Tores ch. 6 vital signs

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Ghoelix
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Tores ch. 6 vital signs
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2015-08-26 02:09:56
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Vital signs
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Tores ch. 6
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  1. 4 Vital signs
    • Body temperature
    • Respiration
    • Pulse
    • Blood pressure
  2. Body temperature can change due to (6)...
    • time of day
    • age
    • weight
    • physical exercise
    • disease
    • injury
  3. Normal adult temperature
    • 98.6F
    • 37c
  4. Normal juvenile temp
    97.8 - 98.6F
  5. Normal infant ( 0 - 3yo ) temp
    99 - 99.7F
  6. Pyrexia
    Fever
  7. Hypothermia
    • Below body temperature
    • Cause by environment, Pathological processes
    • if below 95F - death can occur
    • if below 93.2 - survival unlikely
  8. Average pulse for adult
    60 - 90BPM
  9. Average pulse for child
    90 - 100 BPM
  10. Average pulse for infant
    120BPM
  11. Tachycardia
    • Rapid pulse / heart rate
    • > 100BPM
  12. Bradychardia
    • Slow pulse / heart rate
    • < 60BPM
  13. Best place to check pulse
    Carotid
  14. 2nd best place to check pulse
    Radial
  15. Average adult respiration
    10 - 20 RPM
  16. Average infant respiration
    30 - 60RPM
  17. 4 Causes of changes in respiration
    • Age
    • Exercise
    • Illnesses
    • Medication
  18. Dyspnea
    Difficulty breathing
  19. Blood pressure definition
    The product of flow times resistance or blood vessels.
  20. 6 Causes for changes in blood pressure
    • Age
    • Sex
    • Physical development
    • Body position
    • Time of day
    • Health
  21. X     Blood pressure what over what
    ---
     X
    • Systolic    ventricular contraction
    • ---------    ------------------------
    • Diastolic   ventricular relaxation
  22. Normal adult blood pressure
    • 110     140
    • ----  -  ----
    • 60        80
  23. Sphygmomanometer
    The cuff and bulb
  24. Normal adult pulse oxymeter reading
    95 - 100
  25. ALOC definition
    Altered Level Of Conciousness
  26. What are 3 ALOC tests?
    • Can patient follow instructions?
    • Can patient state own name?
    • Can patient say today's date?
  27. Vital signs
    • Pulse
    • Temperature
    • Respiration
    • Blood pressure
  28. Body Temperature definition
    Physiological balance between heat produced in body tissues and heat lost to the environment.
  29. What gland controls body temperature?
    Hypothalmus.
  30. Pulse is rapid means...
    Blood pressure is low.
  31. Pulse is slow means...
    Blood pressure is high.
  32. How to write a pulse of 80BPM?
    P80
  33. How to write a respiration of 20RPM?
    R20
  34. Hypertensive definition...
    • High blood pressure
    • > 140/90 mmHg
  35. Hypotensive definition
    • Low blood pressure
    • < 90/x mmHg
  36. Oxygen Tension / Partial Pressure...
    Amount of oxygen in either the air or the blood.
  37. ABG
    Arterial Blood Gasses.
  38. Normal adult pH...
    7.35 - 7.45
  39. Normal adult PCO2
    32 - 45 mmHg
  40. Normal adult PO2
    80 - 100 mmHg
  41. Normal adult HCO3
    20 - 26 mEq/L
  42. Normal adult SaO2
    95% - 100%
  43. Hypoxemia
    Low blood oxygen
  44. Hypercapnea
    Too much CO2 in the blood
  45. Pulse oxymeter
    Device with photoreceptor, attached to finger or ear lobe which can detect levels of oxygenated or nonoxygenated blood below surface of skin.
  46. Tracheobronchitis
    Inflamation of trachea and bronchi, sore throat.
  47. Pressure of O2 from wall outlets...
