Chapter Six Flashcards Preview

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Flashcards in Chapter Six Deck (63):
1

Fevers that are allowed to remain very high for a long period of Tim can cause irreparable damage to _______

CNS

2

Places one can find a pulse

1. Apical (heart)
2. Radial
3. Carotid
4. Femoral
5. Popliteal (posterior knee)
6. Temporal
7. Dorsal is pedis (top of foot)
8. Posterior tibial (inner ankles)
9. Brachial

3

Concentration of O2 delivered is __1__ according to amount of room air inspired by pt. indicated for pts. whose breathing range and depth are __2__ even. Usually __3__ prescribed for adults.

1. 21-60%
2. 1-4 LPM
3. 1/4-1/2 LPM

4

Average pulse rate for an adult man or woman is ______ beats per minutes

60-90

5

What is the first when administrating O2?

Turn it on

6

Systolic=Highest point reached during __1__ of left ventricle as it pumps blood into aorta. Diastolic=lowest point to which pressure drops during __2__ of ventricles and indicates minimal pressure exerted against arterial walls continuously.

1. Contraction
2. Relaxation

7

The average diastolic reading or an adult is ______ millimeters of Hg

50-70

8

The _______ must be run at No less than 5 liters of 02/minute to flush out the CO2

Face mask

9

Instrument used to take pt. blood pressure

Sphygmomanometer

10

Why would we take BP prior to an iodine injection?

To have a baseline

11

Where does a tympanic thermometer go?

Ear Drum

12

When assessing a pts. respiration rate pretend you are _______ and why

Taking pulse in order to keep pt breathing normal

13

_________= If systolic is consistently higher than 140 mm HG and if diastolic is greater than 90

Hypertensive

14

If systolic is less than 90 mm Hg

Hypotensive

15

O2 values less than _____ indicate tissues are not getting enough O2.

85%

16

Vital or Cardinal signs=

Blood pressure, pulse, temp, respiration

17

Assess/rector baseline vitals prior to injection of iodine contrast in case of __1__, before and after mess, anytime condition changes, if they report they feel __2__ or don't feel well.

1. Anaphylactic reaction
2. "Different"

18

ARRT says to assess vitals __1__, __2__, and __3__ infection of contrast media.

1. Before
2. During
3. After

19

The brain cannot unction for longer than ______ minutes without O2.

4-5 minutes

20

Is a physicians order required to take vitals?

Nope

21

This, in the brain, is the body's thermostat

Hypothalamus

22

Elevated body temp="fever," "__1__," "__2__"
Below normal temp="__3__"

1. Febrile
2. Pyrexia
3. Hypothermia

23

Temperature can be affected by __1__, time of day, __2__, __3__, __4__, etc.

1. Environment
2. Age
3. Weight
4. Hormone levels

24

Very high fevers, or prolonged periods of time can cause what?

CNS damage

25

Average Adult Temps:
1. Oral (O)
2. Axillary (Ax)
3. Rectal (R)
4. Tympanic/Aural (T)

1. 98.6 F (37 C)
2. 97.6-98 F (36.4-36.7 C)
3. 99.6 F (37.5 C)
4. 97.6-98 F (36.4-36.7 C)

26

What is the most accurate temp because it measures the core temp?

Rectal

27

If a pt. has hemorrhoids do not take temp _____

Rectally

28

Red Tip=

Rectal thermometer

29

What position does the pt. need to be in for a rectal temp to be obtained?

Sims position

30

Pulse=__1__ or pulse as blood is __2__ through the __3__.

1. Throb
2. Pumped
3. Arteries

31

Places to assess pulse:
1-9

10. Which is the most convenient and accessible and most used?

1. Apical
2. Radial
3. Carotid
4. Femoral
5. Popliteal
6. Temporal
7. Pedal
8. Posterior Tibial
9. Brachial
10. Radial

32

Where?
1. Apical
2. Radial
3. Carotid
4. Femoral
5. Popliteal
6. Temporal
7. Pedal
8. Posterior Tbial
9. Brachial

1. Over apex of heart (need stethoscope)
2. @ wrist
3. Neck
4. Groin
5. Popliteal
6. Temporal
7. Top of foot
8. Inner ankle
9. Bend of elbow

33

Which digit should you not use to assess pulse? Why?

The thumb, because it has its own pulse

34

Typically assess radial pulse for

15 seconds X 4

35

1. Average adult pulse
2. Average infant pulse
3. Average 4-10 year old pulse

1. 60-90 BPM
2. 120 BPM
3. 90-100 BPM

36

Who has a higher temp and BPM?

Infants

37

Abnormally high pulse (+100 BPM)

Tachycardia

38

Abnormally low pulse rate (below 60 BPM)

Bradycardia

39

1. Average adult respiration
2. Average infant respiration

1. 15-20 breaths/min
2. 30-60 breaths/min

40

Blueish discoloration when breathing less than 10 times/min

Cyanosis

41

Difficult breathing, shortness of breath

Dyspnea

42

DOE=

Dyspnea of Exertion

43

Should you tell a pt. that you are assessing their respirations? Why?

No because they may alter their breathing pattern; pretend you are still assessing pulse

44

Blood pressure=

Blood flow X resistance

45

Ventricular contraction and is the top number of BP

Systole

46

Ventricular relaxation and is bottom number of BP

Diastole

47

1. Used to measure BP, read in millimeters of Mercury (Hg).
Two Types:
2.
3.

1. Sphygmomanometer
2. Mercury
3. Aneroid

48

Normal adult systolic range

90-120 mm Hg

49

Diastolic range or adult

50-70 mm Hg

50

Taking BP compresses the _______

Brachial artery

51

Normal O2 saturation in the room is __1__. Less than __2__ typically need O2 support. Can be monitored by pulse oximeter on __3__ or __4__.

1. 97%
2. 85%
3. Fingertip
4. Earlobe

52

Arterial bold gases are typically drawn from ____ by a respiratory therapist.

Radial artery

53

When O2 level in arterial blood becomes inadequate to meet pts needs

Hypoxemia

54

When CO2 is retained in arterial blood (COPD/Emphysema) (decrease technique)

Hypercapnia

55

When applying O2 to pt. what should be done first?

Turn O2 on

56

Smoking is __1__ around O2. It is combustible and volatile-do NOT drop.

PROHIBITED

57

Nasal cannula is the __1__ used; flow rate is __2__ liters per minute (LPM), why is average for most pts. Start __3__ and __4__ as needed.

1. Most commonly
2. 1-4
3. Lower
4. Increase

58

Face mask= wear __1__ at no less than __2__ to flush out CO2

1. Only for short periods of time
2. 5 LPM

59

Non-Rebreathing Mask=supplies __1__ of O2 due to reservoir bag and __2__.

1. 100%
2. One way valve

60

Check O2 tanks __1__. What color is the tanks in the US (__2__)? International (__3__)? MRI-Aluminum (__4__)?

1. Daily
2. Green
3. White
4. Silver

61

Home O2 delivery systems provided via compressed __1__, __2__, or O2 concentrator.

1. Gas
2. Liquid

62

Mechanical ventilator/respirator=partially or totally __1__ pts breathin. Have to "__2__" pt. of of slowly so hat respiratory system does not __3__.

1. Controls
2. Ween
3. Shut down

63

The normal body temp (orally) should be ____

98.6 Degrees Fahrenheit