What's Your Sign

Question 1

Core Vital Signs

Answer 1

BP, HR, RR

Question 2

Additional vital signs

Answer 2

Skin, mental status, pupils, capillary refill, pulse oximetry, glucometry, stroke scale

Question 3

Pressure generated by ventricular contraction

Answer 3

Systole

Question 4

Pressure exerted by the fluid in the system when the heart is at rest

Answer 4

Diastyloic

Question 5

BP range males

Answer 5

Usually 3/2
S=100+Age=max 140
D=<90

Question 6

BP range females

Answer 6

3/2
S=90+age (max 130)
D=<80
Pregnant-3rd trimester 10-15 mmHg lower

Question 7

BP Range Children-until 10 years

Answer 7

S=80+2x age
D=2/3 SBP
70+ 2x age threshold for hypotension
80+2x age threshold for hypertension
BP difficult to get until age of 2

Question 8

Narrowing pulse pressure is what% and would be seen when?

Answer 8

<25%

Chest injury=tamponade, tension pneumothorax

Question 9

Widening pulse pressure is what % and would be seen when?

Answer 9

> 50%

Increasing ICP

Question 10

If you have an irregularly irregular pulse you have____ and you are prone to __, __, ___, syncope

Answer 10

Atrial fibrillation

clots, strokes, pulmonary embolism, syncope

Question 11

Where and why would you palpate a pedial pulse?

Answer 11

Orthopedic injury
Medial malleous-posterior tibial
Dorsalis pedias

Question 12

If disparate BP and radial pulses (>20), should be concerned about a ____

Answer 12

Thoracic aneurysm

Question 13

If unequal femoral pulses, should be concerned about an _____

Answer 13

Abdominal aortic aneurysm

Question 14

As person breathes in, the quality of their pulse weakens when they breathe in
Also, as get BP, sound may disappear as individual breathes in

Answer 14

Pulsus Paradoxus

Question 15

Pulses paradoxus is indicative of an individual who may have

Answer 15

Tension pneumothorax, pericardial tamponade, profound bronchoconstriction, asthma, COPD

Question 16

For a pulses paradoxes, when auscultating BP, a paradox greater than ____ is clinically significant

Answer 16

10

Question 17

What is one assessing when taking orthostatic vital signs?

Answer 17

Assessing hemodynamic status-how stable they are

Question 18

Why would take orthostatic vital signs?

Answer 18

To see how stable someone is, especially if they seem stable but you suspect they may not be. Assessing whe the patiant has: Abdominal pain (internal bleeding), blood from orifice (vagina, rectal vomiting), nausa/vomiting/diarreha, dizzy/week, syncope/near synope

Question 19

With orthostatic vital signs, what change in vital signs are you concerned about?

Answer 19

HR increases greater than 20

SBP drops more than 20

Question 20

Types of skin color:

Answer 20

Normal, flushed, pallor, mottled, cyanotic, jaundice

Question 21

Glasgow Coma Scale-Eye Opening

Answer 21

4-Alert
3-Verbal
2-Pain
1-Unconscious

Question 22

Glasgow Coma Scale-Speech

Answer 22

5-Oriented x 4 (person, place, time, event)
4-Confused
3-Inappropiate
2-Incomphrensible 
1-Non-verbal

Question 23

Glasgow Coma Scale-Motor function

Answer 23

6-Obediance 
5-Purposeful
4-Withdrawel from pain
3-Decorticate (flexion)
2-Decerebrate (extension)
1-None

Question 24

In eyeballs looking for:

Answer 24

Reactivity
Equality
Size

Question 25

For reactivity and eyes, looking for a___

Answer 25

Consenual reponse. If not the case, concerned about a brainstem issue or an eye injury

Question 26

For Equality and eyes, looking for a consenual reponse. Unequal eyes indicate:

Answer 26

Increasing ICP | Aniscora (under 10% of the population has this)

Question 27

Pinpoint pupils indicate

Answer 27

Opiate, pontine bleed, cholinergics (i.e. sarine)

Question 28

Pontine bleed

Answer 28

Intercranial hemorrhage

Question 29

Dilated pupils indicate

Answer 29

HYPOXIA, SHOCK, Post ictal, stimulants, darkness, alcohal, CNS depressants other than opiates (sleeping pills), TCA, anticholinergics

Question 30

Fixed-dilated pupils indicate

Answer 30

Brain stem death | Hernation

Question 31

Gaze types

Answer 31

Conjugate (both eyes tracking together) Deviated gaze-pupils off to one side, but together Disconjugate-tracking differently

Question 32

Deviated gaze indicates

Answer 32

Head injury, stroke, seizure

Question 33

Disconjugate gaze indicates

Answer 33

congential, occular injury, head injury

Question 34

Involuntary eye movement

Answer 34

Nystagmus

Question 35

Type of nystagmus

Answer 35

Horizontal (usually alcohal) Vertical Rotational (torsimal)-PCP

Question 36

One can acquire nystagmus due to

Answer 36

Toxicology, neuro event (stroke or traumatic brain injury), congential

Question 37

Unequal pupils indicate

Answer 37

Hemmoraghic stroke

Question 38

Accumulation of fluid in the peritoneum

Answer 38

Asoites | Indicates liver disease or CHF