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Ch. 11 Terms
Vital Signs, Monitoring Devices, and History Taking Key Terms
| Term | Definition |
|---|---|
| Baseline Vital Signs: | The first set of vital signs obtained from a patient, used as a starting point for comparison with later measurements. |
| Respiratory Rate | The number of breaths a patient takes in one minute, usually expressed as breaths per minute. |
| Respiratory Quality | A description of how effectively a patient is breathing, including depth, effort, breath sounds, and chest movement. |
| Respiratory Rhythm | The pattern and regularity of a patient's breathing, such as regular or irregular. |
| Cheyne-Stokes respirations | An abnormal breathing pattern in which respirations gradually increase in depth and rate, then decrease, followed by a period of apnea before the cycle repeats. |
| Kussmaul respirations | Deep, rapid, and usually regular respirations commonly associated with metabolic acidosis, such as diabetic ketoacidosis. |
| Pulse | The pressure wave produced by the heart's contraction that can be felt in an artery; assessed for rate, rhythm, and strength. |
| Capillary Refill | A test of peripheral circulation performed by pressing a nail bed or skin until it blanches and observing how quickly normal color returns. |
| Systolic Blood Pressure | The pressure exerted against the arterial walls when the ventricles contract; it is the top number of a blood pressure reading. |
| Diastolic Blood Pressure | The pressure remaining in the arteries while the ventricles relax between contractions; it is the bottom number of a blood pressure reading. |
| Pulse Pressure | The difference between the systolic and diastolic blood pressures. For example, a BP of 120/80 mmHg has a pulse pressure of 40 mmHg. |
| Sphygmomanometer | A device consisting of an inflatable cuff and pressure gauge used to measure blood pressure. |
| Auscultation: | The process of listening to sounds within the body, usually with a stethoscope, such as breath sounds or blood pressure sounds. |
| Palpation | The process of using the hands or fingers to feel the body to assess characteristics such as a pulse, tenderness, swelling, or deformity. |
| Orthostatic Vital Signs | Vital signs measured in different body positions, such as lying, sitting, and standing, to identify changes in pulse and blood pressure associated with position changes. |
| Pulse Oximetry | A noninvasive method of estimating the percentage of hemoglobin in arterial blood that is saturated with oxygen. |
| SpO | Peripheral oxygen saturation; the estimated percentage of hemoglobin carrying oxygen as measured by a pulse oximeter. |
| Capnography | The continuous measurement and graphical display of carbon dioxide levels during a patient's respiratory cycle. |
| Capnometry | The numerical measurement of carbon dioxide concentration in exhaled air, particularly at the end of exhalation. |
| EtCO | End-tidal carbon dioxide; the amount or partial pressure of carbon dioxide measured at the end of exhalation. |
| Capnogram | The waveform or graphical display produced by capnography that represents changes in exhaled carbon dioxide during the respiratory cycle. |
| Blood Glucose level (BGL) | The amount of glucose present in the blood, commonly measured with a glucometer and reported in mg/dL. |
| Wong-Baker FACES | A pain-rating scale that uses a series of facial expressions to help patients communicate the severity of their pain. |
| FLACC | A behavioral pain assessment scale that evaluates Face, Legs, Activity, Cry, and Consolability, particularly useful for young children or patients unable to communicate their pain. |
| Core Temperature | The temperature of the body's internal tissues and organs, reflecting the body's true internal temperature. |
| SAMPLE | A mnemonic used to obtain a patient's medical history: Signs/Symptoms, Allergies,Medications, Pertinent past medical history, Last oral intake, and Events leading up to the illness or injury. |
| OPQRST | A mnemonic used to evaluate a patient's pain or chief complaint: Onset, Provocation/Palliation, Quality, Region/Radiation, Severity, and Time. |
| Facilitation | A communication technique that encourages a patient to continue speaking or provide additional information through verbal or nonverbal cues. |
| Reflection | A communication technique in which the EMT repeats or restates part of what the patient has said to encourage further discussion and demonstrate understanding. |
| Clarification | A communication technique used to make a patient's statement clearer by asking for additional information or asking the patient to explain what they mean. |
| Empathic Response | A communication technique that recognizes and acknowledges a patient's feelings, concerns, or experiences while demonstrating understanding and compassion. |