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Pt. Assessment AHT
Patient Assessment
| Question | Answer |
|---|---|
| 4 main vital signs +1; what else would you observe? | Temperature, pulse, respiration, blood pressure, + level of pain. |
| Name the various ways to measure a patients temperature and their normal ranges. | Mouth 98.6. Rectum 99.6. Armpit 97.6. Ear 98.6. Groin 97.6. |
| Which way to take a person's temperature is most accurate and least accurate. | Most: rectum. Least: armpit. |
| 3 reasons for a variation in a person's normal healthy temperature. | Normal lower metabolism, time of day, body site where temp is taken. |
| Reasons why temperature may vary, (a)increased (b)decreased | (a)illness, infection. exercise, excitement, high external temperatures. (b)starvation or fasting, sleep, decreased muscle activity, mouth breathing, external cold temperatures. |
| Define and give temp range hypothermia and hyperthermia. | Hypo: below 95F. Hyper: above 104F. |
| 2 ways to tell a rectal thermometer from an oral thermometer. | Oral: short, round bulb with blue tip. Rectal: short, stubby, round bulb with red tip. |
| 4 words to describe the character of respiration. | Deep or shallow. Difficult(labored). Stertorous(abnormal sound). Moist. |
| 2 words to describe the rhythm of respirations. | regular and irregular |
| Normal respiration rate | adults 12-20 breaths per minute. Children 16-30. Infants 30-50 |
| Why is it important to count respirations in a way the patient is unaware? | Respiration is under partial control(may consciously change) To overcome this pretend you are doing pulse. |
| Adult CPR(2-person) | 1 rescuer administers 30 rapid chest compressions. Other rescuer gives 2 rescue breaths. (make sure airway is open) |
| Adult CPR(1-person) | 30 chest compressions. 2 rescue breaths(make sure airway is open) |
| How do you convert Fahrenheit to Celcius? | F - 32 x 1.8 = C |
| How do you convert Celcius to Fahrenheit? | C x 1.8 + 32 = F |
| Pulse under 60 beats per minute. | bradycardia |
| How do you convert Fahrenheit to Celcius? | F - 32 x 1.8 = C |
| How do you convert Celcius to Fahrenheit? | C x 1.8 + 32 = F |
| Pulse under 60 beats per minute. | bradycardia |
| What is an irregular pulse called? | Arrythmia |
| What are factors that cause an increase in pulse rate? | stimulant drugs, excitement(fear), fever, shock, tension |
| What are fatcors that cause a decrease in pulse rate? | sleep, depressant drugs, heart disease, coma, physical training |
| Pulse rates for adults. | 60-100 bpm; men 60-70; women 70-100 |
| Pulse rates for chilren. | Infants 100-160. Children age 1-7 is 80-110. Over age 7 is 70-100. |
| 3 factors noted when taking a pulse. | Rate, rhythm, and volume |
| Sites to take pulse | Temporal(forehead), carotid(neck), brachial(elbow), radial(wrist), femoral(upper thigh), popliteal(behind the knee), dorsalis pedis(top of foot arch), apical(over heart with stethescope) |
| Normal temperature range of axillary or groin. | 97.6F |
| Normal temperature range for oral or aural measured body temperature. | 98.6F; 37C |
| Normal range for rectal measured body temperature. | 99.6F; 37.6C |
| Pulse rate over 100 bpm | tachycardia |
Created by:
Paul Mayuiers
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