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HCB TEST 2 > Vital Sign/ Pain Assessment > Flashcards

Vital Sign/ Pain Assessment Flashcards

(88 cards)

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1
Q

Signs necessary to life, temperature, respiratory rate, pulse and blood pressure, used to evaluate a patient’s condition.

A

Vital Signs

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2
Q

A measure of the amount of heat blow the skin and the subcutaneous tissues

A

Temperature

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3
Q

Elevated body temperature

A

Fever

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4
Q

With fever

A

Febrile

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5
Q

Without fever

A

Afebrile

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6
Q

Body temperature, which is below normal range

A

Hypothermia

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7
Q

Body temperature, which is above normal range

A

Hyperthermia

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8
Q

Regular recurrent expansion and contraction of an artery produced by waves of pressure caused when the heart beats; sensation that can be felt with fingertips lightly compress an artery against an underlying bone.

A

Pulse

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9
Q

Abnormally, rapid heartbeat above 100 in adults

A

Tachycardia

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10
Q

Abnormally slow heartbeats below 60 in adults

A

Bradycardia

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11
Q

Weak rapid pulse

A

Thready pulse

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12
Q

Unusually strong pulse

A

Bounding pulse

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13
Q

Pulse with irregular rhythm

A

Arrhythmia

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14
Q

Exchange of gases between the atmosphere blood and body cells

A

Respiration

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15
Q

The act of expelling air out of the lungs

A

Exhalation

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16
Q

Labored or difficult breathing

A

Dyspnea

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17
Q

Absent of breathing

A

Apnea

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18
Q

Excessively rapid breathing

A

Tachypnea

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19
Q

Measurement consists of one inhalation and one exhalation

A

Respiration

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20
Q

The force the circulation, blood exerts against artery walls as the heart contracts and relaxes. Measured in the unit millimeters of mercury ( mm Hg). Recorded as two separate pressures and fraction form.

A

Blood pressure

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21
Q

The pressure created in arteries when the heart contracts enforces blood out in to circulation. ( high number) 120/80

A

Systolic pressure

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22
Q

The pressure remaining in the arteries when the heart is relaxed. This is the last pressure sound you’ll hear. ( low number ) 120/80

A

Diastolic pressure

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23
Q

The flow of blood through tissues provide them with oxygen and nutrients and removing waste products

A

Perfusion

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24
Q

Abnormally low blood pressure may cause insufficient perfusion and internal organs

