3 Vital Signs & Findings
Diese Karteikarten lernenKostenlos · Spaced Repetition · iPhone, Android, Mac & Web
Alle Karten
1
vital signs
temperature, pulse, respirations, blood pressure
**+ sO2
(TPR & BP)
**+ sO2
(TPR & BP)
2
before taking temperature make sure
you wait 15 mins after smoking, eating, drinking (oral) and 15 minutes after coming from the cold
3
expected range for oral temperature
36.5 - 37.5
4
expected range for temperature in general
35.9 - 38.1
5
axillary temperature
0.5 lower
6
tympanic & oral
0.5 higher
7
fever (oral)
>38
8
expected adult pulse
60 - 100bpm
9
tachycardia
>100 bpm (trauma, anemia, infection, fever, pain, fear, anxiety, shock)
10
bradycardia
<60 bpm
11
astyole
absence of pulse
12
pulse: rhythm
regular (evenly spaced intervals) vs irregular (varied interval between beats)
13
if pulse is irregular
auscultate apical pulse for 1 minute
14
where to find apical pulse?
5th intercostal space, midclavicular space using diaphragm of stethoscope
15
pulse: amplitude
0 non-palpable/absent
1+ weak/diminishedarely palpable
2+ strong
3+ full, increased
4+ bounding
1+ weak/diminishedarely palpable
2+ strong
3+ full, increased
4+ bounding
16
full expected finding for pulse
60-100 bpm (adult); regular; 2+; no deficit, artery feels smooth and resilient
17
pulse: elasticity
should be smooth, straight, resilient
18
expected RR for adults
12-20 breaths/min
19
expected RR in adults 65 and older
12-24 breaths/min
20
eupnea
normal RR, rhythm, effort, no use of accessory muscles
21
tachypnea
>20 breaths/min (rapid, persistent, fever, exercise, anxiety)
22
dyspnea
difficulty breathing
23
hypernea
deeper and more rapid
24
bradypnea
decreased respiratory rate
25
apnea
absence of spontaneous breathing for more than 10 secs
26
depth of RR
shallow, moderate, deep?
27
quality of respiration
use of accessory muscles?
28
expected oxygen saturation
>92-100%
29
full expected finding of RR in adults
12-20 breaths per minute, regular, easy, no accessory muscles used, SpO2 > 92%
30
bell
low pitched sounds
31
diaphragm
high pitched sounds
32
desired BP
120/80
33
SBP range
low <90
low expected: 90-120
high expected: 130-140
high 140-150
low expected: 90-120
high expected: 130-140
high 140-150
34
expected DBP range
low <60
60-80
high >90
60-80
high >90
35
mean arterial pressure
[SBP + (2x DBP)] / 3
36
pulse pressure
systolic - diastolic pressure
37
red flags in vital signs
-Acute change
-Agitation, restlessness
-Newnresponsive chest pain
-sudden changes in ABCs
-Increased shortness of breath; stridor!
-RR <10 or >32/min
-O2 sat <92% when no other pathology
-HR <55 or >120 bpm
-SBP <100 or >170 mmHg
-drop of >30 mmHg
-Temperature <35 or >39.5 C
-Oral Temperature >37.5-38 in neutropenic patients/transplant
-Agitation, restlessness
-Newnresponsive chest pain
-sudden changes in ABCs
-Increased shortness of breath; stridor!
-RR <10 or >32/min
-O2 sat <92% when no other pathology
-HR <55 or >120 bpm
-SBP <100 or >170 mmHg
-drop of >30 mmHg
-Temperature <35 or >39.5 C
-Oral Temperature >37.5-38 in neutropenic patients/transplant
Mehr Karteikarten: Medizin und Gesundheit
URINALYSIS OVERVIEWMedizin und Gesundheit · EnglischkarebearEmbryology: Pharyngeal ApparatusMedizin und Gesundheit · EnglischSaraAnatomy of the Cerebrum (Chapter 13)Medizin und Gesundheit · EnglischLucieMaternity Drugs: Methotrexate, Magnesium Sulfate and DigoxinMedizin und Gesundheit · EnglischCBNursing: Pressure Injuries and Wound HealingMedizin und Gesundheit · EnglischRobertCuoreMedizin und Gesundheit · ItalienischWalterMNT for Endocrine and Metabolic Disorders: Part 2Medizin und Gesundheit · EnglischAngelicMusculoskeletal Medications: Generic and Brand NamesMedizin und Gesundheit · LateinebradstreetMuscular System | HAP | PRELIMSMedizin und Gesundheit · EnglischAdUvertChapter 31 PharmMedizin und Gesundheit · EnglischMadiruth2180 MidtermMedizin und Gesundheit · EnglischTaylorModule 1 (pgMedizin und GesundheitEsha
Alle Decks: Medizin und Gesundheit
Lerne diese Decks in der App
Kostenlos auf iPhone, Android, Mac und im Web. Füge jedes Deck mit einem Tipp zu deinem Konto hinzu.
