nursing process

Card Set Information

Author:
sojialiu
ID:
81149
Filename:
nursing process
Updated:
2011-04-27 14:25:18
Tags:
nursing process
Folders:

Description:
nursing process
Show Answers:

Home > Flashcards > Print Preview

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


  1. Objective Data
    These are the data that can be observed or measured on patient.
  2. Subjective data
    Data from the client's perspective
  3. Sphygmomanometer
    to measure blood pressure
  4. Percussion
    also using hand to feel for signs
  5. Ascultation
    using stethoscope to hear any abnormal sound
  6. The nursing diagnosis is focused on
    problems that exist now. Nursing diagnosis identifies problem the client is at risk for if some preventive action is not taken.
  7. Vital Signs
    • Blood pressure,
    • pulse rate,
    • temperature
    • respiratory rate.
  8. Temprature Normal ranges
    Axillary
    Oral
    Rectal
    Tympanic
    • Axillary: 96° to 98° F
    • Oral: 97° to 99° F
    • Rectal: 98° to 100° F
    • Tympanic: 97° to 99° F
  9. pulse rate
    number of times the heat beat per minute
  10. Rhythm
    the frequency of heart beat
  11. Carotid pulse
    on Carotid artery (neck)
  12. Apical pulse
    over the apex of the heart; listen with stethoscope; count one full minute
  13. Normal Values of pulse rate-
    Infant
    2-6years
    6-12years
    Adult
    • Infant-110-160 beat/min
    • 2-6years 90-110 beat/min
    • 6-12years-70-100beat/min
    • Adult-60-100 beat/min
  14. Blood pressure
    refers to the force of contraction and relaxation of the heart as it is been applied to the wall of the arteries.
  15. Unit of measurement blood pressure
    Millime­ters of Mercury
  16. Systolic Blood pressure
    is the force exerted against the arterial walls when the heart is contracting
  17. Diastolic
    is the force exerted against the arterial walls when the heart is relaxing.
  18. Pulse pressure
    the difference between systolic and diastolic pressures.
  19. Pulse pressure
    Normal Values
    Infant
    2-6years
    6-12years
    Adult
    Infant- 75/50 mmHg

    2-6 year old- Systolic- 85-100mmHg; diastolic 60-70mmHg

    6-12years old – Systolic-95-108mmHg; diastolic- 56-68mmHg

    Adult- Systolic-90-140mmHg; Diastolic- 60-90mmHg
  20. basal metabolic rate
    the rate at which heat is produced when the body is at rest
  21. Apnea
    absence of breathing
  22. Stertorous
    noisy breathing or snoring
  23. Hyperpnea
    abnormal increase in the depth and rate of breathing;
  24. Cheyne-Stokes

What would you like to do?

Home > Flashcards > Print Preview