A

Hypotension

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25
Abnormally high blood pressure may cause rupture of the arteries and destruction of the organs
Hypertension
26
Blood pressure
B/P
27
Diastolic blood pressure
DBP
28
Fahrenheit
F
29
Millimeter of mercury
mm Hg
30
Pulse
P
31
Respirations
R
32
Respiratory rate
RR
33
Systolic blood pressure
SBP
34
Temperature
T
35
Vital signs
VS
36
A patient temperature can be taken in many locations what are they
Oral Rectal Axillary Tympanic
37
Inside the patients mouth
Oral
38
Inside the patients anus
Rectal
39
Underneath the patients armpits
Axillary
40
Inside the patients ear
Tympanic
41
Known as the wrist pulse and is found on the lateral side of the patient’s wrist just above the crease
Radial
42
Found in the upper arm
Brachial
43
Felt along the large carotid artery on either side of the neck
Carotid
44
Found along the femoral artery in the patients leg
Femoral
45
Located behind the patients kneecap and can be palpated on the dorsal side of the patient’s knee
Popliteal
46
Runs along the line between the first and second toe and its pulse point is felt in the mid foot
Dorsalis pedis
47
Divide between the medial malleolus and heel into the lateral and medial plantar arteries
Posterior tibial
48
Watching the rise and fall of the chess cavity is the most accurate way to visually take note of patients _____________.
Respirations
49
The blood pressure cuff should be positioned on the patient’s upper arm, with the center of the bed covering the brachial artery. This checks the what?
Blood pressure
50
____________ is the ratio of the amount of oxygen present in the blood to the amount they could be carried expressed as percentage
Oxygen saturation ( SPO2 )
51
Oral temp normal range
98.6 degrees F
52
Rectal normal range
99.6 degrees F
53
Axillary normal range
97.6 degrees F
54
Tympanic normal range
98.6 degrees F
55
Pulse : ________ beats per minute
60- 100
56
Respiration rate: _______ breathes per minute
12 - 20
57
Pulse oximetry ( SPO2) _______ oxygen saturation
96% - 100%
58
Measured in millimeters of mercury ( mm Hg)
Blood pressure
59
Systolic pressure : 90 - 140
Normal range
60
Systolic pressure : 121 - 139 mm Hg
Pre hypertension
61
Systolic pressure : 140 - 159 mm Hg
Stage 1 hypertension
62
Systolic pressure : 160 mm Hg and above
Stage 2 hypertension
63
Diastolic pressure 60 - 90 mm Hg
Normal range
64
Diastolic pressure: 81 - 89 mm Hg
Pre hypertension
65
Diastolic pressure : 90 - 99 mm Hg
Stage 1 hypertension
66
Diastolic pressure: 100 mm Hg and above
Stage 2 hypertension
67
Short duration, it has a sudden onset in association with injury surgery or an acute illness episode
Acute
68
Less every months or longer, and is often sustained by a pathophysiologic process
Chronic
69
Unpleasant sensory and emotional experience associated with tissue damage
Pain
70
What are the types of pain
Nociceptive ( somatic ) pain Neuropathic Central sensitization Psychogenic and Idiopathic Pain
71
_____________ is pain without an identifiable etiology
Idiopathic pain
72
Involves many factors that influence the patients report of pain, psychiatric conditions like anxiety, depression, personality and coping styles, culture, norms, and social support systems
Psychogenic pain
73
There is altercations of central nervous system processing of sensation leading to amplification of pain signals there is a lower pain threshold to none painful stimuli, and the response to any may be more severe than expected
Central sensitization
74
It’s a direct consequence of a lesion or disease affecting the somatosensory system. Overtime. This pain may become independent of the inciting injury, becoming burning lancinating, or shock, like in quality. It may persist, even after healing from the initial injury has occurred.
Neuropathic
75
Medication Administration Record (MAR) Nursing notes ( SF 510)
Inpatient
76
Chronological Record of Medical Care ( SF 600) Emergency Treatment Record ( SF 558) Field or Mass Casualty ( DD 1380)
Outpatient
77
Date of onset Duration Variability Related to injury or exposure to illness
onset
78
Throbbing, shooting, stabbing, sharp, cramping hot or burning, aching, heavy, tender, splinting, tiring or exhausting, sickening fear, producing punishing or cruel
Quality
79
Descriptive skill gives an objective means of measuring pain 1. Numeric rating scale.( NRS) 2. Wong Baker FACE chart Defense and veterans pain rating scale (DVPRS)
Intensity
80
Restlessness, pacing guarding, wincing Crying withdrawing from touch
Non verbal cues
81
Distraction, relaxation, ice, heat, massage, electrical stimulation, acupuncture
Pain control measures
82
Pain can be measured by
Medication’s mild exercise, diversion technique, hydrocal compresses, physical therapy technique, reinsurance
83
Documentation of pain can be recorded on these forms
Medication administration record (MAR) Nursing notes ( SF 510) chronological record of medical care (SF 600) Emergency treatment record (SF 558) Field or mass casualty (DD 1380)
84
Resulting from damage to tissue
Nociceptive pain
85
Resulting from damage to nerves
Neuropathic pain
86
Resulting from malignant disease
Cancer pain
87
Without visible signs of disease
Psychogenic pain
88
Longer duration than expected for healing, or no identifiable cause
Chronic or idiopathic pain

HCB TEST 2 (2 decks)

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