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clinical (2).

chapter 38

Mensuration is the process of measuring height/weight, circumference of head and chest
the scale must be _______and set to ________ before the pt. stands on it. calibrated, zero
when measuring height round off to the ______ inch quarter
the correlation between height and weight is called BMI
used to identify the measurement of body functions that are essential to life vital signs
The 4 Vitals are Temp, Pulse rate, respiratory rate, Blood pressure
the 4 vitals indicate (1)body's ability to control heat (2)rate, volume, rhythm of heart (3)rate/quality of breathing (4)force of heart/condition of blood vessels
indicates amount of heat produced by the body temperature
sites for temperature are: oral(mouth) axillary(armpit) rectal temporal(forehead) aural/tympanic(ear)
what is Hypothalamus it is the temperature regulation center of the brain.
conditions affecting body heat metabolic time of day amount of activity(exercise)
body loses heat by: breathing perspiration elimination of body waste
normal adult body temp is: 98.6f/37.0c
above normal body temp is called febrile
normal body temp is called afebrile
below normal body temp is called subnormal
high fever is called hyperpyrexing
toxins form bacteria, cause body temp to raise is called pyrogens
rectal temp and temporal temp is the ______ accurate most
the least accurate method of taking someone temp is axillary(armpit)
thermometer types plastic disposable electronic thermometer tympanic thermometer/instantaneous tympanic temporal artery thermometer
plastic thermometer does what? chemical indicators(dot matrix) on a plastic strip. the heat causes a reaction, dots color change color
may contain 2 probes electronic probe
what must be on a probe before it is inserted a probe cover
what measures inferred wave from the eardrum? tympanic thermometer
what measures inferred energy from the temporal artery on the forehead? temporal artery thermoeter
write "R" next to temp meaning rectal
write "AX" next to temp meaning axillary
write "TYM" next to temp meaning Tympanic
write "TA" next to temp meaning Temporal Artery
Reflexed by the number of times the heart beats in one full minutes pulse rate
Pulse rate are stimulated by what type of feelings anxiety, fear, anger
what condition may cause the pulse rate to rise? thyroid disease, shock fever, anemia
normal pulse rate for adults 60 to 100 per minute
pulse rate over 100 would be? tachycardia
pulse rate under 60 would be? bradycardia
slower heart rate may occur with... certain meds heart disease depression drugs *also could mean the person is an athlete
each time the heart beats blood is forced into the______, expanding its _______ and creating a _____-like effect. aorta, walls, wave
Palpated means? feeling, or felt
volume force of pulse normal bounding weak
______pulse is scarcely perceivable Thready
Rhythm refers to the ______of equal ______ of beats regularity, spacing
pulse rate that lacks regular rhythm, can be "irregular", or can be regular irregular" arrhythmia
the radial pulse is located where thumb side of wrist
brachial pulse is located where? inner medical surface of the elbow (ontecubital space)
what is the most common pulse site radial
what pulse site is used to measure B/P Brachial
the apical pulse is measuring the heart rate by the _______ apex
the carotid pulse is located? either side of the neck, side of trachea
where do we use the carotid pulse site for the means of CPR
located midway in groin, near the femur femoral pulse
popital pulse is located? behind knee
dorsalis pulse is located? instep of foot
what does the dorsalis and popital pulse evaluate? lower extremity circulation
the number of times a pt breathes in one minute is call? respirations
when counting respirations one inhale and one exhale equals what? one respiration
normal adult respiratory rate in a minute is? 16 to 20 rpm
resp rate fluctuates more during when? illness exercise infants
what 3 things should be observed for depth of resp rate? shallow normal deep
noisy breathing is called rales
difficulty breathing when lying down is called? orhtopnea
cheyne stokes occurs with acute brain, heart or lung disease
cheyne stokes a characterized by slow, shall breaths that increase in depth. its followed by a period of apnea. this breathing pattern frequently proceeds death
blood pressure means the fluctuating pressure that the blood exerts against the ______ walls as the heart ____ and _______ arterial, contract and relaxes
b/p reflects the condition of the ____,_____ and the amount of ____ forced out from contraction heart, arteries, blood
B/P is measure in the ______ artery of the ____ at the ______ space bronchial, arm, antecubital
the measurement of B/P is called MMLTY. Which means Millimeters of mecury
first time pt should have B/P measured on both______ arms
B/P can have a _____ to _____ mm difference between both arms 5 to 10
what are the 2 B/P phases systole and diastole
______ is the contraction phase of the heart, which is the ____ beat and has ______ pressure. systolic, 1st, greatest
______ is the resting or filling phase of the heart. it is when the heart is at its _____ pressure diastolic, least
B/P normal range is below 120/80
physical conditions that can cause high B/P are thyroid dysfunction, kidney disease, arteriosclerosis, neurological issues
pre-hypertension rage is 120/80 - 139/89
hypertension stage I range is 140/90 - 189/99
hypertension stage II range is 160/100 and up
Idiopathic or essential stage I hypertension is without an ____ _____ apparent cause
secondary hypertension results from ___ disease Renal
Malignat hypertension is ______ and ____ to controls severe and difficult
orthostatic hypertension drop in B/P when pt goes from _______ to _________ sitting to standing
orthostatic hypertension causes ____ and is common with ________ people synscope(fainting), elderly
hypotension is low B/P
hypotension rate is below 90/60
hypotension is usually not _____ serious
hypotension can result from....? blood loss, burns, shock
Created by: bpstears