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Question | Answer |
---|---|
IT HELPS MAINTAIN THE HEAT LOST AND THE HEAT PRODUCED | HYPOTHALAMUS |
FACTORS THAT AFFECT THE BODY'S TEMP | EXERCISE, STRESS, HORMONAL INFLUENCES ( I.E.: WOMEN OVULATION AND MENOPAUSE), INGESTION OF HOT AND COLD SUBSTANCES, AND SMOKING (INCREASE OR DECREASE BY 2 DEGREES) |
NEONATE TEMP | 96-99.5 F |
OLDER ADULT TEMP | 95-98.6 F |
EXERCISE CAN INCREASE THE BODY'S TEMP FROM | 103.2-105.8 F |
LOWEST TEMPERATURE ARE BETWEEN | 1-4 AM |
HIGHEST TEMPERATURE ARE BETWEEN | 4-6PM |
WHEN THE BODY TEMP IS ABOVE NORMAL IT IS SAID TO BE | FEBRILE, PYREXIA, AND HYPER THERMAI 105 F, 40.5 C=CELL DAMAGE |
WHEN THE BODY TEMP IS BELOW IT IS SAID TO BE | AFEBRILE, HYPOTHERMIA 93.2 F 34 C =DEATH |
EXPANSION AND CONTRACTION OF AN ARTERY PRODUCED BY CONTRACTION OF THE LEFT VENTRICLE. VENTRICLE CONTRACTS AND EJECTS BLOOD INTO THE AORTA | PULSE |
PERIPHERAL PULSE I FORGET | POSTERIAL TIBIA |
ADULT PULSE BETWEEN | 60-100 BPM (AVERAGE 80 BPM) |
FACTORS THAT AFFECT PULSE | AGE, EXERCISE, FEVER, PAIN/ANXIETY,UNRELIEVED SEVERE PAIN,/CHRONIC PAIN, MEDICATIONS, HEMORRHAGE, POSTURAL CHANGES, METABOLISM, AND PULMONARY CONTIONS. |
VOLUME OF BLOOD PUSHED THROUGH AORTA PER HEARTBEAT 60-70CC | STROKE VOLUME |
AMOUNT OF BLOOD PUMPED BY LEFT VENTRICLE IN 1 MIN | CARDIAC OUTPUT |
CARDIAC OUTPUT (AVERAGE OUTPUT=5 LITERS PER MIN | PULSE RATE TIMES STROKE VOLUMEN |
COUNT RADIAL PULSE AND APICAL AT THE SAME TIME | PULSE DEFICIT |
WHEN RADIAL RATE IS LESS THAN APICAL RATE THE PUMPING ACTION OF HEART IS FAULTY. IF THE DIFFERENCE IS MORE THAN 2 YOU HAVE A DEFICIT | USE WATCH, COUNT AT THE SAME TIME AND SUBTRACT RADICL FROM THE APICAL |
FACTORS THAT AFFECT RESPIRATIONS | DISEASE OR ILLNESS, BODY POSITION, EXERCISE, SMOKING, BRAIN STEM INJURY, MEDICATIONS, GENDER, AGE, FEVER, AND STRESS |
THE EXCHANGE OF CARBON DIOXIDE AND OXYGEN (ACT OF BREATHING) | RESPIRATON EXTERNAL, ALVEOLI EXCHANGE, AND INTERNAL |
INHALING AIR WITH OXYGEN INTO LUNGS | INSPIRATION |
EXHALING AIR WITH CARBON DIOXIDE OUT OF THE LUNGS | EXPIRATION |
RESPIRATION CENTER | MEDULLA OBLONGATA (NORMAL RESP12-20 PER MIN) |
INCREASED RESPIRATION | TACHYPENEA (ABOVE 20 BEATS PER MIN) |
DECREASED RESPIRATION | BRADYPNEA (BELOW 12 BEATS PER MIN) |
DIAPHRAGM AIDS IN RESP | MOVING DOWN DURING INSPIRATION, MOVING UP DURING EXPIRATION |
