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Vital Signs
| Question | Answer |
|---|---|
| What is the normal core temperature? | 99 degrees F or 37.2 degrees C |
| What is the normal oral temperature? Range? | 98.6 F or 37 C. 35.8-37.3 C or 96.4-99.1 F. |
| How much higher is the rectal temperature than the oral? | .4-.5 C higher or .7-1 F higher |
| There is a diurnal cycle of__________ | 1 to 1.5 F. Trough early morning, peak late afternoon. |
| Progesterone secretion (at ovulation) causes a ___________. | 0.5-1 F rise in temp. |
| There is normally wider variations of temperature in kids and infants because_____________. | They have less effective heat control mechanisms. |
| Blue tips are for__________. | Oral route. |
| Red tips are for __________. | Rectal route. |
| What is the most accurate route to take temperature? | Rectal route. |
| Temporal route in kids misses fever in _______ of kids 6-36 months old. | 30% |
| Insert rectal tip only ________ directed towards ___________. | 2-3 cm/1 in; umbilicus |
| Tympanic membrane temperature shares vascular supply with ________. Read for ___________. It has ___________ with many settings. | hypothalamus; 2-3 seconds; fallen out of favor |
| Temporal artery temperature is taken______________. It is __________ than TMTs. | by sliding across the forehead and behind ear for 6 seconds; more accurate |
| 104 F=_________ 98.6 F=________ 95 F=__________ | 40 C 37 C 35 C |
| You count the pulse for _____________. | 30 seconds and multiply by 2 when rhythms are normal. |
| Normal rate= | 60-100 bpm |
| More rapid HR in ______ and slower in ________. Females are ______ after puberty. | childrens; elderly. faster HR than males |
| Bradycardia | <50 bpm |
| Tachycardia | >95 or 100 bpm; occurs with fever,sepsis,pneumonia, MI, and pancreatitis |
| Sinus arrhythmia | heart rate varies with respiratory cycle: speeds ups with inspiration and slows with exhalation |
| Force of pulse is recorded on a __________. | 3 point scale |
| Count respirations for ________________. Don't mention you are counting respirations. | 30 seconds and multiply by 2, count full minute if abnormal. |
| Pulse rate to respiratory rate | 4:1 |
| Kids and infants have _____________ respirations. | More rapid |
| Systolic pressure= | maximum pressure felt during left ventricular contraction |
| Diastolic pressure= | pressure of elastic recoil /resting pressure between contractions |
| Mean arterial pressure (MAP)= | pressure forcing blood into the tissues averaged over the cardiac cycle |
| After puberty, females have a ________________ BP than males, and a __________ BP than males after menopause. | Lower, higher |
| African-Americans BP is normally _____________than Caucasians. | higher |
| Obese people have a _____________ BP. | higher |
| Verify BP in both arms when ___________, but only one arm when ______________. | admitting or is first complete physical exam; screening/monitoring |
| You need to take BP with a _____________ and at _______________. | Bare arm; heart level |
| Over heart level causes __________ BP, and under heart level causes _____________ BP. | lower; higher |
| Center BP cuff _______ above brachial artery. | 1 in |
| A difference above 10-15 mm Hg between BP of each arm can indicate_____________. | an arterial obstruction on the side with a lower reading |
| Auscultatory gap | Silence for 30-40 mm Hg during deflation, common with hypertension |
| Add _______________ mm Hg after artery pulsation has stopped. Helps to miss ____________. | 20-30 mm Hg; auscultatory gap |
| Korotkoff Sounds 1,2,3,4,5 *survive before you die | 1- tapping; soft clear tapping increasing w/ intensity (systolic) 2- swooshing; softer murmur follows tapping 3- knocking; crisp high pitched sounds 4- abrupt muffling; sound mutes to a low-pitched, cushioned murmur 5-silence (diastolic) |
| Take serial measurements of BP and pulse when ______________. | 1- suspect volume depletion 2- known hypertension 3- person reports fainting |
| When BP excessively high on arm, compare with ____________ to check for ______________. Normally ___________ is higher than ___________. If not then _____________. | thigh BP; coarctation of the aorta. thigh pressure; arm pressure. blood supply to the thigh is below constriction |
| Infant vital sign order Adult vital sign order | respiration, pulse temp temp, pulse, respirations |
Created by:
kylie.bain99
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