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Alert/Alarms
Orthro clinical examination
| Question | Answer |
|---|---|
| Normal Vital sign: HR: Adult and Infant | Adult: 60-100 Infant: 80-180 |
| Normal vital sign: RR: Adult and Infant | Adult: 10-20 Child: 30-50 |
| What is Hemocrit and what are the exercise considerations? | % of RBC. Male 42-52%; Female 37-47% >25% light exercise only <25% contraindicated. |
| An increase in HR could be due to what other factors? | Decrease hematocrit & hemoglobin, decrease blood sugar, anxiety, anemia, pain; decrease K+, exercise |
| The HR could decrease due to.....? | Narcotics, acute MI, increase in K+ |
| Pre work out level for diabetes is....? | 100mg/dL-250mg/dL |
| What are some signs and symptoms of low blood sugar???? | <70mg/DL. RAPID ONSET; tachycardia, fainting, fatigue and weakness, pallor, sweating, unable to concentrate, excessive hunger, double vision. |
| Signs and symptoms of High blood sugar? | >300mg/dL: GRADUAL ONSET; Increase thirst, dry mouth, weak pulse, RR increased, FRUITY ODOR, |
| What is the appropriate response for pt with high or low blood sugar? | High: seek immediate medical tx Low: provide sugar; if unresponsive seek medical tx. |
| What are some of the factors that lead to and increase in BP??? | Increase blood sugar, CAD, anxiety, pain, exercise (SBP only) |
| What are the values for Hemoglobin and exercise considerations? | male 14-18 g/dl; female 12-16 g/dl <8 contraindicated |
| Normal blood Pressure: Adult? Infant? | Adult: 120/80 Infant 90/60 |
| PaO2 normal range | 80-100 mmHG Increase: hypervent Decrease: cardiac decomp, COPD |
| PaCO2 normal range | 35-45 mm Hg Increased: COPD Decreased: preg, pulm embolism, anxiety |
| Leukocytes (WBS's) normal value | 5000=10,000 >5000 light exercise <5000 fever is contraindicated <1000 use mask and standard precautions |
| What is visceral pain? | Pain radiating from internal organs. Does not change with activity and is worse at night. |
| What is typical systemic pain pattern? | awakens in pm; deep aching, throbbing, reduced by pressure; constant or waves/spasms; wt loss |
| Pain pattern for joint pain? | decreases with rest, sharp, ceases when stressful action is stopped, no other symptoms |
| Asthmatic response(s) | RR >24, use of accessory mm of respiration; coughing, wheezing, sub sternal chest tightness |
| Normal response for DTR is? | 2+ Normal 0 absent 4+ hyperactive with clonus |
Created by:
thirdtime
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