Shared Flashcard Set

Details

Dental office emergencies
vital signs/hypertensive urgency for quiz 1-13-14
29
Dentistry
Undergraduate 3
01/12/2014

Additional Dentistry Flashcards

 


 

Cards

Term
What do vital signs do?
Definition

-gives baseline

-determines status of patient health

-shows temperature change

Term
if there is an icrease in temp what could that indicate?
Definition

-infection

pain

stress

illness

Term
what is the normal temp
Definition
98.6
Term
what is normal pulse rate?
Definition
60-80 beats per minute
Term
bradycardia
Definition
less then 60 bpm
Term
tachycardia
Definition
more than 80 bpm
Term
what could happen to tachycardia patient
Definition

CHF or other disease state due to body's attempt to increase oxygen levels

 

fever

 

could happen while excercising

Term
if pulse rythm is irregular what could be happening
Definition
pacemaker not working or arrythmia
Term
what are some factors that affect pulse rythm?
Definition

-age

 

-meds

 

-stress

Term
what is a normal range for respiration
Definition

12-20 bpm

 

 

tachypnea-too fast respiration

 

bradypnea-respiration too slow

Term
what are some factors that affect respiration?
Definition

-age (lower for adults)

 

-stress

 

-meds

 

-altitude

 

-body postition

Term
blood pressure
Definition
force exerted by blood against the blood vessel walls stated in millimeters of mercury and recorded as systolc blood pressure over diastolic
Term
what is a normal range for systolic bp? (during ventricular contractions)
Definition
100-120 mgHg
Term
what is a normal range for diastolic pb when at ventricular relaxation?
Definition
60-80mmHg
Term
if you had a patient what would you say about pb 120/80?
Definition
normal bp
Term
prehypertension
Definition
120-139 mmHg/ 80-89 mmHg
Term
stage 1 hypertension
Definition

140-159 mmHg/  90-99 mmHg

 

at this point you would be taking meds for condition

Term
stage 2 hypertension
Definition

160 and up mmHg /  100 and up mmHg.

(160/100 or higher)

 

at this point you would be on channel blockers, ace inhibitors or other drugs.

Term
what is blood volume
Definition
how much blood there is or volume
Term
cardiac output
Definition
how well the heart works
Term
what are some factors that affect blood pressure?
Definition

blood volume

cardiac output

thickness of blood

age (bp rises with age)

gender (bp higher for post menopausal women, and men)

history of stimulants

exercise

caffeine

nicotine

Term
what can happen if hypertension is ignored?
Definition
organ damage, aortic dissection, cerebral infarction (stroke), heart attack, renal insufficiency
Term
what are some forwarning signs for hypertension?
Definition

-occipital headaches

-anxiety

-shortness of breath

-tinnitis (ringing in ears)

-edema

-epitasis with sudden change in bp greater then 180/110 mmHg.  (nose bleed)

Term
how can you tell when there is a hypertensive emergency?
Definition

-increase in bp 180/110

-sob

-chest pain

-dysarrhia

-weak

-altered conciousness

-vision loss

-CHF

-nausea/vomiting

-coma

 

Term
what do you do if someone is having a blood pressure emergency?
Definition

keep them calm

allow them to relax and retake bp

seat them upright

seek medical treatment

Term
hypotension
Definition

adequate perfusion of blood not occuring

 

a drop from baseline vitals

could be due to medications

position (orthostatic)

if in shock call EMS

Term
orthostatic hypotension
Definition

change in body position from moving from supine to upright, bring patient up gradually to avoid drop in bp.

 

 

Term
what are symptoms of orthostatic hypotension?
Definition

dimming vision

 

decreased hearing

 

lightheadedness

Term
what do you do to treat orthostatic hypotension
Definition

-return patient to supine position

-feet higher than head (trendelenburg)

-assess airway

-administer oxygen

-monitor vital signs every 5 min

-call ems if patient does not return to normal.

Supporting users have an ad free experience!