Midterm 1 Flashcards
(38 cards)
What is the normal resting pulse rate for an adult?
60-90 pulsations per minute
An irregular heart patter, which then continues in the same regular pattern over and over may indicate what condition?
Sinus Arrhythmia
A heart pattern with a less unpredictable rhythm may indicate…
Heart Disease
What is meant by amplitude when assessing a patient’s pulse?
Height or intensity of the pulse
What is the scale in which we measure amplitude?
4=bounding 3=full 2=expected 1=diminished 0=absent
What does blood pressure measure?
It is a peripheral measurement of an individual’s cardiovascular capacity.
Where can we take a patients temperature?
Oral
Axiallary
Rectal
Tympanic
When is the tympanic temperature assessment not reliable?
If the patient has tympanic tubes or implants.
What is the purpose of taking a placatory systolic measurement?
Helps to avoid errors of underestimating the systolic pressure.
T or F
The placatory systolic pressure is the pressure where the radial pulse disappears
False
It is where the radial pulse REAPPEARS
In regards to the cuff size, what could give you false readings?
- Cuffs that are too short or too narrow may give false high readings
- Using a regular size cuff on an obsess arm may lead to a false diagnosis
- A loose cuff or a bladder that balloons outside the cuff leads to false high readings.
Systole is the period of ventricular ______
Contraction
Diastole is a period of ventricular _______
Relaxation
When does ventricular diastole begin and end?
with the onset of the second heart sound and ends with the onset of the first heart sound.
What is pulse pressure?
The difference between systole and diastole.
Normally there may be a difference of how many mmHG when doing blood pressure bilaterally?
5-10 mmHG
Pressure differences in blood pressure of 10-15 mm HG suggests?
Arterial compression or obstruction on the side with the lower pressure.
T or F
Blood pressure readings tend to be higher on the left arm
False
Right arm tends to be higher.
T or F
The arm that has the highest reading is accepted as being the closets to the patients true blood pressure
True!
Ordinarily, the femoral pulse is as strong or stronger than the radial pulse. If this is reversed or if the femoral pulsation is absent what should be suspected?
Coarctation of the aorta - this is a congenital stenosis or narrowing most commonly of the aortic arch.
What is an ausculatory gap?
A silent interval that may be present between the systolic and diastolic pressure.
What are two factors that can effect the ausculatory gap?
Hypertension in elderly persons can widen the interval or drops in diastolic pressure usually seen in chronic severe aortic regurgitation.
A positive DeMusset’s Sign is indicative of…
Aortic insufficiency
The hyoid bone is located adjacent to what spinal segment?
C3
