Nursing 102

Card Set Information

Author:
alicia0309
ID:
237771
Filename:
Nursing 102
Updated:
2013-09-29 22:48:54
Tags:
exam
Folders:

Description:
vital signs
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user alicia0309 on FreezingBlue Flashcards. What would you like to do?


  1. Factors affecting pulse
    • Age- ↓ with age
    • Sex- male lower than female after puberty
    • Exercise-↑ with activity
    • Fever- ↑
    • Medications-
    • hypovolemia-↑ with loss of blood
    • stress-↑
    • position- blood pools ↑ PR,↓ BP
    • pathology-certain diseases heart condition that impair oxygenation can alter resting pulse
  2. pulse sites
    • temporal
    • Carotid
    • Apical
    • Brachial
    • radial
    • femoral
    • popliteal
    • posterior tibial
    • pedal
  3. reasons for pulse site
    radial
    readily accessible
  4. reasons for pulse site
    temporal
    used when radial not accessible
  5. reasons for pulse site
    Carotid
    • used during cardiac arrest/shock in adults
    • used to determine circulation to the brain
  6. reasons for pulse site
    Apical
    • routinely used for infants and children up to 3
    • used to determine discrepancies with radial pulse
  7. reasons for pulse site
    Brachial
    • used to measure bloodpressure
    • used during cardiac arrest for infants
  8. reasons for pulse site
    Femoral
    • used in cases of cardiac arrest or shock
    • used to determine leg circulation
  9. reasons for pulse site
    popliteal
    used to determine circulation in the lower leg
  10. reasons for pulse site
    posterior tibial
    used to determine circulation in foot
  11. reasons for pulse site
    dorsalis pedis
    used to determine circulation in foot
  12. S1 occurs when
    the atrioventricular valves close after the ventricles have been sufficiently filled.
  13. S2 occurs when
    the semilunar valves close after the ventricles empty
  14. normal pulse average range
    newborn
    130 (80-180)
  15. pulse average range
    1 year old
    120 (80-140)
  16. pulse average range
    5-8 year olds
    100 (75-120)
  17. pulse average range
    10 year olds
    70 (50-90)
  18. pulse average range
    Teen
    75 (50-90)
  19. pulse average range
    adult
    80 (60-100)
  20. pulse average ranges
    older adult
    70 (60-100)
  21. pulse volume or amplitude
    1+
    • weak or thready
    • lacks fullness obliterates easily
  22. pulse volume or amplitude
    2+
    • normal
    • easily palpable
    • obliterated with strong pressure
  23. pulse volume or amplitude
    3+
    • full
    • volume higher than normal
  24. pulse volume or amplitude
    4+
    • Bounding
    • higher than normal
    • visible pulsation
    • very strong on palpation
  25. what facter effect temp
    • age
    • diural variations/circadian rhythms
    • exercise
    • hormones
    • stress
    • environment
  26. what are risks of cardiovascular disease?
    Non-modifiable
    • Hereditary
    • Age
    • Gender
  27. What are risks for cardiovascular disease?
    Modifiable
    • Sedentary Lifestyle
    • Obesity
    • Diabetes
    • Smoking
    • HTN
    • elevated Lipids/Triglycerides
  28. how do you calculate CO?
    stroke volume X heart rate = cardiac output
  29. stroke volume
    • the amount of blood ejected from the ventricles into circulation in one beat
    • average 70ml
  30. what is cardiac output
    the amount of blood pumped by the ventricle in one minute
  31. when is apical/radial pulse used
    • when peripheral pulse is irregular or unavailable
    • clients with cardiovascular, renal, pulmonary disease
    • before giving meds that raise or lower HR
  32. where do you place the stethoscope for apical pulse
    • midclavicular
    • 5th intercostal space
  33. advantages and disadvantages for temp sites
    Accessible and convenient

