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General Assessment and Vitals PD 1
Terms in this set (41)
Nutrition status, hygiene, level of consciousness, skin color, distress, posture (position,
what are the 6 parts to the general assessment
temperature, BP, HR, RR, pain, (ht., wt., BMI)
what are the 5 vital signs
no (compare previous ht/wt, calculate BMI)
should the pt. have shoes on when measuring ht/wt?
15-16, 18.5-25, 30-35
what BMI is considered severely underweight? normal? Obese class 1 (moderately obese)?
>35 (increased chronic disease risk 35-women ,40-men)
what BMI should you measure waist circumference?
what is the normal oral temperature in celsius
what is normal temporal temperature in celsius
what is normal rectal temperature in celsius
what is normal axillary temperature in celsius
what is normal tympanic temperature in celsius
clothes, wax (or short ear canals)
what could impact taking temperature in axilla? tympanic?
what is true fever temperature in celsius
what is the temperature of Hyperpyrexia in celsius
what is temperature of Hypothermia in celsius
what time of the day is your normal body temperature higher
which artery is pulse most commonly taken on
thumb (feel your own pulse)
which finger should you not take your radial pulse with
50-90 (or 60-100) 110-150
normal pulse range for adults? infants?
normal RR in adults?
ejection from one ventricular contraction
SV x HR =
elasticity of aorta (/arteries), PVR, blood volume
what 3 factors impact BP
amount of force exerted during contraction of the heart
how do you measure pulse pressure
normal pulse pressure in adults?
smoking/caffeine in past 30 mins
what should you ask someone before taking BP
when taking BP in a pt who had a mastectomy or has lymphedema or an AV fistula which arm should you use?
what percent of the inflatable bladder on a BP cuff should reach around the CIRCUMFERENCE of the arm? what percent should the BP cuff WIDTH cover?
if the BP cuff is too small would you have a decreased or elevated BP reading?
how many cm proximal from the antecubital fossa should the BP cuff be
if the brachial artery is below the heart level, the BP will be ________
how many mmHg should you inflate the cuff above the disappearance of the radial pulse
what rate should you deflate the BP cuff
you can miss an ausculatory gap
what happens if you dont pump the BP cuff up 30 mmHg past the disappearance of the radial artery?
how many mmHg difference between the diastolic pressure and the muffling point is significant to note
a silent interval that may be present between the systolic and diastolic pressures, associated with arterial stiffness, atherosclerotic disease
what BP classifies HTN stage ? (diastolic and systolic)
white coat HTN (15-20% of Stage 1 hypertensives)
false elevation of BP due to paranoia of doctors
office readings are normal, ambulatory readings are elevated (10% of population)
postural (orthostatic) Hypotension
associated with dizziness and syncope, may be caused by medicaations, decreased Blood volume, nervous system dysfunction, prolonged bedrest, a large decrease in BP when going from a laying/sitting position to a standing position
coarctation of the aorta
narrowing of aorta, femoral pulse will have a lag and will be weaker than the radial pulse due to obstruction of flow. Also can evaluate with BP reading in the arm v leg
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