RAD-146 VITAL SIGNS

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Author:
anatomy12
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276962
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RAD-146 VITAL SIGNS
Updated:
2014-06-16 16:29:32
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xray
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xray
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  1. what is a AIDET
    acknowledge introduce duration explanation thank you it is a to communicated with people who are often nervous anxious and feeling vulnerable
  2. Introduce:
    Ex
    introduce your self to to others politely> Tell them who you are and how are you going to help them
  3. "my name is lisa and i will taking your xrays today. I am student xray tech
    • and will e under direct supervison of another technologist. Do you have
    • any questions?
  4. Acknowledge:Ex
    Greet people with a smile and use their names good morning/afternoon, Ms.Jones we have been expecting you here"
  5. Duration:
    keep in touch to ease waiting times. Let others know if there is a delay and how long it will be.
  6. Explanation:ex
    • advise others what you are doing how procedures and whom to contact if
    • they need assistance. Communicate any steps they may need to take. Make
    • words work talk, listen and learn. Make time to help. Ask is there
    • anything else i can do for you?

    • "the exam takes abt 30minutes.
    • the first step is drink this solution and then we'll assist you onto the
    • xray table and take a series of radiographs. Are you warm enough while
    • you wait?"
  7. what are the general questions we should ask once we have acknowledged our patient and have brought them to the xray room
    • why are you having this xray done today
    • how did this injury happen you show me exactly where it hurts
    • you know why your doctor ordered this examination
    • do you have pain
    • any possibility you rare pregnant
    • do you have any allergies
    • did you take the prep for the exam
  8. when assessing the chart what must we check for what
    • check for an order for the procedure
    • check for DNR or NO code
    • check if any allergies are noted
    • check nursing notes for any pertinent information that can help you assess the pt
  9. what are some things we look for in a physical evaluation of a patient (3 main things)
    • observe assess and measure any change in patient condition
    • check skin color (cyanotic denotes a bluish coloration of the skin and black indicates a lack of sufficient blood in tissues)
    • a pale and anxious patient that is subjecting to fainting
  10. what other symptoms should we look for when assessing the physicality of a patient
    • an acutely ill patient may be pale cool and diaphoretic (cold sweat)
    • hot dry skin may indicate fever
    • what does their voice sound like? Is it raspy or high pitch
    • what is their breathing like? is it labored?
  11. when is it important that we examine the patients physical condition
    before and after an exam
  12. When do body temperatures change
    highest in the _____
    lowest in the _____
    • during the day
    • evening
    • morning
  13. temperature is usually obtained where (4 places)
    which is the most accurate
    • oral tympanic rectum and axillary
    • rectal temp
  14. what is the range of normal oral temperatures
    F & C
    • 98.2-99.6 F
    • 36.6-37.6 C
  15. what is the rectal temperature ranges above
    .5 to 1 deg higher than oral temp
  16. What is the axilary temp ranges from oral temps
    .5-1 degree lower than oral temperatures
  17. a childs temperature of 3mo to 3yrs should be in what range
    A child from age 5-13 should be wear
    • 99-99.7deg F
    • 97.8-98.6 deg F
  18. what is pyrexia or hyperthermia
    what is the temp that reveals pyrexia
    • It aka as fever which is a sign of an increase in body metabolism usually in response to an infectious process
    • 100.4 F or above
  19. a person with below normal body temp is said to be
    hypothermic
  20. It is rare for a person to survive temperatures of fevers between what ___ - ____ and below for hypothermia _______
    • 105.8 F - 111.2
    • 93.2
  21. when is taking an oral temperature not appropriate
    when the pt has recently had a hot or cold beverage or is receiving o2 or breathes by the mouth
  22. when taking the oral temp the bulb of the thermometer should be where
    under base of tongue
  23. which method of temperature is slower and somewhat less accurate
    axillary temperature
  24. what is a pulse
    • is the advancing pressure wave in an artery caused by the expulsion of blood when the left ventricle of the heart contracts
    • or
    • the surge of blood that is pushed through the arteries when the heart beats
  25. what are the 7 pulse measurement locations
    • radial pulse
    • carotid
    • femoral
    • popliteal @ posterior surface of the knee
    • temporal
    • dorsalis pedis @ top of feet between first and second toe
    • posterior tibial @ inner side of ankles
  26. if the pulse rate is high the BP is ____
    if pulse rate is low the BP
    • low
    • high
  27. what is the normal avg adult pulse rate in man or woman
    Infants:
    children 4-10:
    • 60-90bpm
    • 120Bpm
    • 90-100bpm
  28. what is the most convenient pulse when finding bpm
    at the radial artery
  29. tachycardia
    why is it caused
    • rapid pulse over 100 bpm
    • exertion nervousness excitability large blood loss or damage to the heart
    • the heart must beat faster to circulate the remaining blood to carry as much oxygen as possible to all the cells of the body
  30. what is bradycardia
    slow heart rate under 60bpm
  31. an apical pulse is best used on which pt we must use what device
    • an infant and children
    • stethoscope
  32. when taking a radial pressure or pulse how long do we count to figure out the pulse
    If the count is off to you count the pulse for a full _____
    • count for 15 secs and mult. by 4
    • 60 secs
  33. how do we count inspirations
    what is the normal adult range
    ad for infants
    • number of inhalations per minute
    • 12-20 or 15-20
    • 30-60 breaths/min
  34. difficulty breathing is
    rapid breathing is
    • dyspnea
    • tachypnea
  35. hyperventilation
    how can you solve this
    when a pt breathes to much o2 and exhaled too much co2 which disturbs the chemical imbalance of the blood

    Instruct the pt to breathe slower or breathe into a paper bag, this will help return the co2 level to normal
  36. pt that have what disease (general) should not lie in what position
    pulmonary; lie flat on back
  37. orthopnea
    • shortness of breath or dyspnea because of pt position lying flat on back
    • the weight of the abdomen organs push against the diaphragm
  38. what is systolic pressure
    diastolic pressure
    top number and is a measure of the amt of blood flow ejected from left vent of the heart

    bottom number ; indicates amt of resistance the blood meets due to systemic vascular resistance
  39. when does bp usually increase
    as we age
  40. what is the normal systolic range
    normal diastolic range?
    • 110-140mm Hg
    • 60-80 mm Hg
  41. what is the normal bp range for children and adolescents
    • 90/50-120/70
    • 85/45-130/85 mm Hg
  42. prehypertension depicts a systolic and diastolic pressure of _____
    what is  the bp considered for  one to have hypertension
    • systolic 120-139
    • diastolic 80-89
    • 140/90
  43. what do we use to determine bp (device)
    sphygmomanometer
  44. a systolic pressure of under 90 and a diastolic pressure of under 50 is an indicator of _____
    how does this occur
    • hypotension
    • when a pt is in shock from burns or bleeding vomiting or heat exhaustion results in a decrease of blood volume
  45. what is a cause of hyper tension
    stress medication obesity and smoking

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