Module 3: Patient Intake and Vitals Flashcards
Medication reconciliation
Comparing the patient’s list of medications to the medical record as a safety measure to reduce the risk of improperly prescribing an incorrect or contraindicated prescription, including medication interactions and adverse reactions.
The Patient Health Questionnaire-2 (PHQ-2)
focuses on the patient’s frequency of depressed mood over two weeks.
What does the MA do if a patient reflects a positive response to depression in the PHQ-2?
proceed to the Patient Health Questionnaire-9 (PHQ-9)
Patient Health Questionnaire-9 (PHQ-9)
questions to assess if the patient meets the criteria for a depressive disorder diagnosis.
white coat syndrome
anxiety related to seeing a health care provider for an evaluation
GAD-7 questionnaire
for general anxiety and used to screen patients for anxiety.
What is the difference bw the systolic pressure and diastolic pressure
S: Measurement of force while the heart is contracting
D: Measurement of force while the heart is relaxing
What are the 5 phases of the korotkoff sounds?
- the first sound heard, systolic
- swishing sound as more blood flows through the artery
- **sharp tapping ** sounds are noted as more blood surges
- soft tapping sound which begins to muffle
- the final sound heard, diastolic
Using the wrong cuff size can impact the systolic and diastolic pressure up to
6.9 mm Hg
If a patient has their legs crossed while taking their blood pressure, the systolic blood pressure may be raised by
2 to 8 mm Hg
An increase in blood volume can ______ a person’s blood pressure, while a decrease in blood volume can ____ a person’s blood pressure.
a) increase
b) decrease
Expected BP for older than 12 years old
110-130 / 65-80
Expected BP for 6-12 years
100-120 / 60-75
Expected BP for 3-6 years
95-110 / 60-75
Expected BP for 1-3 years
90-105 / 55-70
Based on the stages of hypertension, what is a normal systolic and diastolic bp?
S: less than 120
D: less than 80
Based on the stages of hypertension, what is a elevated systolic and diastolic bp?
S: 120-129
D: less than 80
Based on the stages of hypertension, what is a stage 1 systolic and diastolic bp?
S: 130-139
d: 80-89
Based on the stages of hypertension, what is a stage 2 systolic and diastolic bp?
S: 140 or high
D: 90 or higher
Based on the stages of hypertension, what is the systolic and diastolic bp if emergency care is needed?
S: higher than 180
d: higher than 120
orthostatic hypotension
- A drop in blood pressure during positional changes, when pt is moving from lying to sitting or from sitting to standing;
- increase pulse rate
- also known as postural hypotension.
How to take orthostatic vital signs?
- have pt lie for 5 mins
- measure bp and HR
- have pt stand for 1-3 min
- repeat bp and HR
- An increased HR of at least 10 bpm and a decreased bp of at least 20 points between positions indicate orthostatic hypotension
What are the most common sites to palpate a pulse?
- radial pulse
- brachial pulse
- carotid pulse
HR range for adolescents and older
60-100
