vital signs for all ages/ patient asessment Flashcards
(93 cards)
1
Q
Adult respiratory rate
A
12-20
2
Q
Adult pulse rate
A
60-100 sinus
3
Q
Adult blood pressure
A
120/80
4
Q
BGL
A
80-120
5
Q
ETco2
A
35-45 mm HG
With appropriate waveform
6
Q
Normal skin
A
Pink warm and dry
7
Q
Pulse ox
A
94%+
With matching pleth to QRS
8
Q
Capillary refill
A
<2 seconds
9
Q
Pupils
A
PEARRL
pupils equal round and reactive to light
10
Q
neonate RR
A
30-60
11
Q
neonate pulse
A
100-205
12
Q
neonate BP
A
systolic: 67-84
diastolic: 35-53
13
Q
neonate core temperature
A
98-100
14
Q
infant RR
A
30-53
15
Q
infant pulse
A
100-180
16
Q
infant BP
A
systolic: 72-104
diastolic: 37-56
17
Q
infant core temperature
A
96.8 - 99.6
18
Q
toddler (1-2 yrs) RR
A
22-37
19
Q
toddler (1-2yrs) pulse
A
98-140
20
Q
toddler (1-2 yrs) BP
A
systolic: 86-106
diastolic: 42-63
21
Q
toddler (1-2 yrs) core temperature
A
96.8-99.6
22
Q
preschool age (3-5) RR
A
20-28
23
Q
preschool age (3-5) pulse
A
80-120
24
Q
preschool age (3-5) BP
A
systolic: 89-112
diastolic: 46-72
25
preschool age (3-5 yrs) core temp
98.6
26
school age (6-12) RR
18-25
27
school age (6-12) Pulse
75-118
28
school age (6-12) BP
systolic: 97-120
diastolic: 57-80
29
school age (6-12) core temp
98.6
30
adolescent (12-15) RR
12-20
31
adolescent (12-15) pulse
60-100
32
adolescent (12-15) BP
systolic: 110-131
diastolic: 64-83
33
adolescent (12-15) core temp
98.6
34
Mean arterial blood pressure calculation
diastolic pressure + 1/3 pulse pressure
OR
(Diastolic pressure + systolic pressure) /2
35
mean arterial blood pressure usefulness
perfusion pressure of the different internal organs a low MAP can signify lack of perfusion and ischemia and hypoxia to internal organs
36
hypotension in children to ten formula
70 + (age x 2)
37
neonate MAP
45-60
38
infant MAP
50-62
39
toddler MAP
49-62
40
preschool age MAP
58-69
41
school age MAP
66-79
42
adolescent MAP
73-84
43
adult MAP
70-110
44
prehypertension
systolic 120-139
diastolic: 80-89
45
stage one hypertension
systolic: 140-159
diastolic: 90-99
46
stage two hypertension
systolic: >160
diastolic: >100
47
biot ataxic respirations
irregular breathing pattern, rate, depth of respiration with intermittent periods of apnea,
- caused by ICP
48
Cheyne stokes respiration
gradual increase in respiratory rate and depth followed by a gradual decrease with intermittent periods of apnea
- caused by brainstem injury/insult
49
Kussmaul respirations
deep gasping respiration associated with DKA
50
agonal gasps
guppy gasps caused by cerebral anoxia, preceded by death and can be happening during death.
51
chest pain assessment areas
- skin pulse and blood pressure
- look at trauma for the chest
- breath sounds
- assess for pedal and dependent edema
- obtain 12 lead
52
abdominal pain assessment areas
- skin, pulse, BP
- trauma to abdomen, palpate for tenderness and rigidity
- check for specialty signs
- 12 LEAD
53
SOB assessment areas
- 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
dizziness assessment areas
- 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
bones joint assessment areas
- skin, pulse, sensation distal to affected area
56
cardiac bruit
whooshing sound that indicates turbulent blood flow moving through narrowed arteries, most commonly the carotid
57
cardiac murmur
abnormal whooshing sounds heard over the heart that indicated turbulent blood flow around the cardiac valve.
58
cardiac lift/heaves
suggestive of hypertrophy is when the heart sounds like its beating very strong
59
cardiac thrills
vibrations that can be auscultated and palpated, suggestive of underlying bruit of murmur.
60
auscultation location of aortic valve
second intercostal space to the right of the sternum
61
auscultation of the pulmonic valve
second intercostal space to the left of the sternum
62
auscultation location of the tricuspid valve
lower left sternal border
63
auscultation location of the mitral valve
over cardiac apex lateral to the lower left sternal border near the midclavicular line
64
heart tones S1 S2
LUB-DUB
location: 2-3rd intercostal space at the right sternal border
65
heart tones S3
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
heart tones S4
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
Cranial nerve 1 l
olfactory nerve
smell
68
cranial nerve 2 ll
optic nerve
vision
69
cranial nerve 3 lll
oculomotor
movement of eyes pupils and eyelid
70
cranial nerve 4 IV
trochlear
movement of the eye
71
cranial nerve 5 V
trigeminal
chewing, pain, temperature, touch of the mouth and face
72
cranial nerve 6 VI
abducens
movement of the eye
73
cranial nerve 7 VII
facial
movement of the face, tears, salvation and taste
74
cranial nerve 8 VIII
auditory
hearing and balance
75
cranial nerve 9 IX
glossopharyngeal
swallowing taste, sensations in the mouth and pharynx
76
cranial nerve 10 X
vagus
sensation and movement of the pharynx, larynx, throat and GI system, gag reflex
77
cranial nerve 11 XI
accessory
movement of the head and shoulders
78
cranial nerve XII
hypoglossal
movement of the tongue
79
H & T cardiac arrest HS
hypoxia
hypovolemia
hydrogen ions
hypo-hyperthermia
hypoglycemia
hypo/hyperkalemia
80
H & T cardiac arrest TS
thrombosis
tamponade
tension pneumothorax
toxins
trauma
81
Para
Number of babies delivered
82
Gravida
Number of pregnancies had
83
indications for fluid resuscitation adult and peds
- 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
pulsus alternans
beat to beat difference in heart rate
85
pulsus deficit
difference between the apical and peripheral pulse rate
86
causes of decreased S1 sounds
- fibrosed or calcified mitral valve / AV valves
- obesity
- emphysema
- cardiac tamponade
87
louder S2 sounds
chronic hypertension/ pulmonary hypertension
88
Cannon A wave
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
what is distension of the jugular veins when the liver is gently pressed specific to right sided heart failure
hepatojugular reflux
90
what is bronchophony
if you can understand the word 99 through your stethoscope then there is lung consolidation
91
what is egophony
when you tell the PT to say (EEEEEE) and you hear AYYY it can indicate pleural effusion
92
what is whispered pectoriloquy
when the patient whispers and you can understand what is said
93
