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| Question | Answer |
|---|---|
| IT HELPS MAINTAIN THE HEAT LOST AND THE HEAT PRODUCED | HYPOTHALAMUS |
| FACTORS THAT AFFECT THE BODY'S TEMP | EXERCISE, STRESS, HORMONAL INFLUENCES ( I.E.: WOMEN OVULATION AND MENOPAUSE), INGESTION OF HOT AND COLD SUBSTANCES, AND SMOKING (INCREASE OR DECREASE BY 2 DEGREES) |
| NEONATE TEMP | 96-99.5 F |
| OLDER ADULT TEMP | 95-98.6 F |
| EXERCISE CAN INCREASE THE BODY'S TEMP FROM | 103.2-105.8 F |
| LOWEST TEMPERATURE ARE BETWEEN | 1-4 AM |
| HIGHEST TEMPERATURE ARE BETWEEN | 4-6PM |
| WHEN THE BODY TEMP IS ABOVE NORMAL IT IS SAID TO BE | FEBRILE, PYREXIA, AND HYPER THERMAI 105 F, 40.5 C=CELL DAMAGE |
| WHEN THE BODY TEMP IS BELOW IT IS SAID TO BE | AFEBRILE, HYPOTHERMIA 93.2 F 34 C =DEATH |
| EXPANSION AND CONTRACTION OF AN ARTERY PRODUCED BY CONTRACTION OF THE LEFT VENTRICLE. VENTRICLE CONTRACTS AND EJECTS BLOOD INTO THE AORTA | PULSE |
| PERIPHERAL PULSE I FORGET | POSTERIAL TIBIA |
| ADULT PULSE BETWEEN | 60-100 BPM (AVERAGE 80 BPM) |
| FACTORS THAT AFFECT PULSE | AGE, EXERCISE, FEVER, PAIN/ANXIETY,UNRELIEVED SEVERE PAIN,/CHRONIC PAIN, MEDICATIONS, HEMORRHAGE, POSTURAL CHANGES, METABOLISM, AND PULMONARY CONTIONS. |
| VOLUME OF BLOOD PUSHED THROUGH AORTA PER HEARTBEAT 60-70CC | STROKE VOLUME |
| AMOUNT OF BLOOD PUMPED BY LEFT VENTRICLE IN 1 MIN | CARDIAC OUTPUT |
| CARDIAC OUTPUT (AVERAGE OUTPUT=5 LITERS PER MIN | PULSE RATE TIMES STROKE VOLUMEN |
| COUNT RADIAL PULSE AND APICAL AT THE SAME TIME | PULSE DEFICIT |
| WHEN RADIAL RATE IS LESS THAN APICAL RATE THE PUMPING ACTION OF HEART IS FAULTY. IF THE DIFFERENCE IS MORE THAN 2 YOU HAVE A DEFICIT | USE WATCH, COUNT AT THE SAME TIME AND SUBTRACT RADICL FROM THE APICAL |
| FACTORS THAT AFFECT RESPIRATIONS | DISEASE OR ILLNESS, BODY POSITION, EXERCISE, SMOKING, BRAIN STEM INJURY, MEDICATIONS, GENDER, AGE, FEVER, AND STRESS |
| THE EXCHANGE OF CARBON DIOXIDE AND OXYGEN (ACT OF BREATHING) | RESPIRATON EXTERNAL, ALVEOLI EXCHANGE, AND INTERNAL |
| INHALING AIR WITH OXYGEN INTO LUNGS | INSPIRATION |
| EXHALING AIR WITH CARBON DIOXIDE OUT OF THE LUNGS | EXPIRATION |
| RESPIRATION CENTER | MEDULLA OBLONGATA (NORMAL RESP12-20 PER MIN) |
| INCREASED RESPIRATION | TACHYPENEA (ABOVE 20 BEATS PER MIN) |
| DECREASED RESPIRATION | BRADYPNEA (BELOW 12 BEATS PER MIN) |
| DIAPHRAGM AIDS IN RESP | MOVING DOWN DURING INSPIRATION, MOVING UP DURING EXPIRATION |
