncontact infrared thermometer Digital thermometer
42
What if patient’s temperature is over 104 degree F?
Treat as a medical emergency and transport them to a hospital
43
What if patient’s temperature is 99.56-104 degree F?
- Check for possible temporary causes of pyrexia (hot beverage, smoking). Observe patient while repeating the determination - Review medical and dental histories - Postpone elective oral care when there are signs of respiratory infection or communicable diseases
44
What is the pulse?
- The intermitten throbbing sensation felt when the fingers are pressed against an artery - The count of heartbeats
45
Factors that increase pulse rate
Exercise, stimulants, eating, strong emotions, extreme heat, heart disease
46
Factors that decrease pulse rate
Sleep, depressants, fasting, prolonged illness
47
Tarchycardia
Fast heartbeat (over 100 bpm in adult)
48
Brachycardia
Slow heartbeat (below 50 bpm)
49
True or false: pulse rate is taken after temperature
True
50
Sites for taking pulse rate
Radial, temporal, facial, carotid, brachial
51
Prepare patient for taking pulse rate
- explain procedure - comfortable position - use finger tips to locate radial pulse
52
Why can’t we palpate pulse with our thumbs?
The thumb has its own pulse
53
What is the function of respiration?
Supply oxygen to tissues and eliminate carbon dioxide
54
True of false: factors that influence pulse can influence respirations
True
55
Bradypnea
Slow breathing; below 12 rpm
56
Tarchypnea
Fast breathing; over 28 rpm
57
To determine respiration rate
- do it after pulse rate - keep fingers over radial pulse - do not let patient know you’re doing it
58
Factors to observe on respiration
Depth, rhymth, quality, sound, position of patient
59
What is blood pressure (BP)?
The force exerted by the blood on the blood vessel walls
60
Components of BP include?
Systole, diastole, and pulse pressure
61
When does systole occurs?
During a ventricular contraction- less than 120mm/Hg
62
When does diastolic phase occurs?
Ventricular relaxation- less than 80mm/Hg
63
What is pulse difference?
Difference between systolic and diastolic
64
Factors that increase BP
Exercise, eating, stimulants, emotional distress, medication
65
Factors that decrease BP
Fasting, rest, fainting, depressants
66
What are the equipments for determining BP?
- mercury and sphygmomanometer (analog) - aneroid sphygmomanometer (analog) - electronic sphygmomanometer (digital) - wrist/finger devices (less accurate) - stethoscope
67
Three sizes of BP cuff
- extra-large - regular - pediatric
68
What is the correct width for selecting cuff size?
Correct width is 20% greater than the diameter of the arm where applied
69
BP follow-up criteria: True or false: DH has no obligation to advise and refer
False
70
BP follow-up criteria: True or false: Diagnosis of high blood pressure is made on a single reading
False
71
Hypotension and postural hypotension
Systolic <90; diastolic <60 Observe for possible light-headedness and syncope. Referral for evaluation is indicated if symptoms persisted
72
Normal/Normotensive
Systolic <120 AND diastolic <80 Proceed as planned
73
Elevated BP
Systolic 120-129 AND diastolic <80 Retake after 5 min. If still elevated, inform patient of it. Recommend PCP consult and encourage lifestyle modification
74
Hypertension stage 1
Systolic 130-139 OR diastolic 80-89 Retake after 5 min. If still elevated, inform patient. Refer to PCP consult. Employ stress reduction to routine dental treatment. Modify local anesthetic to 1:100,000 vasoconstrictor
75
Hypertension stage 2
Systolic equal to OR over 140 or diastolic equal to or over 90 Retake after 5 min. If still elevated, inform patient. Refer to urgent PCP assessment Delay dental treatment until HBP is controlled
76
Hypertension crisis
Systolic over 180 AND/OR diastolic over 120 Discontinue care and retake after 5 min. Refer to immediate medical care/call 911 depending on clinic protocol

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