Nursing

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Author:
Anonymous
ID:
39435
Filename:
Nursing
Updated:
2010-10-03 20:53:02
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Vital Signs
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  1. What are the 5 vital signs
    • Temperature
    • Pulse
    • Respirations (TPR)
    • Blood Pressure
    • Pain
  2. What are the frequency of Vital Signs Taken?
    • On admission
    • Change in health status
    • Before and after any surgury
    • Rouninely once a shift
    • Before and after certain Meds
  3. Normal Body Temp? Afebrile
    98.6 (37.c)
  4. Pyrexia
    High Fever
  5. Hyperprexia
    Very High Fever
  6. Febrile
    Fever
  7. Afebrile
    No Fever
  8. Neurogenic Fever
    Fever due to brain injury. Non infectious.
  9. Intermittent Fever
    Fever fluctuates from Fever - Normal - Below normal
  10. Remittent Fever
    Never falls to afebrile. Fluctuates in febrile range.
  11. Relapsing Fever
    Fever breaks then comes back.
  12. Physical Effects of Fever
    • Loss Of appetite
    • Headache
    • Dry hot skin
    • Malaise
    • Flushed Face/Thirst
  13. Dangerous Manifestations of Fever
    • Dehydration
    • Decreased urine output
    • Rapid heart rate
  14. What are the Nursing interventions for Fever?
    • Monitor Vitals every 4 hours or more
    • Supply blanket when cold/remove when hot
    • Provide adequate nutrition
    • Provide adequate Fluids (2500-300mL/day)
    • Monitor I/o
    • Reduce Physical Activity
    • Rest
    • Administer antipyretics as ordrered
    • Moisten oral cavity
    • Tepid sponge bath
    • Cooling blanket
    • Linen Change
  15. Sites for Measuring body temp
    • Oral
    • Rectal
    • Axillary
    • Tympanic
  16. Contradictions for Oral Temp
    • Children less than 5 years
    • Confused/Comatose
    • Oral Surgury
    • Oral Infection
    • Mouth Breathers
    • O2B mask
  17. Before any procedure...
    • Gather equipt.
    • ID patient
    • Wash Hands
    • Privacy
    • Saftey
  18. Contradictions to rectal temp...
    • Rectal Surgury
    • Cardiac disorders
    • Diarrhea
    • Hemmorrhoids
    • Clotting disorder
    • Immunosirppressed
  19. Respitory Centers

    and

    Chemoreceptors
    Respitory receptors - Medulla/pons

    Chemoreceptors - Medulla/Carotid and aortic bodies - Respond to O2 CO2 and H+ In arterial blood
  20. Eupnea
    Normal Breathing
  21. Bradypnea
    Less than normal rate
  22. Tachypnea
    Faster than normal breathing
  23. Apnea
    no breathing
  24. Cheyne Stokes Breathing
    Slow to fast breathing returning to slow and stopping then speeding up again. Repeat.
  25. Biots breathing
    Abnormal Pattern of breathing charaterized by groups of quick, shallow inspirations followed by irregular periods of apnea.
  26. Neuropathic pain
    Caused by damage or disfunction to nervous system
  27. Intractible Pain
    Chronic Pain. Not releived by ordinary medical surgical or nursing measures.
  28. Phantom Pain
    Attributed to a body part that does not exist.
  29. Pulse Oximetry
    • Nonivasive
    • Estimates Arterial Blood Oxygen (SpO2)
    • Detects Hypoxia before signs and symptoms
    • Sensor, photodetector, pulse, oximeter unit.

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