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ALS COMPETITION/ Paramedic school > vital signs for all ages/ patient asessment > Flashcards

vital signs for all ages/ patient asessment Flashcards

1
Q

Adult respiratory rate

A

12-20

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2
Q

Adult pulse rate

A

60-100 sinus

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3
Q

Adult blood pressure

A

120/80

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4
Q

BGL

A

80-120

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5
Q

ETco2

A

35-45 mm HG
With appropriate waveform

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6
Q

Normal skin

A

Pink warm and dry

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7
Q

Pulse ox

A

94%+
With matching pleth to QRS

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8
Q

Capillary refill

A

<2 seconds

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9
Q

Pupils

A

PEARRL
pupils equal round and reactive to light

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10
Q

neonate RR

A

30-60

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11
Q

neonate pulse

A

100-205

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12
Q

neonate BP

A

systolic: 67-84
diastolic: 35-53

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13
Q

neonate core temperature

A

98-100

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14
Q

infant RR

A

30-53

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15
Q

infant pulse

A

100-180

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16
Q

infant BP

A

systolic: 72-104
diastolic: 37-56

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17
Q

infant core temperature

A

96.8 - 99.6

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18
Q

toddler (1-2 yrs) RR

A

22-37

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19
Q

toddler (1-2yrs) pulse

A

98-140

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20
Q

toddler (1-2 yrs) BP

A

systolic: 86-106
diastolic: 42-63

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21
Q

toddler (1-2 yrs) core temperature

A

96.8-99.6

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22
Q

preschool age (3-5) RR

A

20-28

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23
Q

preschool age (3-5) pulse

A

80-120

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24
Q

preschool age (3-5) BP

A

systolic: 89-112
diastolic: 46-72

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25
Q

preschool age (3-5 yrs) core temp

A

98.6

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26
Q

school age (6-12) RR

A

18-25

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27
Q

school age (6-12) Pulse

A

75-118

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28
Q

school age (6-12) BP

A

systolic: 97-120
diastolic: 57-80

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29
Q

school age (6-12) core temp

A

98.6

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30
Q

adolescent (12-15) RR

A

12-20

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31
Q

adolescent (12-15) pulse

A

60-100

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32
Q

adolescent (12-15) BP

A

systolic: 110-131
diastolic: 64-83

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33
Q

adolescent (12-15) core temp

A

98.6

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34
Q

Mean arterial blood pressure calculation

A

diastolic pressure + 1/3 pulse pressure

OR

(Diastolic pressure + systolic pressure) /2

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35
Q

mean arterial blood pressure usefulness

A

perfusion pressure of the different internal organs a low MAP can signify lack of perfusion and ischemia and hypoxia to internal organs

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36
Q

hypotension in children to ten formula

A

70 + (age x 2)

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37
Q

neonate MAP

A

45-60

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38
Q

infant MAP

A

50-62

39
Q

toddler MAP

A

49-62

40
Q

preschool age MAP

A

58-69

41
Q

school age MAP

A

66-79

42
Q

adolescent MAP

A

73-84

43
Q

adult MAP

A

70-110

44
Q

prehypertension

A

systolic 120-139
diastolic: 80-89

45
Q

stage one hypertension

A

systolic: 140-159
diastolic: 90-99

46
Q

stage two hypertension

A

systolic: >160
diastolic: >100

47
Q

biot ataxic respirations

A

irregular breathing pattern, rate, depth of respiration with intermittent periods of apnea,

  • caused by ICP
48
Q

Cheyne stokes respiration

A

gradual increase in respiratory rate and depth followed by a gradual decrease with intermittent periods of apnea

  • caused by brainstem injury/insult
49
Q

Kussmaul respirations

A

deep gasping respiration associated with DKA

50
Q

agonal gasps

A

guppy gasps caused by cerebral anoxia, preceded by death and can be happening during death.

51
Q

chest pain assessment areas

A
  • skin pulse and blood pressure
  • look at trauma for the chest
  • breath sounds
  • assess for pedal and dependent edema
  • obtain 12 lead
52
Q

abdominal pain assessment areas

A
  • skin, pulse, BP
  • trauma to abdomen, palpate for tenderness and rigidity
  • check for specialty signs
  • 12 LEAD
53
Q

SOB assessment areas

A
  • skin pulse BP
  • rate and depth of respirations
  • assess for airway obstruction
  • listen carefully for breath sounds
  • assess for hypoxemia
  • pedal/dependent edema and obtain 12 lead
54
Q

dizziness assessment areas

A
  • skin,, pulse, BP adequacy of respiration
  • Monitor LOC carefully
  • check head for signs of trauma
  • evaluate for signs of stroke
  • history of inner ear problems
    -BGL
  • further inquire into history/ environmental conditions
  • 12 lead
    -electrolytes
55
Q

bones joint assessment areas

A
  • skin, pulse, sensation distal to affected area
56
Q

cardiac bruit

A

whooshing sound that indicates turbulent blood flow moving through narrowed arteries, most commonly the carotid

57
Q

cardiac murmur

A

abnormal whooshing sounds heard over the heart that indicated turbulent blood flow around the cardiac valve.