    • thermometers can break if bitten
    • inaccurate if ate, drank or smoked
    • could injure mouth following oral surgery
  34. advantages and disadvantages temp sites
    rectal
    reliable measurement

    • inconvenient/unpleasant
    • could injure rectum
    • presence of stool may interfere with placement
  35. advantages and disadvantages of axillary temp site
    safe and noninvasive

    thermometer may need to be left in place a long time to get accurate measurement
  36. tympanic membrane
    advantages and disadvantages
    temp site
    readily accessible, reflects core temp, very fast

    • can be uncomfortable, risk of injury to ear canal
    • wax will alter reading
    • left and right can be different
  37. temporal artery temp site
    advantage and disadvantages
    safe and noninvasive, very fast

    requires electronic equipment that may be expensive or unavailable
  38. average resp rate
    • newborn        35 (30-60)
    • 1 year old      30 (20-40)
    • 5-8 yrs          20 (15-20) 
    • 10 yrs           19(15-25)
    • teen              18(15-20)
    • adult             16(12-20)
    • older adult    16(15-20)
  39. what  to assess when assessing breathing
    • depth- deep or shallow
    • client position- affects amount of air that can be inhaled
    • rhythm-regularity should be evenly spaced
    • quality/character- amount of effort needed
    • sound- normal is silent
  40. altered breathing sounds
    • stridor
    • stertor-snoring
    • wheeze
  41. factors associated with HTN
    • thickened arterial walls
    • inelastic arteries
    • smoking
    • heavy alcohol consumption
    • high cholesterol
    • stress
    • lack of physical activity
  42. what indicates orthostatic Hypotension
    • rise in pulse 15-30 BPM
    • drop in BP 20mmHg systolic or 10mmHg diastolic
  43. what effect does HTN have on the kidney
    • it damages to blood vessels that supply the kidneys with blood, O2 and nutrients
    • as blood flow is reduced the kidney is no longer able to filter the blood for waste products and excess fluid
  44. how quickly should the air be released from the BP cuff while auscultating for Korotkoffs sounds
    2 to 3 mmHg per second
  45. what is the Mean Arterial Pressure?
    MAP
  46. what is normal pulse oximetry reading
    • 95-100% is considered normal
    • under 70% is life threatening
  47. what can affect O2 saturation measurement
    • hemoglobin levels can give false normal
    • impaired circulation
    • activity, shivering or excessive movement
    • CO2 poisioning
  48. what is normal O2 sat and Pulse rate for neonatal
    • 80-95%
    • 100 - 200 BPM
  49. when are rectal thermometers contraindicated?
    • MI
    • Rectal Surgery
    • Diarrhea
    • Diseases of rectum
    • clotting disorders
    • hemorrhoids
  50. when is axillary preferred or indicated for use
    • newborns
    • children (monitor but not to detect)
    • adults with wired jaws, oral inflammation, cannot breathe through nose, irrational clients
  51. how to position the ear for tympanic temp
    • up and back for adult
    • down and back for child
  52. when is tympanic temp method not used
    • if client has ear infection or a lot of ear cerumen
    • pt has tubes
  53. temperature normal for 3 month to 3 yrs old
    • slightly higher than adults
    • 99.4 / 37.2
  54. how many pulse sites are there
    • 9
    • temporal, carotid, apical, brachial, radial, femoral, popliteal, posterior tibial, dorsalis pedis
  55. factors that affect heart rate
    • activity level  ↑  
    • Medications    ↓ or ↑
    • disease processes Cardiac & Resp    ↑ 
    • Age   ↑ age = ↓ rate
    • gender -males tend to be slower
    • Fever -  ↑
    • Hypovolemia-  ↑
    • stress - ↑
  56. apical pulse will be higher than radial, when should doc be notified
    • ↑ 10
    • especially if BP changes or pt has SOB, chest Pain or any other changes
  57. what is pulse pressure
    difference between systolic and diastolic

What would you like to do?

Home > Flashcards > Print Preview