Term
| Name the 6 major vital signs |
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Definition
1- Temperature
2- Heart Rate
3- Blood Pressure
4- Respiratory Rate
5- Pain
6- Saturated O2 level |
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Term
Importance of Vital Signs include
(5 things)
1- Indicators of general health
2- Indicators of physiological status
3- ___________
4- Physical Activity
5- Tolerance to Activity |
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Definition
Baseline
(Becky emphasized this word alot) |
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Term
Normal vital signs may be different for special populations ... For example
A person with a brain tumor may exhibit |
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Definition
| bradycardia, increased systolic pressure |
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Term
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Definition
| Indication of the intensity or degree of heat within the body. |
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Term
| Name the importance of temperature. |
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Definition
| Represents a balance between the heat that is produced in the body and the heat that is lost |
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Term
| 96.8 - 99.3 degrees F is an example of |
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Definition
| Accepted normal range of temperature (orally) |
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Term
| A low grade fever is defined as a temperature ___ - ____ degrees F |
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Definition
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Term
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Definition
| High grade fever, take to the hospital at this point @ risk for a seizure |
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Term
| Some factors that affect body temperature |
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Definition
Time of day-low in morning higher @night
Age
Environment
Infection
Physical Activity
Emotional Status
Site of measurement
Menstrual Cycle, Pregnancy
Oral cavity – food, drink, smoke |
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Term
Four ways to give temperature include
1- oral
2- rectal
3- ___
4- Axillary
The most accurate way to check temperature is _________ and the least accurate method of measuring temperature is _________. |
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Definition
3- Ear
Most accurate= rectal
Least accurate= axillary |
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Term
| Indirect measure of the contraction of the left ventricle of the heart and indicates the rate at which the heart is beating |
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Definition
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Term
| Importance of measuring the heart rate is |
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Definition
Ensure the heart rate is conducive to the situation.
Should increase with activity
Should decrease with rest |
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Term
| 60 - 100 bpm is considered a _______ range for pulse. |
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Definition
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Term
| Pulse tends to ________ with age. |
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Definition
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Term
| Tachycardia is described as |
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Definition
| anything greater than 100 bpm |
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Term
| bradycardia is described as |
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Definition
| anything less than 60 bpm |
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Term
The three descriptions of pulse include
1- Strong
2- ____
3- Thready |
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Definition
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Term
| A thready pulse is described as being ________ and weak. |
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Definition
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Term
| Factors affecting pulse include... |
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Definition
Age
Gender
Environmental Temp
Infection
Physical Activity
Emotional Status
Medication
Cardiopulmonary Disease
Physical Conditioning |
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Term
Temporal
Carotid
Brachial
Radial
Femoral
Popliteal
Dorsal Pedal
Posterior Tib |
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Definition
| Sites used to measure pulse |
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Term
| The most common sites used for the assessment of the pulse are the ______ and __________ arteries due to their ease of access. |
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Definition
| radial and carotid arteries |
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Term
| Self monitoring of pulse should occur ______, ________, and _____ exercise. |
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Definition
| before, during, and after |
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Term
| Indirect measurement of the pressure inside an artery caused by flood flow through the artery |
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Definition
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Term
| Importance of measuring BP |
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Definition
| Can relate to cardiac output, peripheral vascular resistance and other hemodynamic factors. |
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Term
| Blood pressure tends to _____ with age. |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Hypertension classifications |
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Definition
Pre: 120-139/80-89 mmHg
Stage 1: 140-159/90-99 mmHg
Stage 2: 160-179/100-109 mmHg
Stage 3: 180-209/110-119 mmHg
Stage 4: >210/>120 mmHg |
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Term
| Less than 100/Less than 70 mmHg |
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Definition
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Term
| Factors affecting BP include.. |
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Definition
Age
Physical activity
Emotional status
Medications
Size/condition of arteries
Arm position
Muscle contraction
Blood volume
Cardiac Output
Site of measurement |
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Term
| Direct measure of BP is through |
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Definition
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Term
| An indirect measure of BP is through a |
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Definition
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Term
| Common errors for measuring BP |
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Definition
- BP cuff size to big results in a lower measurement
- Inability to hear sounds
- Uncalibrated sphygmomanometer |
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Term
| Respiratory rate us measured by |
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Definition
| watching the chest rise and fall in relationship to time |
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Term
| Inflow and outward flow of air between the environment and the lungs |
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Definition
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Term
| Importance of respiratory rate |
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Definition
| Maintain homeostasis with the environment and to feed oxygen to cells |
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Term
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Definition
| normal respiratory rate for adults |
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Term
| Hyperventilation is described as |
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Definition
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Term
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Definition
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Term
The descriptors of respiratory rate include
1- Rate
2- _______
3- Depth
4- Breath sounds |
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Definition
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Term
| Factors affecting respiratory rate |
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Definition
Age
Physical activity
Emotional status
Air quality
Altitude
Disease |
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Term
| A noxious stimulus reported by the patient |
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Definition
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Term
| Importance of measuring pain |
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Definition
May be relevant to disease, trauma, disorders
Able to assess pt’s tolerance to intervention |
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Term
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Definition
| Basically, no pain present is the norm |
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Term
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Definition
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Term
Usually assessed with 0 – 10 point scale
0 – 2 minimal pain
3 – 5 moderate pain
6 – 8 maximum pain
9 – 10 unbearable pain |
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Definition
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Term
Cramping, dull, ache
Sharp Shooting
Sharp, bright, lighting like
Burning, pressure, stinging, aching
Deep, nagging, dull
Sharp, severe, intolerable
Throbbing, diffuse |
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Definition
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Term
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Definition
Age
Physical Activity
Emotional State
Culture
Visceral vs non-visceral
Disease process |
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Term
| Equipment used to measure pain |
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Definition
Pain Assessment Tools
Visual Analogue Scale
Descriptive Scale
Numeric Scale
Thermometer Scale
McGill Pain Questionnaire |
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Term
| The amount of oxygen present in the circulating arterial blood |
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Definition
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Term
| Importance of measuring saturated oxygen |
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Definition
| Amount of oxygen binding to hemoglobin in order to oxygenate tissue |
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Term
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Definition
| Norms for saturated O2 levels |
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Term
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Definition
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Term
| Unacceptable Desaturation |
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Definition
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Term
Physical Activity
Amount of hemoglobin
Lung disorders
Temperature of extremities |
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Definition
| Factors affecting saturated O2 levels |
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Term
Pulse oximeter
Locations
Finger tips
Toes
Forehead |
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Definition
| Tools used to measure saturated O2 |
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Term
| Appropriate use of vital signs in various settings |
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Definition
Acute
Rehab
Subacute
Outpatient
Home
Hospice
Extended Care |
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Term
| Where the data for vital signs go? |
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Definition
Emergency
Major changes
Minor changes
No changes
Primary care physician
Nursing
Other Health Care Workers
Patient/Family |
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