General and Vitals Flashcards
(34 cards)
SOAP
Subjective
Observation
Assessment
Plan
IADL
Instruments of daily living
Order of Assessment
Inspection Palpation Percussion Auscultation (except stomach IAPP to avoid stimulating peristalsis)
Calculate BMI
weight (kg)/ height (m2)
Average BMI
18.5-24.9
Average Temperature
36C-37.5C
oral-most accurate
axillary-one degree less
rectal-one degree more
Normal Pulse Range Newborn
70-190 bpm
Normal Pulse Range Adult
60-100 bpm
Stroke Volume
70mL of blood
Normal adult respiration rate
10-20 breaths per minute
Normal infant respiration rate
30-40 breaths per minute
Physiological factors controlling blood pressure
- peripheral vascular resistance and elasticity
- volume and viscosity of circulating blood
- cardiac output
- elasticity of vessel walls
Systole
force of contraction when heart actually pumps out blood
Bradycardia
HR less than 60 bmp (unless athlete)
Tachycardia
HR over 100 bpm
Diastole
resting pressure in artery when heart is at rest
Heart Damage from High BP
left ventricular hypertrophy
heart failure
Brain damage from high BP
stroke or TIA
Normal BP
120/80
Prehypertension
120-139/ 80-90
Hypertension, Stage I
140-159/ 90-99
Hypertension, Stage II
> /=160/ >/=100
Auscultatory gap
a silent interval that may be present between systolic and diastolic
Orthostatic hypotension
drop in systolic pressure of more than 20mmHg and/or pulse increase of 20 bpm