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prairie nursing
vitals quiz
| Question | Answer |
|---|---|
| Elderly base temp can be –2 pts | Less Fat (subcutaneous layer) & Less sweet production |
| More estrogen | Lower temp for female |
| More Stress | higher temp |
| Hotter environment | Higher temp |
| Cooler Environment | Cooler temp |
| Febrile | Increase body temp |
| Afebrile | Normal ( no Increase ) |
| Pyrexia | Fever |
| Hyperpyrexia | Fever above 105.8 |
| Oral | 98.6 ° F (97.6° – 99.6 °F) |
| Rectal | (1° Ý than Oral) 99.6°F (98.6° – 100.6°F) |
| Axillary | (1° ß less than oral) 97.6°F (96.6° - 98.6°F) |
| Tympanic | (1° ß less than oral) 97.6°F (96.6° - 98.6°F) |
| Rate Adult | (60 – 100) |
| Brady | slow less than 60 |
| Tachy | faster than 100 |
| Take for | 30 sec. X 2 |
| regular | Boom – Boom – Boom |
| Irregular | boom – boom -----------boom |
| Take Apical pulse | 1 minute if irregular |
| Exercise | Increase pulse |
| Temp Effect on pulse | Increase pulse |
| Hemorrhage | Increase pulse– Body is trying to keep pressure up |
| Postural change | Orthostatic hypotension – blood is pooled low |
| Stimulant | drug will increase pulse |
| Narcotic | drug will decrease |
| Digitalis preparation | must take apical pulse if under 60 do not give drug |
| Adult Resp | 12-20 per min |
| Infant resp. | 30-80 per min |
| Pnea | to breath |
| Apnea | not breathing |
| Bradypnea | slow under 12 |
| Tachypnea | faster than 20 |
| Ventilation | mechanical movement of gasses into and out of the lungs |
| Diffusion | the movement of O2 and CO2 between alveoli and RBC |
| Perfusion | Distribution of RBC to and from pulmonary capillaries |
| exercise | increase rate |
| Stress | increase resp. rate |
| high room temp | increase resp. rate |
| narcotics | decrease resp. rate |
| high altitudes | increase resp rate |
| Pain meds | if resp. is less than 12 per min hold off |
| Apical Pulse | infants and children up to 3 yrs/Cardiac arrhythmias – arterial Fibulation/Cardiac medications – Digitalis/ Irregular radial pulse |
| stethoscope placement for apical pulse | 3 inches left of sternum / under left nipple/ one full minute |
| apical pulse | Asses rate, rhythm, volume/ can not hear have them lean forward |
| The two step method | Use when base line is not known |
| The two step method | Find brachial pulse (looking for systolic) |
| The two step method | Pump feel look (go slow) |
| The two step method | When you do not feel pulse that is you ball park systolic ( Example 130) |
| The two step method | let rest for one minute |
| The two step method | Pump up cuff 20 to 30 over ball park figure |
| The two step method | Measure where it starts and stops |
| Systolic | when the left ventricle pushed blood through the aortic valve (top) |
| Diastolic | when heart rest and is the lowest pressure on arterial walls (bottom) |
| Pulse pressure | systolic minus diastolic |
| Baseline pressure | 90/60 to 140/90 |
| Hypo tension | less than 90/60 |
| Prehypertension | 120/80 to 140/90 |
Created by:
rjh
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