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Vital Signs
vital signs
Question | Answer |
---|---|
Characteristics of Heart Measurement | Rate, Rhythm (steady or irreg), Force/Strength/Amplitude, Elasticity |
Pulse Points on body | radial, apical, temporal, carotid, brachial, elnar, femoral, popliteal, posterior tibialis, dorsalis pedis |
Normal adult pulse rate | 50-100bpm |
Adolescent pulse v. adult pulse rate | slower |
infant-school age v. adult pulse rates | faster |
Characteristics of respiratory measurements | rate (breaths/min), depth (normal, shallow, deep, whooping/huffing), effort/quality (effortless, strenuous/laborious), rhythm (even?) |
normal adult resp. rates | 12-20 breaths/min |
adolescent v. adult resp. rate | less |
infant-school age v. adult resp rate | more |
systole | VENTRICULAR contraction |
diastole | ventricular relaxation |
pulse pressure | the difference between SBP and DBP |
normal adult BP | 120/80 |
infant-adolescents BP v. adults bp | always lower.. bp rises with age |
hypertension values adult | 140/90 (increased SBP, DBP or both) |
hypotension values adult | SBP<90 (no low point for dbp) |
orthostatic hypotension | SBP drop >15-20 DBP drop >10 Increased heart rate >20bpm |
bp cuff size: too small | false high reading |
bp cuff size: too big | false low reading |
bp cuff inflation: too long; cut off circulation | false low, circ. gone too long |
bp cuff deflation: too fast | miss circ. sounds |
do not take bp on an arm: | 1) with an IV, 2) with a dialysis shunt 3) on side of a radical mastectomy 4) paralysis (decreased circulation) 5) with a cast..... if these conditions appear bilat; try thigh cuff |
thermoregulation happens where in brain | hypothalamus (regulates..) |
internal factors effecting BMR (basal met. rate) | *thyroid hormoes, *norepinephrine/epinephrine, *testosterone |
Circadian rhythm: body temp lowest | Circadian rhythm: 2-3am |
circadian rhythm: body temp highest | circadian rhythm: 4-5pm |
elderly av. temp | 97*F |
normal adult temp range | 36-38*C, 97.6-100.4*F |
av. oral temp | 37*C, 98.8*F |
av. rectal temp | 37.5*C, 99.5*F most accurate |
av. axillary temp | 36.5*C, 97.7*F |