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Rads 1050 test 4

Vitals

QuestionAnswer
In what 5 places can a temperature be taken? Oral, axillary, tympanic, temporal and rectal
What is the normal temp for in F? 97.7-99.5
What is the normal temp in C? 36.5-37.5
What does the word febrile mean? Fever
What is the medical term for lower than normal? Hypo
What types of things cause hyperthermia? Metabolic rate increases causing fever, more O2 consumption adn carbon dioxide production, cardiopulmonary system inceases (has to work harder)
Describe how to take a repiratory rate? Do when pt is watching, watch the chest rise and fall for 60 seconds.
What is the normal respiratory rate for an adult? 12-20
What is the normal respiratory rate for a child? 20-30
What is the normal respiratory rate for an infant? 30-60
What is the medical term for increased respiratory rate? Tachypnea
What things indicate an increase in repiratory rate? Exercise, fever, anxiety, pain, infection heart failure, trauma, decrease O2 in blood, CNS disease
What is the medical term for decreased repiratory rate? bradypnea
What types of thuings indicate a decrease in respiratoy rate? Drug overdose, head trauma, hypothermia, depression of the repiratory center of the brain
What is the term of absence of breathing? apnea
What is the normal pulse rate for an adult? 60-100
What is the normal pulse rate for a child? 70-120
What are the 3 most common sites for taking a pulse? Radial, brachial anc carotid artery
descripbe what a pulse is? Reflection of the contration on the heart
Do we take pulse rates in arteries or veins? Arteries
In a critical care settings, what 3 types of equipment may be used to obtain a oulse rate? aterial O2 sat, repiratory rate, pulse
What 2 measurments will a pulse ox provide? O2 sat and pulse rate
What is an increased pulse rate called? Tachycardia
What does tachycardia indicate about your pt? Shock, CHF, hypoxemia- anger, pain, fear, anxiety
what is a decreased pulse rate called? Bradycardia
What does bradycaardia indicate about your pt? severe unrelieved pain, hypothermia, physically fit
What 3 types of equipment are used to take a blood pressure? BP cuff, stethoscope, sphygmomanmometer
Where is the bp cuff positioned? 1 in superior to the antecubital fossa
Describe how the pt should be positioned for a bp? seated 5-15 min, feet on floor, arm at level of the heart
When you are pumping up the cuff and the pulse obliterates at 118, what do you do next? Pump it up 30 more
At what rate should the cuff be deflated? 2 mm Hg per sec
When the sounds are no longer heard, how much more should the cuff be deflated? 10 mm Hg past the last sound then deflate it all the way
Describe how you would determine the diastolic pressure? It is the last sound you hear
What are the symptoms of hypertension? there are no symptoms
What is the cause of hypertension? Family hx, increased age, diabetes, excessive sodium intake, lack of O2, excessive alcohol, stress
describe what systolic pressure is? The amount of worked needed to more blood through the heart. It is the contraction
What is diastolic pressure? the amount of pressure the heart has to overcome to generate the next heart beat. Heart is relaxed
What is the average systolic pressure for an adult under 50? 90-140
What is the average systolic pressure for an adult over 50? 90-160
What is the average diastolic pressure range for and adult? 60-90
what are the risk factors for hypertension? Heart disease, high cholesteral, smoking
How much of the air that you breathe is oxygen? 21%
Nasal Cannula What does the equipment look like? How much O2 does it deliver? What is the flow rate needed? Low flow rate, prongs into the nose, 24-36%, no more than 6 liters
Nonrebreathing Mask What does the equipment look like? How much O2 does it deliver? What is the flow rate needed? High flow, one way valve prevents exhaled air from being rebreathed. Has a bag attached (reservior), should be 100% but is usually 60-90%
Air Entraunment Mask What does the equipment look like? How much O2 does it deliver? What is the flow rate needed? High flow, 24,28,35,40,&50% O2
Simple Mask What does the equipment look like? How much O2 does it deliver? What is the flow rate needed? Low flow, covers nose and mouth. More than 6 liters per minute, 35-60%, short term therapy only
Aerosol Mask What does the equipment look like? How much O2 does it deliver? What is the flow rate needed? High O2 and humitity, mask attaches to sterile water, more than 6 liters, 20-100%
What types of pt use oxygen tent of oxyhood? Infants and children (NICU)
What O2 concentration in used for oxygen tent of oxyhood? 21-100%
What concerns should you have when working with oxygen tent of oxyhood? Do not move or bump
When are ventilators used? When cardiolpulmonary system is unable to supply adequate O2
What repiratory rate, inspuratory volume and FI02 are delivered to your pt on a ventilator? Controlled rate that is consistent
What should you never do with an alarm? Silence or alter
Oral How long should the thermometer be in place to get an accurate temp? 20 seconds to 3 minutes
Axillary How long should the thermometer be in place to get an accurate temp? 5 to 10 minutes
Tempanic How long should the thermometer be in place to get an accurate temp? 3 seconds
Temporal How long should the thermometer be in place to get an accurate temp? instantaneous
Rectal How long should the thermometer be in place to get an accurate temp? 2.5 to 5 minutes, most accurate
Korotkoff Sounds 1-a clear tapping sound; 2-the tapping sound followed by a murmur.3– a loud, crisp tapping sound,4– Abrupt, distinct muffling of sound, gradually decreasing in intensity.5– the disappearance of sound, considered diastolic pressure
What 2 arteries are used when taking blood pressure? Radial and brachial
Created by: 638323941