chapter 38
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Mensuration is | the process of measuring
height/weight,
circumference of head and chest
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the scale must be _______and set to ________ before the pt. stands on it. | calibrated, zero
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when measuring height round off to the ______ inch | quarter
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the correlation between height and weight is called | BMI
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used to identify the measurement of body functions that are essential to life | vital signs
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The 4 Vitals are | Temp,
Pulse rate,
respiratory rate,
Blood pressure
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the 4 vitals indicate | (1)body's ability to control heat
(2)rate, volume, rhythm of heart
(3)rate/quality of breathing
(4)force of heart/condition of blood vessels
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indicates amount of heat produced by the body | temperature
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sites for temperature are: | oral(mouth)
axillary(armpit)
rectal
temporal(forehead)
aural/tympanic(ear)
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what is Hypothalamus | it is the temperature regulation center of the brain.
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conditions affecting body heat | metabolic
time of day
amount of activity(exercise)
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body loses heat by: | breathing
perspiration
elimination of body waste
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normal adult body temp is: | 98.6f/37.0c
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above normal body temp is called | febrile
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normal body temp is called | afebrile
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below normal body temp is called | subnormal
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high fever is called | hyperpyrexing
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toxins form bacteria, cause body temp to raise is called | pyrogens
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rectal temp and temporal temp is the ______ accurate | most
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the least accurate method of taking someone temp is | axillary(armpit)
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thermometer types | plastic disposable
electronic thermometer
tympanic thermometer/instantaneous tympanic
temporal artery thermometer
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plastic thermometer does what? | chemical indicators(dot matrix) on a plastic strip. the heat causes a reaction, dots color change color
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may contain 2 probes | electronic probe
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what must be on a probe before it is inserted | a probe cover
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what measures inferred wave from the eardrum? | tympanic thermometer
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what measures inferred energy from the temporal artery on the forehead? | temporal artery thermoeter
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write "R" next to temp meaning | rectal
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write "AX" next to temp meaning | axillary
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write "TYM" next to temp meaning | Tympanic
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write "TA" next to temp meaning | Temporal Artery
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Reflexed by the number of times the heart beats in one full minutes | pulse rate
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Pulse rate are stimulated by what type of feelings | anxiety, fear, anger
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what condition may cause the pulse rate to rise? | thyroid disease, shock
fever, anemia
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normal pulse rate for adults | 60 to 100 per minute
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pulse rate over 100 would be? | tachycardia
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pulse rate under 60 would be? | bradycardia
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slower heart rate may occur with... | certain meds
heart disease
depression
drugs
*also could mean the person is an athlete
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each time the heart beats blood is forced into the______, expanding its _______ and creating a _____-like effect. | aorta, walls, wave
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Palpated means? | feeling, or felt
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volume force of pulse | normal
bounding
weak
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______pulse is scarcely perceivable | Thready
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Rhythm refers to the ______of equal ______ of beats | regularity, spacing
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pulse rate that lacks regular rhythm, can be "irregular", or can be regular irregular" | arrhythmia
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the radial pulse is located where | thumb side of wrist
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brachial pulse is located where? | inner medical surface of the elbow
(ontecubital space)
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what is the most common pulse site | radial
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what pulse site is used to measure B/P | Brachial
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the apical pulse is measuring the heart rate by the _______ | apex
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the carotid pulse is located? | either side of the neck,
side of trachea
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where do we use the carotid pulse site | for the means of CPR
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located midway in groin, near the femur | femoral pulse
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popital pulse is located? | behind knee
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dorsalis pulse is located? | instep of foot
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what does the dorsalis and popital pulse evaluate? | lower extremity circulation
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the number of times a pt breathes in one minute is call? | respirations
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when counting respirations one inhale and one exhale equals what? | one respiration
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normal adult respiratory rate in a minute is? | 16 to 20 rpm
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resp rate fluctuates more during when? | illness
exercise
infants
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what 3 things should be observed for depth of resp rate? | shallow
normal
deep
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noisy breathing is called | rales
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difficulty breathing when lying down is called? | orhtopnea
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cheyne stokes occurs with | acute brain, heart or lung disease
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cheyne stokes a characterized by | slow, shall breaths that increase in depth.
its followed by a period of apnea.
this breathing pattern frequently
proceeds death
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blood pressure means the fluctuating pressure that the blood exerts against the ______ walls as the heart ____ and _______ | arterial, contract and relaxes
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b/p reflects the condition of the ____,_____ and the amount of ____ forced out from contraction | heart, arteries,
blood
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B/P is measure in the ______ artery of the ____ at the ______ space | bronchial, arm,
antecubital
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the measurement of B/P is called MMLTY. Which means | Millimeters of mecury
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first time pt should have B/P measured on both______ | arms
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B/P can have a _____ to _____ mm difference between both arms | 5 to 10
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what are the 2 B/P phases | systole and diastole
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______ is the contraction phase of the heart, which is the ____ beat and has ______ pressure. | systolic,
1st,
greatest
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______ is the resting or filling phase of the heart. it is when the heart is at its _____ pressure | diastolic,
least
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B/P normal range is | below 120/80
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physical conditions that can cause high B/P are | thyroid dysfunction,
kidney disease,
arteriosclerosis,
neurological issues
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pre-hypertension rage is | 120/80 - 139/89
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hypertension stage I range is | 140/90 - 189/99
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hypertension stage II range is | 160/100 and up
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Idiopathic or essential stage I hypertension is without an ____ _____ | apparent cause
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secondary hypertension results from ___ disease | Renal
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Malignat hypertension is ______ and ____ to controls | severe and difficult
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orthostatic hypertension drop in B/P when pt goes from _______ to _________ | sitting to standing
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orthostatic hypertension causes ____ and is common with ________ people | synscope(fainting),
elderly
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hypotension is | low B/P
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hypotension rate is | below 90/60
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hypotension is usually not _____ | serious
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hypotension can result from....? | blood loss,
burns,
shock
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