week 2 Flashcards
(32 cards)
PQRSTU mnemonic
Provocation and or Palliation
Quality and or Quantity
Region and or Radiation
Severity Scale
Timing Onset, duration, frequency
Understanding pts perception & or Unable to do
factors affecting body temperature
-age
-hormonal level
-environment
-circadian rhythm
-temperature alterations
different temperature sites
-oral (PO) = eaten or drank take 30 minutes after
-axillary (Ax)
-rectal (R)
-tympanic (ear) (TA)
-temporal (TM)
average temp for adults
96.8-100.4℉
average older adult (oral)
95-97℉
average oral temp
98.6℉
average rectal/tympanic
99.5℉
average axillary
97.6℉
sepsis & pyrexia (in regards to temp)
sepsis = very low or very high temp
pyrexia = fever (100.4℉)
what does pulse measure & normal rate
palpable bounding of blood flow in a peripheral artery (circulatory status)
60-100 bpm = eucardia
pulse tachycardia & bradycardia
tachycardia = >100 bpm
bradycardia = <60 bpm
when pulse is concerning
greater than 120 and less than 50
factors influencing pulse rate
-exercise
-temp
-emotions
-medications
-postural changes
-pulmonary conditions
-hemorrhage
radial pulse strengths
3+, 2+, 1+, 0+
3 = strong
2 = normal
1 = weak
heart rate (apical pulse rate) location and technique
5th ICS, MCL
-auscultate
what is respiration and what 3 components involved
exchange gasses between atmosphere & the blood
ventilation, diffusion, perfusion
define ventilation, diffusion, & perfusion
ventilation = movement of gas in environment & out of the lungs
diffusion = movement of oxygen & CO2 between alveoli & RBCs
perfusion = distribution of RBCs from pulmonary capillaries
respiration: inspiration & expiration, active or passive?
inspiration = active process (expand chest wall)
expiration = passive process (chest wall recoil)
factors affecting respiration
-exercise
-acute pain
-anxiety
-smoking
-body position
-meds
-neuro injury
-hemoglobin function
normal respirations and abnormal values
-12-20 breaths per minute (eupnea)
-greater than 20 bpm = tachypnea
-less than 12 bpm = bradypnea
blood pressure measures what? systolic & diastolic measures what?
blood pressure: force exerted on walls of artery by pulsing blood
*systolic = peak of max pressure
*diastolic = minimal pressure against arterial walls
normal blood pressure value
less than 120 and less than 80
hypotension value
less than 90 & less than 60
common errors in BP
-anxious pt
-smoking or caffeine within 30 minutes
-position above or below heart
-too small or big of a cuff
-failure to wait between repeating readings (1-2 min)
-arm not supported