    60 - 80 psi
  48. O2 pressure from tanks
    2,000 psi
  49. What percentage of the air we breath is O2?
    21%
  50. LPM
    Liters Per Minute
  51. Nasal cannula
    • Hose attached to O2 source with two prongs which deliver O2 to the nostrils of a patient.
    • Most common O2 delivery device
    • Adults  1 - 4 LPM
    • Children 1/4 - 1/2 LPM
  52. Nasal Catheter
    • Hose fed up nostril and into oropharynx
    • Flow 1 - 5 LPM
  53. Face mask
    • Not a perfect seal around face.
    • Flow should not be < 5 LPM
  54. Non-rebreathing mask
    • Has bag attached to face mask
    • Can deliver up to 100% O2
  55. Partial non-rebreathing mask
    Can deliver 60% - 90% O2
  56. Venturi Mask
    Limits O2 to 24% - 80% + water particles
  57. Equipment which must be on hand for O2 deli very in radiology department (5) ...
    • O2 Source
    • Sterile nasal cannula or face mask
    • Connecting tubing and adapters
    • Flow meter
    • No Smoking sign
  58. Radiotranslucent
    x-rays pass through
  59. Why check blood pressure at brachial artery of left arm?
    It is direct line from heart.
  60. Shock
    • A condition where the tissues in the body don't receive enough oxygen and nutrients to allow the cells to function.
    • Can occur rapidly, and is life threatening.
    • Can progress and cause death.
  61. 5 Causes of shock...
    • Fluid loss
    • Cardiac failure
    • Decreased tone of blood vessels
    • Blood loss
    • Obstruction of blood flow
  62. 4 Signs of shock...
    • Skin may be cold and clammy
    • Decreased urine output
    • Increased respiration
    • Increased anxiety
  63. 5 signs of shock progression...
    • Drop in blood pressure
    • Rapid, shallow respiration
    • tachycardia
    • Chest pain
    • Confusion
  64. 6 Kinds of shock...
    • Hypovolemic - low blood volume
    • Cardiogenic - heart doesnt pump enough blood
    • Distributive - blood pools in vessels, decreased return to heart
    • Neurogenic - damage to spinal cord, stress or pain
    • Septic - has to do with immune system
    • Anaphylactic - allergic reaction
  65. Hypovolemic shock
    Low blood volume
  66. Cardiogenic shock
    Inability of the heart to pump enough blood
  67. Distributive shock
    Blood pools in vessels and decrease return to heart
  68. Neurogenic shock
    Has to do with spinal cord, pain, or stress
  69. Septic shock
    Has to do with immune system
  70. Anaphylactic shock...
    Allergic reaction
  71. PE / Pulmonary Embolism...
    Thrombus blocks pulmonary artery of lung

    Symptoms

    • Chest pain
    • Shortness of breath
    • Death can occur
  72. Diabetic emergency...
    4 symptoms
    Hypoglycemia

    • Excess insulin in blood
    • or
    • low blood sugar

    Symptoms

    • Tremors
    • Dizziness
    • Sweating
    • Clammy
  73. Ketoacidosis...
    6 symptoms
    • Decrease in insulin
    • Can progress into coma, can result in death if insulin is not administered.

    Symptoms

    • Weakness
    • Drowsiness
    • Headache
    • Warm, dry skin
    • Smell funny odor, especially on breath
    • Hyperglycemic
  74. Crebrovascular accident / CBA
    3 symptoms
    Stroke - lack of blood supply to brain

    • Face drooping on one side
    • Slurred speech
    • Arm weakness on one side of body
  75. Transischemic attacks / TIA
    Mini-strokes

    Symptoms

    • Drooping of face, especially one side
    • Slurred speech
    • Arm weakness on one side of body
  76. Syncope
    Fainting
  77. Seizure protocol
    4 steps
    • Clear area
    • If vomiting, turn on side
    • If in wheelchair, help them to floor
    • Get help

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