| VENTILATION DIFFICULT TO OBSERVER THEREFORE SMALL AMOUNTS OF AIR IS EXCHANGE IN LUNGS | SHALLOW RES |
| DIFFICULTY BREATHING | DYPSNEA |
| DECREASED OXYGEN IN THE BLOOD | HYPOXEMIA (HIGH ALTITUDE, AND ANESTHESIA) |
| PATTERNS OF DYSPNEA, THEN APNEA (FASTER, DEEPER, SLOWER,NO BREATH), (CRITICALLY ILL, HEART FAILURE) | CHEYNE-STOKES |
| HEARD ON AUSCULTATION OF LUNGS, ON INSPIRATION, HAIR RUBBED BETWEEN FINGERS (I.E.; USING STRAW AND BLOWING AIR INTO WATER-GIVES A BUBBLING SOUND. | CRACKLES(RALES) |
| CONTINUOUS, DRY RATTLING SOUND (PARTIAL OBSTRUCTION | RHONCHI |
| WHISTLING SOUND OF AIR FORCED PASS PARTIAL OBSTUCTION (ASTHMA, EMPHYSEMA) | WHEEZE |
| SNORING SOUND PT UNABLE TO COUGH UP SECRETIONS FROM TRACHEA/BRONCHI | STERTOR |
| CROWING SOUND ON INSPIRATION (OBSTRUCTION OF UPPER PASSAGE (CROUP) | STRIDOR |
| MEASURES OXYGEN IN THE BLOOD | PULSE OXIMETRY |
| O2 SAT | OXYGEN SATURATION |
| DOC W/ OXYGEN THEN WITHOUT | WAIT 15-20 MINS |
| PRESSURE EXERTED BY CIRCULATION VOLUME OF BLOODONT THE ARTERIAL WALLS | BLOOD PRESSURE |
| 1ST SOUND ON AUSCULTATION, MAXIMUM PRESSURE EXERTED ON ARTERY DURING LEFT VENTRICLE CONTRACTION | SYSTOLIC |
| HEART AT REST BETWEEN CONTRACTIONS | DIASTOLIC |
| BLOOD PRESSURE NORMAL RANGES | 120 OVER 70-80 |
| PRESSURE CONSTANTLY ELEVATED ABOVE NORMAL RANGE | HYPERTENSION |
| DROP IN BP WHEN A CHANGE IN POSITION FROM SUPINE TO , SITTING, TO STANDING | ORTHOSTATIC HYPO-TENSION SYSTOLIC PRESSURE- DROP 25 MM HG DIASTOLIC PRESSURE- DROP 10 MM HS S/S-FAINTNESS, BLURRED VISION, DIZZINESS, SYNCOPY (DIZZINESS INSTRUCT TO RISE SLOWLY FROM LYING SITTING OR STANDING PREVENTS BLOOD VALUME FROM SHIFTING TO FAST |
| IF BP CUFF IS TOO SMALL | HIGHER READING |
| IF BP CUFF IS TOO BIG | LOWER READING |
| DO NOT APPLY CUFF ON | IV CATHETER INTACT WITH FLUID INFUSING, ARTERIO-VENOUS SHNT RE; DIALYSIS, BREAST/ANCILLARY SURGERY, ARM/HAND TRAUMATIZED/DISEASED, LOW ARM CAST |
| TYPES OF MACHINES TO TAKE BP | AUTOMATIC BP, DINA MAP V/S MONITOR, ELECTRONIC SPHYGMOMANOMETER |
| HOW MUCH CAN A BP INCREASE WHEN TALKING TO A PT | BY 10-40% |
| RECORDING V/S | GRAPHIC FLOW SHEET TPR, RECTAL TEMP R, AXILLARY AX, ALWAYS WRITE THE SYSTOLIC 1ST DIASTOLIC 2ND |
| JCAHO-JOINT COMM ON ACCREDITATION OF HEALTHCARE ORGANIZATION | INDEPENDENT, NONPROFIT ORGANIZATION EVALUATE, ACCREDITED HEALTHCARE ORGANIZATION AND PROGRAMS IN THE US STATED THAT PAIN SHOULD BE CONSIDERED A 5TH VITAL SIGN, STATING "ALL PT HAVE THE RIGHT TO PAIN RELIEF". |