Lecture 3 Flashcards

1
Q

What type of data are vital signs

A

-objective

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2
Q

What are the 4 vital signs that are internationally recognized and accepted in medicine

A

-respiration (ventilation)
-pulse or heart rate
-blood pressure
-temperatire

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3
Q

3 other vital signs

A

-pulse oximetry
-pain rating scales
-level of perceived exertion

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4
Q

What are vital signs used to establish

A

-baseline physiological information
-physiological response to activity
-patients immediate health risk
-emergency cardiac or respiratory interventions

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5
Q

What is the goal of heart rate

A

-to determine the clients physiological response to activity

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6
Q

What to assess to obtain an accurate picture of a clients cardiac response to an activity

A

-resting HR
-activity HR
-recovery HR

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7
Q

What characteristics are documented for heart rate

A

-rate
-rhythm
-intensity

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8
Q

What is heart rate

A

-the indirect measure of the rate and rhythm of contraction of left ventricle

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9
Q

What to keep in mind if measuring the carotid pulse

A

-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

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10
Q

What to keep in mind while palpating the radial and brachial pulse

A

-support left arm on stable surface at level of heart with elbow extended and forearm supinated
-use 2nd and 3rd digits to palpate

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11
Q

Safety with heart rate and exercise

A

-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

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12
Q

3 ways that ventilation is characterized

A

-rate
-pattern
-mechanics

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13
Q

Ventilation rate

A

-number of breaths per min

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14
Q

Respiration patterns

A

-eupnea
-tachypnea
-bradypnea
-apnea

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15
Q

Eupnea

A

-normal breathing pattern

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16
Q

Tachypnea

A

-elevated ventilatory rate

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17
Q

Bradypnea

A

-low ventilatory rate

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18
Q

Apnea

A

-absence of ventilation

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19
Q

What is the inspiratory to expiratory ratio

A

-ratio of time for inspiration vs expiration

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20
Q

Normal inspiratory to expiratory rate

A

-1:2 or 1:3

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21
Q

What is blood pressure

A

-physiological variable which reflects the effects of cardiac output, peripheral vascular resistance and haemodynamic factors

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22
Q

What is blood pressure measured in

A

-millimeters of mercury (mmHg)

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23
Q

Systolic pressure

A

-the pressure at the time of contraction of the left ventricle

24
Q

Diastolic pressure

A

-the pressure at the time of ventricular filling

25
What are Korotkoff sounds
-assessment of blood pressure by auscultation using a sphygmomanometer and a stethoscope
26
What is the systolic pressure indicated by
-first faint clear tapping sounds heard upon gradually releasing the air in the cuff
27
What is the diastolic pressure indicated by
-disappearance of all sounds -last sound heard
28
Safety with blood pressure
-SBP increases with increasing workloads at a rate of 10 mmHg per 1 MET -normally no change in DBP or slight during exercise -post exercise SBP returns to pre exercise levels or lower by 6 min of recovery
29
What are serious warnings in blood pressure during exercise
-systolic greater than 250 mmHg -diastolic greater than 115 mmHg -drop in systolic pressure of more than 10 mmHg from baseline -failure of systolic pressure to increase with increasing workload
30
How many phases of blood pressure sounds are there
-5
31
Phase 1 BP
-faint clear tapping sound heard -systolic -initial flow of blood thought artery as constriction of artery is released
32
Phase 2 BP
-softer sound
33
Phase 3 BP
-louder and more crisp sound
34
Phase 4 BP
-sound changes from crisp to muffled
35
Phase 5 BP
-cessation of sound -diastolic
36
What is oxygen saturation
-estimates how much oxygen is travelling through your red blood cells
37
What should oxygen saturation be
-95-100%
38
What SpO2 is considered exercise-induced hypoxemia
-decrease in SpO2 greater than or equal to 5% during exercise
39
What might contraction of accessory muscles during inspiration look like
-visible raising of the shoulders and sternum as a part of breathing pattern
40
What are the inspiratory muscles of breathing
-scalenes -pectoralis major -sternocleidomastoid -upper trap -levator scap -pectoralis minor -rhomboids
41
What are the expiratory muscles of breathing
-quadratus lumborum -internal oblique -rectus abdominus -external oblique -transverse abdominis
42
What are the 2 perceived exertion scales we have used in this class
-borg -CR10 scale
43
Borg scale
-6-20
44
CR10 scale
-0-10
45
Normal temperature for healthy adults
-35.5-37.5 degrees celsius
46
Normal temperature for healthy older adults
-35-37.2 degrees celsius
47
What type of relationship do heart rate and blood pressure have
-inverse
48
Hyperventilation
-rapid and deep breaths
49
Hypoventilation
-shallow slow breaths
50
Cheyne-Stokes respirations
-going from very deep to very shallow periods
51
Kussmauls breathing
-abnormally deep, regular, and increased in rate
52
Blots breathing
-abnormally shallow for 2-3 breaths -followed by irregular period of apnea
53
Factors that may affect heart rate
-age -sex -fever -pain -stress -digestion -medications -hypovolemia (blood loss) -hypoxia and hypoxemia -electrolyte balance
54
Factors affecting respiratory rate and depth
-age -exercise -illness processes -medications -pain -emotions
55
Factors that affect oxygen saturation
-lung disease -decreased circulation -hypotension