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Flashcards in Vital Signs Deck (6)
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1
Q

Temperature

A
  1. 4-37.5 C (avg. 37.0)
  2. 5-99.5 F (avg. 98.6)

Compared to oral temp:
Rectal: 1 F or 0.5 C higher
Axillary: 1 F or 0.5 C lower

2
Q

Pulse

A

60-100 bpm
Note: Rate, Rhythm, and Strength

HR slows with age; when bp low, PR usually increased; hemorrhage inc HR; 1 min apical for Digoxin, BBlockers, <2 yrs age

3
Q

Respirations

A

12-20 breaths/min
Note: Rate, Depth, Pattern, and Sounds
Count for 30 secs. 1 min for irregular respirations or very ill.

Increased RR Causes: Inc level of CO2 or lower O2 level, Pain

Decreased RR Causes: Head Injury; Inc ICP; Opiods, Age

4
Q

Blood Pressure

A

120/80
Prehypertension: S: 120-139 or D: 80-89
Stage 1: S: 140-159 or D: 90-99
Stage 2: S: 160+ or D: 100+

Inc. with age; After puberty Male > Female; After menopause Female > Male; Wait 30 mins after smoking or exercising

Orthostatic Changes of bp and Pulse: Measure 1-3 mins after changing positions

Leg: Cuff around thigh and steth on popliteal artery

5
Q

Oxygen Saturation

A

95-100%

Sensor: Place on finger, toe, nose, ear lobe, or forehead; will alert to hypoxia prior to clinical signs appearing

6
Q

Pain Assessment

A

Acute: Usually associated with an injury, midical condition, or surgical procedure; lasts hours to a few days

Chronic: Usually associated with long-term or chronic illnesses or disorders; may continue for months/years

Phantom: Occurs after the loss of a body part (amputation); may be felt in the amputated part for years after the amputation

Highly subjective; patient to describe in tems of degree, quality, area, and frequency; ask what alleviates/worsens; use number or face scale

Manifestation in Older Patient: Sleep disturbances, changes in gait and mobility, dec. socialization, depression

Nonverbal Indicators: Moaning; Crying; Irritability; Restlessness; Grimacing/Frowning; Inability to sleep; Rigid posture; Inc bp/HR/RR; Nausea; Diaphoresis

Heat/Cold Tx: Use a barrier; 15-30 mins