Vitals slide

Question 1

Types of Temp(4)

Answer 1

oral, rectal, axillary, Tympanic

Question 2

Oral temp:
1.
Location:

Answer 2

1. most common
   cover thermom
   place under tongue(hot pocket)

Question 3

Rectal temp:
When often in?
Temp# vs oral temp?
Reflects?

Answer 3

often in children
Temp is (+1) vs. oral
Reflects CORE TEMP

Question 4

Rectal procedure:
7 steps
charts as?

Answer 4

1. pt lie one side/ hips flxed
2. cover thermom
3. apply lubricant
4. insert 1-1 1/2 in
5. beep
6. remover cover
7. disinfect thermom
8. Chart”97.6 degrees R”

Question 5

Axillary temp:
accuracy?
temp# vs. oral
Steps:
Chart as?

Answer 5

Not v. accurat
temp=(-1) vs. oral
1. place under armpit
2. beep
"97.6 degrees AX"

Question 6

Tympanic Temp
need?
tem# vs. oral
Chart as?

Answer 6

infrared beam
(+1.4) vs oral
99.6 degrees tympanic

Question 7

how to use for Tympanic Temp:
location:
Movement steps

Answer 7

location: temporal artery
Hold close to surface of skin 
1. center forehead
2. press infrared button 
3.down to CHEEK
4.behind EAR

Question 8

Normal Temperature
oral
rectal
axillary
tympanic

Answer 8

oral: 98.6
R: 99.6
AX: 97.6
tympanic: oral+1.4

Question 9

Oral fever?

Rectal/tympanic fever?

Answer 9

oral: 101+

R/tympanic=102+

Question 10

fever chills come because?

Answer 10

Endogenous pyogens INCREASE hypothalamic temp

Question 11

fever aka (4 names)

Answer 11

febrile
hyperthermia
hyperpyrexia
pyrexia

Question 12

HYPOthermia =

Answer 12

temp lower then 98.6
exposure to cold
elderly more susceptible

Question 13

Pulse
taken from?
Cause by?
Recorded as:

Answer 13

artery.
L,ventricular systolic contraction ejection blood to artery.
(BPM)

Question 14

pulse areas ypu can take it? list 4

Answer 14

radial
ulnar
carotid
femoral

Question 15

Pulse steps
1,2,3

If pulse is chaotic do a?

Answer 15

1. index/middle finger on pulse site
2. 30 sec x 2
3. record as BPM

a EKG

Question 16

Carotid pulse when?

Femoral pulse when?

Answer 16

CPR

Peripheral vascular disease PVD

Question 17

Resp Rate (RR)
breathes taken in?
expected #?
Calculate by?

Answer 17

of breaths in 1 min

expected# 12-20
30 sec x 2

Question 18

trachypnea

bradynea

Answer 18

RR over 20

RR less than 12

Question 19

Blood Pressure =

aka name ?

Answer 19

Force from circulating blood on the walls of blood vessels.

AKA: arterial blood pressure

Question 20

BP considerations:

Answer 20

1. No smoking,caffine, alcohol, vig exercise 30 minutes to
2. postion: back supported, feet on floor
3. Hx: current meds, hx of hypertension, pulse rate

Question 21

Systolic

Answer 21

Peak pressure in arteries occurring near beginning of cardiac cycle

Question 22

Diastolic

Answer 22

lowest pressure (bk pressure on arteries)

Question 23

BP STEPS:

4 steps

Answer 23

1. Estimate systolic
   (fingers pulse position, inflate cuff, when pulse dissapears = systolic, and you will need to pump 30+ that #)
2. place stethoscope diaphragm on brachial pulse.
3. pump 30+ systolic #
4. deflate slowly….
   1st sound & last sound.
   RECORD

Question 24

Elevated systolic 4 levels ?

Answer 24

120+ elevated
130+ HP stage 1
140+ HP stage 2
180+ HP CRISIS

Question 25

elevated Diastolic levels

Answer 25

80- elevated 80-89. HP stage 1 90+. HP stage 2 120+. HP CRISIS

Question 26

korokoff Sounds | 5 types

Answer 26

1. snapping-systolic 2. murmur(btwn sys/dia) 3/4. thumping(10mm above diastolic) 5. silence

Question 27

small/tight cuff= | big/loose cuff=

Answer 27

increase BP decrease BP (false #s)

Question 28

Orthostatic Vital Signs determines? steps?

Answer 28

HYPOtension 1. supine pos 2. repeat after 3 minutes standing pos

Question 29

POS ortho vital=

Answer 29

systolic or pulse increase of | 20mm diff from supine pos to standing

Question 30

``` PAIN vital sign# use_for children associated w._damage Chronic: time period? ```

Answer 30

5th vital sign wong-baker chart for kids tissue damage more then 1 mo

Question 31

Pain Eval: | OPQRST =

Answer 31

``` Onset(start when) Provoking facts(what brings pain) Quality(burning,stabbig,throbbing) Radiation(radiates anywhere) Severity(1-10) Timing(occurs WHEN) ```

Question 32

Types of pain: (3) explain it

Answer 32

1. somatic-tissue damage 2. neuropathic- damage to PNS/CNS 3. psychogenic

Question 33

Factors that can influence pts reporting pain:

Answer 33

anxiety/depresion cultual norms lack of support system

Question 34

``` Skill summary: 1. 2. 3. 4. 5. 6. 7. ```

Answer 34

1. wash hands 2. gen observation 3. Radial pulse 4. RR 5. BP both arms 6. Assess for orthostatic (changes in pulse/BP) 7. Eval pain