58
Q

cardiac lift/heaves

A

suggestive of hypertrophy is when the heart sounds like its beating very strong

59
Q

cardiac thrills

A

vibrations that can be auscultated and palpated, suggestive of underlying bruit of murmur.

60
Q

auscultation location of aortic valve

A

second intercostal space to the right of the sternum

61
Q

auscultation of the pulmonic valve

A

second intercostal space to the left of the sternum

62
Q

auscultation location of the tricuspid valve

A

lower left sternal border

63
Q

auscultation location of the mitral valve

A

over cardiac apex lateral to the lower left sternal border near the midclavicular line

64
Q

heart tones S1 S2

A

LUB-DUB
location: 2-3rd intercostal space at the right sternal border

65
Q

heart tones S3

A

LUB-DUB-CKY
location: 4th, 5th , 6th intercostal space at left sternal border
- associated with abnormally increased filling pressures in the atria secondary to severe heart failure

66
Q

heart tones S4

A

GlLP-LUB-DUB
location: apex of the heart 5th to 6th intercostal space at the left midclavicular line
-decreased stretching compliance of the left ventricle or increased pressure in the atria

67
Q

Cranial nerve 1 l

A

olfactory nerve
smell

68
Q

cranial nerve 2 ll

A

optic nerve
vision

69
Q

cranial nerve 3 lll

A

oculomotor
movement of eyes pupils and eyelid

70
Q

cranial nerve 4 IV

A

trochlear
movement of the eye

71
Q

cranial nerve 5 V

A

trigeminal
chewing, pain, temperature, touch of the mouth and face

72
Q

cranial nerve 6 VI

A

abducens
movement of the eye

73
Q

cranial nerve 7 VII

A

facial
movement of the face, tears, salvation and taste

74
Q

cranial nerve 8 VIII

A

auditory
hearing and balance

75
Q

cranial nerve 9 IX

A

glossopharyngeal
swallowing taste, sensations in the mouth and pharynx

76
Q

cranial nerve 10 X

A

vagus
sensation and movement of the pharynx, larynx, throat and GI system, gag reflex

77
Q

cranial nerve 11 XI

A

accessory
movement of the head and shoulders

78
Q

cranial nerve XII

A

hypoglossal
movement of the tongue

79
Q

H & T cardiac arrest HS

A

hypoxia
hypovolemia
hydrogen ions
hypo-hyperthermia
hypoglycemia
hypo/hyperkalemia

80
Q

H & T cardiac arrest TS

A

thrombosis
tamponade
tension pneumothorax
toxins
trauma

81
Q

Para

A

Number of babies delivered

82
Q

Gravida

A

Number of pregnancies had

83
Q

indications for fluid resuscitation adult and peds

A
  • hypotension
  • fatigue
  • dark color urine
  • dry mouth
    -headache
  • prolonged vomiting or diarrhea
  • non traumatic bleeding (vaginal/GI)
  • suspected rhabdomyolysis
  • paramedic discretion
  • poor skin turgor
  • delayed capillary refill in peds
84
Q

pulsus alternans

A

beat to beat difference in heart rate

85
Q

pulsus deficit

A

difference between the apical and peripheral pulse rate

86
Q

causes of decreased S1 sounds

A
  • fibrosed or calcified mitral valve / AV valves
  • obesity
  • emphysema
  • cardiac tamponade
87
Q

louder S2 sounds

A

chronic hypertension/ pulmonary hypertension

88
Q

Cannon A wave

A

When atria and ventricles contract simultaneously. blood in the right atria is then pushed against a closed tricuspid valve causing a large venous pulsation in the venous system.

89
Q

what is distension of the jugular veins when the liver is gently pressed specific to right sided heart failure

A

hepatojugular reflux

90
Q

what is bronchophony

A

if you can understand the word 99 through your stethoscope then there is lung consolidation

91
Q

what is egophony

A

when you tell the PT to say (EEEEEE) and you hear AYYY it can indicate pleural effusion

92
Q

what is whispered pectoriloquy

A

when the patient whispers and you can understand what is said

93
Q
A

ALS COMPETITION/ Paramedic school (8 decks)

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