PDCI Vital Signs

Question 0

Dose of chemotherapy depends on…

Answer 0

Height

Question 1

What are the vital signs?

Answer 1

Height
Weight
Respirations 
Temperature
Pulse
Blood pressure

Question 2

Drug doses for children based on

Answer 2

Weight

Question 3

Normal respiration rate

Answer 3

14-20 per minute

Question 4

Term for slow respiration

Answer 4

Bradypnea

Question 5

Term for fast respiration

Answer 5

Tachypnea

Question 6

Cheyne-Stokes breathing

Answer 6

Rapid breathing, then stop

Question 7

Kussmaul breathing

Answer 7

Deep breathing due to diabetes / ketoacidosis

Question 8

Obstructive breathing

Answer 8

Prolonged expiration from narrowed airways

Question 9

Ataxic/biot’s breathing

Answer 9

Irregular breathing

Question 10

Normal temp

Answer 10

37C or 98.6F

Question 11

Different ways to get temp

Answer 11

Oral
Scullery
Tympanic
Rectal
Forehead/temporal

Question 12

Most accurate temp is from

Answer 12

Rectal

Question 13

Abnormal temp due to

Answer 13

Infection (bacterial or viral)

Question 14

Who can tolerate high temps?

Answer 14

Children

Question 15

Normal pulse

Answer 15

60-100

Question 16

Slow pulse

Answer 16

Bradycardia

Question 17

Fast pulse

Answer 17

Tachycardia

Question 18

Irregular pulse from

Answer 18

Premature atrial of ventricular contraction

Question 19

Irregularly irregular

Answer 19

Atrial fib

Question 20

Regularly irregular pulse

Answer 20

Bigeminy, trigeminy

Question 21

Weak pulse may be due to

Answer 21

Low BP

Question 22

Sounds you hear when taking BP

Answer 22

Korotkoff sounds

Question 23

What part of the stethoscope should you use for BP?

Answer 23

Bell (not diaphragm)

* use bell for low pitch sounds

Question 24

How fast should you deflate for BP?

Answer 24

2 mmHg per second

Question 25

What will happen if you use a cuff too small?

Answer 25

Artificially high reading

Question 26

How to know when to stop pumping for BP

Answer 26

Pump until can't feel radial pulse, then go 30 mmHg higher

Question 27

Systolic reading

Answer 27

Measures turbulent blood flow (occluded artery)

Question 28

Diastolic

Answer 28

Artery open, no turbulent flow

Question 29

If arm below level of heart, BP will be too

Answer 29

High

Question 30

3 things that affect blood pressure readings

Answer 30

Cuff size Arm positioning Ballooning

Question 31

Term for drop in BP when going from supine to standing

Answer 31

Orthostasis

Question 32

Changes in systolic, diastolic, and pulse in orthostasis

Answer 32

Systolic drops more than 20 Diastolic drops more than 10 Pulse goes up (HR increases)

Question 33

What causes orthostasis

Answer 33

Dehydration

Question 34

If BP diff by more than 10-15 mmHg, can be from

Answer 34

Subclavian steal - block in subclavian artery Aortic dissection - blood between inner and outer walls of aorta

Question 35

If hear BP super low for systolic (low systolic diastolic range)

Answer 35

Auscultatory gap | - stiff arteries/atherosclerosis

Question 36

When do you not check BP

Answer 36

``` AV fistula (connect artery and vein - treatment in dialysis) Lymphadema ```

Question 37

Normal BP

Answer 37

< 120 systolic | < 80 diastolic

Question 38

Prehypertension

Answer 38

120-139 systolic | 80-89 diastolic

Question 39

Stage 1 hypertension

Answer 39

140-159 systolic | 90-99 diastolic

Question 40

Stage 2 hypertension

Answer 40

> 160 systolic | > 100 diastolic

Question 41

Where do vital signs go in the H&P?

Answer 41

First category under "General" | Before HEENT

Question 42

When do you keep track of head circumference?

Answer 42

First 3 years of life

Question 43

Pediatric pulse

Answer 43

Starts high (140 bpm) then slows down

Question 44

Pediatric BP

Answer 44

Increases with age | Start low - 70 systolic

Question 45

Pediatric respirations

Answer 45

Start high, but less than 60 | Decrease with age

Question 46

Obstetrical weight gain per trimester

Answer 46

2/11/11

Question 47

Too much weight gain during pregnancy

Answer 47

Gestational diabetes

Question 48

Too little weight gain in pregnancy usually because of

Answer 48

Vomitting

Question 49

EDC

Answer 49

Estimated date of confinement

Question 50

Weeks gestation means

Answer 50

How many weeks pregnant

Question 51

Fundal height

Answer 51

Pubic symphysis to top of uterus when lying down Usually corresponds to # weeks pregnant

Question 52

Fetal heart tones - rate is...

Answer 52

120-160 bpm