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Pt Care Radiologic Science: Vital Signs
Chapter 15
104
Medical
Undergraduate 3
07/13/2014

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Term
Which  of the following terms describes the body's maintenance of heat production and loss?
Definition
thermoregulation
Term

Which body temprature measurement takes the shortest amount of time?

Definition
tympatic
Term
A 42 yo pt has a temperature of 101.3. Which of the following terms describes the pt's condition?
Definition
Hyperthermic and febrile
Term
A pt presents to the emergency depart. with and oral temp of 96.6. This finding is consistent with which of the following?
Definition
Hypothermia
Term
The average adult respiratory rate is
Definition
12 to 20 breaths per minute
Term
The exchange of o2 and co2 btwn the external enviroment and blood circulation in the body is called
Definition
tespiration
Term
The physician's dx for a pt presenting with difficulty breathing would be which of the following?
Definition
dyspnea
Term
All of the arteries may be used for taking a pulse except?
Definition
subclavian

radial, brachial and carotid are used
Term
Systolic pressure is defined as
Definition
peak pressure during contractions of the heart
Term
All of the following adult BP recordings would be considered normal except:
Definition
160/95
Normal is 120/70
Term
All of the following is a symptom of hypotension
Definition
dizziness, blurred vision, confustion
Term
What tissue is most sensitive to hypoxia?
Definition
brain, heart and liver
Term
The following are classified as low flow o2 delivery devices
Definition
simple mask and nasal cannula
Term
What is the name of the tube whose purpose is to drain the intrapleural space and mediastinum?
Definition
thoracostomy
Term
What type nof catheter is used to administer lg quantities of drugs, monitor cardiac pressure and manage fluid volume?
Definition
Central Venous Catheter
Term
A 5 yr old has a normal pulse rate that is lower then a 32 yr old?
Definition
False, childs heart beats faster
Term
Is the apical pulse is palpated at the brachial artery
Definition
nope, listen at chest with stethoscope
Term
Is the major muscle used for ventilation the diaphragm
Definition
yes
Term
o2 is an orderless and tasteless gas
Definition
yes
Term
A physician must prescribe 02 therapy because it is considered a drug
Definition
yes
Term
An nasal cannula provides a high concentration of oxygen and there fore is considered a high flow device
Definition
No it is a low concentration of 02 and considered a low flow device
Term
DOes and oxygen hood provide 0 to pediatric pat's by fully covering their bed?
Definition
No only cephalic
Term
Is a tracheostomy tube inserted directly into the trachea through the anterior surface of the neck?
Definition
Yes, anterior
Term
Where is the most common location for a central venous catheter?
Definition
The SVC
Term
Does a Swan-Ganz catheter monitor pulmonary arterial pressure
Definition
yes
Term
Apnea
Definition
cessation of spontaneous ventilation
Term
Atelectasis
Definition
collapse of alveoli in the lungs
Term
Bradycardia
Definition
slow heartbeat to less then 60 bpm
Term
Bradypnea
Definition
abnormal slowness of breathing
Term
Diophoresis
Definition
Profuse sweating
Term
Diastolic
Definition
relaxation of the heart (dilation),especially in the ventricles. It is the bottom reading on BP
Term
Dyspnea
Definition
Difficulty in breathing
Term
Febrile
Definition
fever
Term
Homeostasis
Definition
consistency in the internal environment of the body
Term
Hypertension
Definition
high arterial BP
Term
Hypotension
Definition
low BP, seen with shock pt
Term
Hyperthermia
Definition
high body tempreture (sun stroke)
Term
Hypothermia
Definition
low body tempreture
Term
Hypoxemia
Definition
Lack of 02 in the blood vessels
Term
Hypoxia
Definition
lack of 02 to tissues
Term
Intubation
Definition
insertion of a tubular device into a hollow organ, canal or cavity
Term
Pleural effusion
Definition
build up of fluid in the pleural cavity of the lungs. Usually caused by inflammation of the lungs
Term
Pneumothorax
Definition
air or gas in pleural cavity
Term
pulse oximeter
Definition
measures 02 in blood
Term
sphygmomanometer
Definition
measures BP with stethoscope
Term
Systolic
Definition
lower number on BP, when heart is contracting
Term
Tachycardia
Definition
fast heart rate, higher then 100 bpm
Term
Tachypnea
Definition
abnormal breathing that is faster then 12-20 bpm
Term
Ventilation
Definition
mechanical movement of air into and out of lungs
Term
Primary mechanisms needed to maintain homeostasis
Definition
heartbeat
BP
Body temp
Respiration
Electrolytes
Term
Vital signs are:
Definition
BP
pulse
Body temp
Respiration
Term
Normal temp range
Definition
97.5-99.5
Term
average temp
Definition
98.6
Term
Respiration function
Definition
delivers 02 to tissue and eliminates c02
Term
Adult respirations
Definition
12-20 bpm
Term
pediatric
Definition
20-30 bpm
Term
Pulse
Definition
reflects the hearts contractions
Term
adult pulse range
Definition
60-100 bpm
Term
child pulse range
Definition
70-120 bpm
Term
Normal pulse range for adult
Definition
70 bpm
Term
BP measures what?
Definition
the force exerted by blood on arterial walls during contractions and relaxation of heart
Term
BP measures what during contractions
Definition
peak pressure in systolic pressure and the relaxation phase which is diastolic
Term
Systolic normal measurement is
Definition
95-140 mm HG
Term
Diastolic normal measurement is
Definition
60-90 mm HG
Term
The average BP is
Definition
120/80
Term
Hypertension is an elevation of BP above what?
Definition
140/90
Term
Moderate Hypertension can cause damage to what organs
Definition
Heart, kidneys, liver and lungs
Term
What are contributing factors to Hypertension?
Definition
obesity, smoking, medication and stress
Term
Hypotension definitions
Definition
BP less then 95/60
Term
What causes hypotension?
Definition
Shock from severe bleeding
burns
vomiting
diarrhea
trauma
heat exhaustion
Term
Hyperthermia is dx when a persons temperature is what ?
Definition
99.5
Term
Hyperthermia can occur due to what part of the brain?
Definition
hypothalumus- it regulates body tempreture
Term
Pulse is commonly taking from what areas of the body
Definition
Radial- thumb on side of wrist
brachial artery (ante cubical fossa aka bend of the arm)
carotid artery (artery in neck)
Term
All points used fortaking pulse
Definition
Radial
Apical
Carotid
Dorsalis pedis
popliteal
femoral
posterior tibial
Term
Tachycardia is caused by
Definition
exercise
fever
respiratory disorders
CHF
hypoxemia
shock
Term
Bradycardia is caused by
Definition
hypothermia
physically fit people
unrelieved pain
Term
Respiration is taken by what method
Definition
Watching the rise and fall of chest after the pulse has been taken
Term
Tachypnea is a sign when
Definition
respiratory rate is over 20 bpm
Term
Tachypnea can be caused by
Definition
over exertion, fever, anxiety, pain, infection, heart failure, chest trauma a decrease of 02 or the CNS
Term
Bradypnea can be caused by
Definition
drug overdose, head trauma and hypothermia
Term
Nasal cannula
Definition