VENTILATION DIFFICULT TO OBSERVER THEREFORE SMALL AMOUNTS OF AIR IS EXCHANGE IN LUNGS | SHALLOW RES |
DIFFICULTY BREATHING | DYPSNEA |
DECREASED OXYGEN IN THE BLOOD | HYPOXEMIA (HIGH ALTITUDE, AND ANESTHESIA) |
PATTERNS OF DYSPNEA, THEN APNEA (FASTER, DEEPER, SLOWER,NO BREATH), (CRITICALLY ILL, HEART FAILURE) | CHEYNE-STOKES |
HEARD ON AUSCULTATION OF LUNGS, ON INSPIRATION, HAIR RUBBED BETWEEN FINGERS (I.E.; USING STRAW AND BLOWING AIR INTO WATER-GIVES A BUBBLING SOUND. | CRACKLES(RALES) |
CONTINUOUS, DRY RATTLING SOUND (PARTIAL OBSTRUCTION | RHONCHI |
WHISTLING SOUND OF AIR FORCED PASS PARTIAL OBSTUCTION (ASTHMA, EMPHYSEMA) | WHEEZE |
SNORING SOUND PT UNABLE TO COUGH UP SECRETIONS FROM TRACHEA/BRONCHI | STERTOR |
CROWING SOUND ON INSPIRATION (OBSTRUCTION OF UPPER PASSAGE (CROUP) | STRIDOR |
MEASURES OXYGEN IN THE BLOOD | PULSE OXIMETRY |
O2 SAT | OXYGEN SATURATION |
DOC W/ OXYGEN THEN WITHOUT | WAIT 15-20 MINS |
PRESSURE EXERTED BY CIRCULATION VOLUME OF BLOODONT THE ARTERIAL WALLS | BLOOD PRESSURE |
1ST SOUND ON AUSCULTATION, MAXIMUM PRESSURE EXERTED ON ARTERY DURING LEFT VENTRICLE CONTRACTION | SYSTOLIC |
HEART AT REST BETWEEN CONTRACTIONS | DIASTOLIC |
BLOOD PRESSURE NORMAL RANGES | 120 OVER 70-80 |
PRESSURE CONSTANTLY ELEVATED ABOVE NORMAL RANGE | HYPERTENSION |
DROP IN BP WHEN A CHANGE IN POSITION FROM SUPINE TO , SITTING, TO STANDING | ORTHOSTATIC HYPO-TENSION SYSTOLIC PRESSURE- DROP 25 MM HG DIASTOLIC PRESSURE- DROP 10 MM HS S/S-FAINTNESS, BLURRED VISION, DIZZINESS, SYNCOPY (DIZZINESS INSTRUCT TO RISE SLOWLY FROM LYING SITTING OR STANDING PREVENTS BLOOD VALUME FROM SHIFTING TO FAST |
IF BP CUFF IS TOO SMALL | HIGHER READING |
IF BP CUFF IS TOO BIG | LOWER READING |
DO NOT APPLY CUFF ON | IV CATHETER INTACT WITH FLUID INFUSING, ARTERIO-VENOUS SHNT RE; DIALYSIS, BREAST/ANCILLARY SURGERY, ARM/HAND TRAUMATIZED/DISEASED, LOW ARM CAST |
TYPES OF MACHINES TO TAKE BP | AUTOMATIC BP, DINA MAP V/S MONITOR, ELECTRONIC SPHYGMOMANOMETER |
HOW MUCH CAN A BP INCREASE WHEN TALKING TO A PT | BY 10-40% |
RECORDING V/S | GRAPHIC FLOW SHEET TPR, RECTAL TEMP R, AXILLARY AX, ALWAYS WRITE THE SYSTOLIC 1ST DIASTOLIC 2ND |
JCAHO-JOINT COMM ON ACCREDITATION OF HEALTHCARE ORGANIZATION | INDEPENDENT, NONPROFIT ORGANIZATION EVALUATE, ACCREDITED HEALTHCARE ORGANIZATION AND PROGRAMS IN THE US STATED THAT PAIN SHOULD BE CONSIDERED A 5TH VITAL SIGN, STATING "ALL PT HAVE THE RIGHT TO PAIN RELIEF". |