Shared Flashcard Set

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101- vitals
SCC Minter
41
Dentistry
Professional
09/09/2015

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Cards

Term
What are the 4 vital signs that can be taken in the dental office?
Definition
Pulse
respiration rate
BP
temp
Term
Which vital sign do we NOT take in the office unless we are concerned about illness?
Definition
temp
Term
Why do you take vitals at the initial visit?
Definition
baseline readings
Term
After the initial visit, when should you take vitals again? (6 instances)
Definition
1x per year
change in health Hx
before anesthesia
when readings exceed normal
before surgery
potential emergency situations
Term
What can cause a false BP reading? (4)
Definition
obese
wrong cuff used
pregnancy
hypertension in blacks
Term
Where do you check the pulse on the wrist?
Definition
Radial pulse
Term
What are the three locations you can check pulse?
Definition
radial, brachial, carotid
Term
What location should always be used to check pulse in an emergency?
Definition
carotid
Term
What is the normal pulse BPM range?
Definition
60-100 BPM (avg. 80 BPM)
Term
What does auscultation mean?
Definition
listening with your ear or stethoscope for sounds from the body
Term
What is the average temperature range for an adult?
Definition
96.8-100.4 degrees F
Term
How do we take temperature (where and how long)
Definition
under the tongue for 3 minutes
Term
How many minutes after a patient has consumed food/drink/smoking should you wait before taking temperature?
Definition
15 minutes
Term
What is the borderline temperature for a fever?
Definition
99.6
Term
What body temperature constitutes a medical emergency?
Definition
105.8
Term
What is the term for an abnormally elevated heart rate (>110 BPM)?
Definition
Tachycardia
Term
What is the term for an abnormally slow heart rate (<60 BPM)
Definition
Brachycardia
Term
Who might exhibit a normal brachycardial rate?
Definition
Athletes
Term
What side of the wrist is the radial pulse on?
Definition
thumb side
Term
What is a patient at risk for if they experience 5 or more premature ventricular contractions per minute?
Definition
coronary artery disease
Term
What is called when you have alternating strong and weak heartbeats? What does this indicate?
Definition
pulsus alternans--> ventricular failure, high BP, coronary artery disease
Term
What is the normal pulse range for a school age child (not adolescent)?
Definition
75-100
Term
What is the normal respiratory rate for adults?
Definition
12-20 BPM
Term
What respiration rate is considered accelerated?
Definition
>28 BPM
Term
What respiration rate is considered rapid and dangerous?
Definition
>60 BPM
Term
What respiration rate is considered low and abnormal?
Definition
<12 BPM
Term
What is the normal respiration rate for children?
Definition
18-30 BPM
Term
What traits should you mention regarding the pulse reading? (2)
Definition
quality (normal, strong, weak, thready)
rhythm (regular, irregular)
Term
What traits should you mention regarding the respiration rate? (3)
Definition
rhythm (regular, irregular)
Depth (shallow, normal, deep)
quality (noise, labored, poor)
Term
Are there any adverse affects to having a BP below 120/80?
Definition
No, unless patient is in shock
Term
What is the normal BP range for adults?
Definition
<120/80
Term
What BP range is prehypertensive?
Definition
120-139 / 80-89
Term
What BP range is Stage 1 hypertensive?
Definition
140-159 / 90-99
Term
What BP range is stage 2 hypertensive?
Definition
>160 / >100
Term
What factors can influence BP? (9)
Definition
age
anxiety/fear/stress
pain
renal failure
smoking
fatty diet
menopause
medications (oral contraceptives)
race
gender
Term
How long should you wait before the first and second step of taking BP?
Definition
30 seconds
Term
what can cause false low BP readings? (3)
Definition
cuff too wide
deflating cuff too quickly
arm above heart level
Term
What can cause false high BP readings? (5)
Definition
cuff too narrow or wrapped unevenly
deflating cuff too slowly
repeating assessment too quickly
arm not supported or below heart
cold arms or equipment
Term
how far above the pulse stopping pressure should you go to begin taking BP?
Definition
20-30 mmHg
Term
When noting BP in the chart, what additional information should you note about your reading?
Definition
arm BP was taken on
Term
should you patient be palm up or down when taking BP?
Definition
Down
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