low flow doesn't meet the complete inspiratory needs of a pt doesn't need a supply consistent 02 concentration to pt. 24-36% Supply of 02

 Flow rates- 1 to 4 LPM

Term
Oxygen mask
Definition
low flow overs pt nose and mouth deliver 30-60% 02 Rate needs to be greater then 6 liters to prevent high c02 concentration
Term
Non rebreathing mask
Definition
low flow one way valve that prevents exhaled air from being rebreathed should deliver 100% 02
Term
Aerosol mask
Definition
high flow never adjust to 6L p/m, used when high 02 concentration needed and humidity keeps from drying nasal passages out
Term
Air entrapment mask
Definition
high flow
consistent 02 concentration and room air meet total inspiratory needs of pts
Term
Tent and oxyhood
Definition
high flow for pediatric
Term
How long does it take to undergo brain damage with out 02?
Definition
6 minutes
Term
Ventilator
Definition
high flow
delivers a consistent, present controlled inspiratory volume
Term
O2 delivered to emphysema pt should be what?
Definition
less then 2L/m
Term
why should caution be taken with 02?
Definition
can explode
Term
What is a thoracostomy tube
Definition
chest tube and it is used to drain intrapleural space and mediatinum
Term
Preferred site for central venous line?
Definition
SVC
Term
Ex of central line
Definition
infuse port
port o cath
medi port
bro vac
hickman
groshog
PICC
Term
What types of catheters are available?
Definition
single, double or multiple lumen
Term
What is a pulmonary arterial line known as?
Definition
Swan Ganz
Term
Are PICC lines used to monitor the heart rate?
Definition
No,
Term
Nasogastric tube
Definition
may be used for drainage or stomach decompression
Levin or Sump
Term
Nasoenteric
Definition
decompression of intestinal tract
Miller- Abbot
Term
Wound drainage
Definition
to promote blood drainage with suction
Jackson-Pratt
Term
Chest tube
Definition
to release pressure in the pleural cavity
Term
Subclavian
Definition
to measure pulmonary artery pressure
Swan- Ganz
Term
Catheters
Definition
Urinary
foley
Term
I.V. tubing
Definition
to hook up for drug administration
Term
are their symptoms of hypertension?
Definition
Nope
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