Lecture 3 Flashcards
What type of data are vital signs
-objective
What are the 4 vital signs that are internationally recognized and accepted in medicine
-respiration (ventilation)
-pulse or heart rate
-blood pressure
-temperatire
3 other vital signs
-pulse oximetry
-pain rating scales
-level of perceived exertion
What are vital signs used to establish
-baseline physiological information
-physiological response to activity
-patients immediate health risk
-emergency cardiac or respiratory interventions
What is the goal of heart rate
-to determine the clients physiological response to activity
What to assess to obtain an accurate picture of a clients cardiac response to an activity
-resting HR
-activity HR
-recovery HR
What characteristics are documented for heart rate
-rate
-rhythm
-intensity
What is heart rate
-the indirect measure of the rate and rhythm of contraction of left ventricle
What to keep in mind if measuring the carotid pulse
-stand on same side as artery, never reach across patient
-do not press too hard
-never palpate bilateral carotid arteries, can potentially cut off blood supply
What to keep in mind while palpating the radial and brachial pulse
-support left arm on stable surface at level of heart with elbow extended and forearm supinated
-use 2nd and 3rd digits to palpate
Safety with heart rate and exercise
-HR increases with progressive workloads at a rate of 10 bpm per 1 MET
-HR should decrease by at least 12 beats during first minute of recovery
-HR should decrease by 22 beats by end of second minute of recovery
3 ways that ventilation is characterized
-rate
-pattern
-mechanics
Ventilation rate
-number of breaths per min
Respiration patterns
-eupnea
-tachypnea
-bradypnea
-apnea
Eupnea
-normal breathing pattern
Tachypnea
-elevated ventilatory rate
Bradypnea
-low ventilatory rate
Apnea
-absence of ventilation
What is the inspiratory to expiratory ratio
-ratio of time for inspiration vs expiration
Normal inspiratory to expiratory rate
-1:2 or 1:3
What is blood pressure
-physiological variable which reflects the effects of cardiac output, peripheral vascular resistance and haemodynamic factors
What is blood pressure measured in
-millimeters of mercury (mmHg)
Systolic pressure
-the pressure at the time of contraction of the left ventricle
Diastolic pressure
-the pressure at the time of ventricular filling