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RESP 210
Module 3
64
Health Care
Undergraduate 1
02/22/2009

Additional Health Care Flashcards

 


 

Cards

Term
5 Vital Signs
Definition

1. Blood Pressure

2. Temperature

3. Resp Rate

4. Pulse

5. Pulse Ox

Term
When Should you Take Vitals
Definition

- admission

- beginning of each shift

- prior to any treatment

- with any change in patient condition

- Q4h or more if indicated

Term
Normal Pulse - Adult
Definition
60 - 100 bpm
Term
Normal Pulse - Toddler
Definition
80 - 160 bpm
Term
Normal Pulse - Newborn
Definition
90 - 170 bpm
Term
Arrhythmia
Definition
Absence of rhythm
Term
Disrhythmia
Definition
any irregular pulse
Term
Pulsus Paradoxus
Definition
Palpated pulse strength decreases with inspiration. systolic P drops more than 10 mmHg on I = significant WOB
Term
Pulsus Alterans
Definition
pulse strength varies from weak to strong with no relation to respiratory disease.
Term
Normal Systolic Pulse Decrease on Inspiration
Definition
2-4 mmHg
Term
Causes of Tachycardia
Definition
Hypoxemia, fear, pain, stress, fever
Term
Causes of Bradycardia
Definition

Medications

  Hypothermia

disease

extreme health

Term
Absolute Bradycardia
Definition
Pulse is < 60 bpm
Term
Relative Bradycardia
Definition
When the heart rate is less than it should be given the patients blood pressure and state
Term
Sites of Pulse (7)
Definition

-Radial

-Brachial

-Apical

-Cartoid

-Femoral

-Dorsalis pedis

-Ulnar

Term
Hypopnea
Definition
Decreased depth of respirations
Term
Hyperpnea
Definition
Increased depth of respirations
Term
Normal Resp Rate - Adult
Definition
12 - 20
Term
Normal resp rate - Toddler
Definition

25 - 35

Ages 1-4

Term
Normal Resp Rate - Newborn
Definition
35 +
Term
Pulse Pressure
Definition
Difference between the systolic and diastolic pressure (normally in the 40's)
Term
Primary Hypertension
Definition
Cause Unknown
Term
Secondary Hypertension
Definition
Occurs secondary to disease
Term
Hypertension
Definition
Pressure greater than 140/90.
Term
Causes of Hypertension
Definition

- increased SVR

- Diet and body weight

- CAD

- Genetics

Term
Hypotension
Definition
Less than 90/60
Term
Causes of Hypotension
Definition

- Left Ventricular Failure

- Decreased SVR

- Reduced blood volume (hypovolemia)

Term
Postural hypo-induced syncope
Definition
Faint upon standing
Term
Postural hypotension
Definition
Blood pressure drops upon standing
Term
Blood Pressure Normal - Adult
Definition
120/80
Term
Blood Pressure Normal - Teen
Definition

Ages 14 - 19

112/66

Term
Blood Pressure Normal - Tween
Definition

Ages 11-13

106/66

Term
Blood Pressure Normal - Childish
Definition

Ages 6 - 10

98/62

Term
Blood Pressure Normal - Child
Definition

Ages 3-5

94/52

Term
Blood Pressure Normal - Infant
Definition

Age 0 -2

84/52

Term
Blood Pressure Normal - Neonate
Definition

Age - prior to 40 weeks

70/40

Term
Blood Pressure Normal - Preemie
Definition

Age - < 37 Weeks

45/25

Term
Normal Temperature
Definition
37 C 98.6 F
Term
How much does temperature vary throughout the day?
Definition
By 3 degrees. Lowest in the morning and highest in late afternoon.
Term
Temperature is Regulated by...
Definition
Hypothalumus
Term
Hyperthermia
Definition
Pyrexia - a fever
Term
Causes of Hyperthermia
Definition

- Increased heart rate

- Increased Metabolic Rate

Term
Systemic Signs of Hypoxemia - General
Definition

- Decreased LOC

- Decreased coordination

- Decreased pain response

- confusion

- Cool extremities

- Diaphoresis (sweating)

Term
Systemic Signs of Hypoxemia - Respiratory
Definition

- Increased RR and tidal volume

- Increased WOB

- Accessory muscle use, SOB

Term
Systemic Signs of Hypoxemia - Heart Rate
Definition

- tachycardia

- dysrhythmias

Term
Systemic Signs of Hypoxemia -BP
Definition
Initial increase of BP and then decrease of BP
Term
First sign of hypoxemia
Definition

In adults - Tachycardia

 

In babies - Bradycardia

Term
Clinical Observations
Definition

- Nasal flaring

- Peripheral Cyanosis

- Central Cyanosis

- Pursed lip breathing

- Pupil Response to Light

- Deviated Trachea

- Abdominal Paradox

- Respiratory Alterans

- Hepatomegaly

Term
Biot's Breathing
Definition

Irregular Resps with long apneic periods.

Occurs in brain injury

Term
Cheyne Stokes Breathing
Definition

Resp increase and decrease in depth and rate with regular apneic periods.

Only normal at elevation

Term
Kussmaul's Breathing
Definition

2 x as deep and 2 x as fast.

- head injury or diabetes

Term
Cough Characteristics
Definition

-type

- onset and duration

-production

-effective, inadequate, productive, dry

- characteristics

- any other symptoms with cough

Term
Mucus
Definition
Phlegm from upper airway
Term
Sputum
Definition
Lung Butter
Term
Frank Blood
Definition
Copious amounts of arterial blood
Term
Borg Scale
Definition

Scale for categorizing SOB

0 = no SOB

3 = moderate SOB

7 = very severe SOB

10 = maximal SOB

Term
Dyspnea
Definition
SOB air hunger, labored or difficult breathing
Term
Orthopnea
Definition

Dyspnea when laying down

Commonly associated with LEFT sided heart failure

Term
Paroxysmal Nocturnal Dyspnea
Definition

Sudden onset of SOB while sleeping lying down.

- CHF and COPD

Term
Platypnea
Definition

SOB while sitting up.

-Severe lung disease, cardiac disease and chronic liver failure

- gravity affects perfusion zones.

Term
Cardinal Sympton of AMI
Definition
Chest Pain
Term
Dependent Edema
Definition

Swelling of the ankles Right heart failure -Hepatomegaly, and increased JVD

-Described as pitting edema

Term
High blood pressure in infants
Definition
Indicative of cardiac defects
Term
Low blood pressure in children sign of
Definition

- Sepsis

- organ dysfunction

- cardiac defects

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