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CRMA Vital Signs
Waban CRMA 24hr Vital Signs
| Question | Answer |
|---|---|
| Where can you take a temperature? | Oral, rectal, temporal (forehead), otic (ear), axillary (armpit) |
| What is a normal oral temperature? | 98.6*F |
| What is a normal rectal temperature? | 99.6*F |
| What is a normal temporal (forehead) temperature? | 97.6*F |
| What is a normal otic (ear) temperature? | 99.6*F |
| What is a normal axillary (armpit) temperature? | 97.6*F |
| Which route is the most accurate when taking a temperature? | Rectal |
| Why would you not take an oral temperature on someone? | History of seizures, unconscious, uncooperative, receiving oxygen, have a pathological condition of the nose/mouth/throat, children under 6 years old, they have just had something hot or cold to eat or drink in the last 10-15minutes |
| Why would you not take a rectal temperature on someone? | Have a pathological condition of colon/rectum/anus, recent rectal surgery, diarrhea, hemorrhoids, history of sexual abuse |
| What is a normal Respiratory rate for an adult? | 12-20/minute |
| When taking a respiratory rate, do you want the individual to know you are counting their breaths? | No, count respirations after taking a radial pulse without removing your fingers from their wrist, without informing the consumer of your actions. |
| What is a normal Pulse rate for an adult? | 60-100 beats per minute (BPM) |
| Where are the 3 places to take a pulse? | Radial (wrist), carotid (neck), apical (over heart with stethoscope) |
| When is it appropriate to take a carotid pulse? | Only in an emergency situation |
| Which pulse site is the most accurate? | Apical (over heart) |
| Where is the brachial pulse site? | In the inside bend of the elbow. Used for checking blood pressures. |
| What is tachycardia? | a fast heart rate, above 100 BPM |
| What is bradycardia? | a slow heart rate, below 60 BPM |
| When taking a pulse, what are the 3 things that are checked? | Rate (number of beats/minute), rhythm (regular or irregular), strength (strong/weak/normal) |
| What is the systolic blood pressure? | top number in a blood pressure, the pressure in an artery when the heart contracts/beats, first sound heard when taking a BP |
| What is the diastolic blood pressure? | bottom number in blood pressure, the pressure remaining in the blood vessels when the heart is at rest, last sound heard when taking a BP |
| What is considered hypertension? | A high blood pressure; anything above 130/80 |
| What is considered hypotension? | A low blood pressure; anything below 100/60 |
| Why would you NOT take a blood pressure on someone's upper arm? | injury or cast, recent surgery, side of a mastectomy (breast removal), side has been affected by a stroke (CVA), IV or medical devices on that arm |
| How should someone be positioned when taking vital signs? | Resting, preferably sitting, feet flat on floor |