Term
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Definition
1. Blood Pressure 2. Temperature 3. Resp Rate 4. Pulse 5. Pulse Ox |
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When Should you Take Vitals |
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Definition
- admission - beginning of each shift - prior to any treatment - with any change in patient condition - Q4h or more if indicated |
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Palpated pulse strength decreases with inspiration. systolic P drops more than 10 mmHg on I = significant WOB |
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Definition
pulse strength varies from weak to strong with no relation to respiratory disease. |
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Normal Systolic Pulse Decrease on Inspiration |
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Term
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Definition
Hypoxemia, fear, pain, stress, fever |
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Medications Hypothermia disease extreme health |
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When the heart rate is less than it should be given the patients blood pressure and state |
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-Radial -Brachial -Apical -Cartoid -Femoral -Dorsalis pedis -Ulnar |
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Definition
Decreased depth of respirations |
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Increased depth of respirations |
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Normal resp rate - Toddler |
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Normal Resp Rate - Newborn |
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Difference between the systolic and diastolic pressure (normally in the 40's) |
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Occurs secondary to disease |
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Pressure greater than 140/90. |
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Definition
- increased SVR - Diet and body weight - CAD - Genetics |
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Definition
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- Left Ventricular Failure - Decreased SVR - Reduced blood volume (hypovolemia) |
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Postural hypo-induced syncope |
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Blood pressure drops upon standing |
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Blood Pressure Normal - Adult |
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Blood Pressure Normal - Teen |
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Blood Pressure Normal - Tween |
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Blood Pressure Normal - Childish |
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Blood Pressure Normal - Child |
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Blood Pressure Normal - Infant |
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Blood Pressure Normal - Neonate |
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Definition
Age - prior to 40 weeks 70/40 |
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Blood Pressure Normal - Preemie |
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How much does temperature vary throughout the day? |
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Definition
By 3 degrees. Lowest in the morning and highest in late afternoon. |
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Temperature is Regulated by... |
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Definition
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- Increased heart rate - Increased Metabolic Rate |
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Systemic Signs of Hypoxemia - General |
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Definition
- Decreased LOC - Decreased coordination - Decreased pain response - confusion - Cool extremities - Diaphoresis (sweating) |
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Systemic Signs of Hypoxemia - Respiratory |
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Definition
- Increased RR and tidal volume - Increased WOB - Accessory muscle use, SOB |
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Systemic Signs of Hypoxemia - Heart Rate |
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Definition
- tachycardia - dysrhythmias |
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Systemic Signs of Hypoxemia -BP |
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Definition
Initial increase of BP and then decrease of BP |
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Definition
In adults - Tachycardia In babies - Bradycardia |
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Term
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Definition
- Nasal flaring - Peripheral Cyanosis - Central Cyanosis - Pursed lip breathing - Pupil Response to Light - Deviated Trachea - Abdominal Paradox - Respiratory Alterans - Hepatomegaly |
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Definition
Irregular Resps with long apneic periods. Occurs in brain injury |
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Resp increase and decrease in depth and rate with regular apneic periods. Only normal at elevation |
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2 x as deep and 2 x as fast. - head injury or diabetes |
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-type - onset and duration -production -effective, inadequate, productive, dry - characteristics - any other symptoms with cough |
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Copious amounts of arterial blood |
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Scale for categorizing SOB 0 = no SOB 3 = moderate SOB 7 = very severe SOB 10 = maximal SOB |
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SOB air hunger, labored or difficult breathing |
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Dyspnea when laying down Commonly associated with LEFT sided heart failure |
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Paroxysmal Nocturnal Dyspnea |
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Definition
Sudden onset of SOB while sleeping lying down. - CHF and COPD |
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SOB while sitting up. -Severe lung disease, cardiac disease and chronic liver failure - gravity affects perfusion zones. |
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Swelling of the ankles Right heart failure -Hepatomegaly, and increased JVD -Described as pitting edema |
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High blood pressure in infants |
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Definition
Indicative of cardiac defects |
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Low blood pressure in children sign of |
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- Sepsis - organ dysfunction - cardiac defects |
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