Exam (elaborations)
GNRS 554 Med Surg Exam 1 Review_ Vitals (1)
- Course
- Biology 348
- Institution
- Biology 348
GNRS 554 Med Surg Exam 1 Review_ Vitals (1)
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Pyrexia - ✅✅ -Abnormal elevation of the temperature of the body above 37° C(98.6° F) because of disease; same as fever.
Hyperthermia - ✅✅ -An elevated body temperature related to the inability of the
body to promote heat loss or reduce heat production is _______.
✅✅
Heat loss during prolonged exposure to cold overwhelms the ability of the body to
produce heat, causing _________. - -Hypothermia
Bradycardia - ✅✅-a slow rate, below 60 beats/min in adults.
Tachycardia - ✅✅-an abnormally elevated HR, above 100 beats/min in adults.
✅✅
An inefficient contraction of the heart that fails to transmit a pulse wave to the
peripheral pulse site creates a ________. - -pulse deficit
dysrhythmia -✅✅-Deviation from the normal pattern of the heartbeat.
tachypneia - ✅✅-Rate of breathing is regular but abnormally rapid (greater than 20
breaths/min).
Systolic blood pressure - ✅✅ -the pressure created when the heart contracts and
forces blood out into the arteries
define diastolic blood pressure - ✅✅ -the pressure in the arteries when the left
ventricle is refilling; occurs during cardiac relaxation
Hypertension - ✅✅ -Disorder characterized by an elevated blood pressure
persistently exceeding 120/80 mm Hg.
✅✅-low blood pressure that occurs upon standing up
orthostatic hypotension -
Guidelines for measuring and documenting vital signs - ✅✅--Select the right
equipment
-Therapeutic trust
-Analyze results on medial Hx and current illness
-Know the pts baseline its different for every pt
-Take appropriate nursing actions
-Document findings and notify DR of abnormal findings
-Do not delegate unstable pt to CNA
Average temperature range - ✅✅-36° to 38°C (96.8° to 100.4°F)
Average oral temperature - ✅✅-37°C (98.6°F)
, Average rectal temperature - ✅✅-37.5°C (99.5°F)
Average tympanic temperature - ✅✅-37.5 C (99.5 F)
Average axillary temperature - ✅✅-36.5°C (97.7°F)
Normal pulse range - ✅✅-60 to 100 beats/min, strong and regular
Normal SpO2 range - ✅✅-≥95%
Normal respiration rate - ✅✅-12 to 20 breaths/min, deep and regular
normal systolic blood pressure - ✅✅-<120 mmHg
normal diastolic blood pressure - ✅✅-<80 mmHg
Normal pulse pressure - ✅✅-30 to 50 mmHg
normal capnography - ✅✅-35-45 mmHg
Advantages of oral temperature - ✅✅-accessible, comfortable, accurate surface
temp, reflects rapid change in core temp
Disadvantages of oral temperature - ✅✅ -Eating, drinking, smoking, oral surgery,
Hx of epilepsy, shaking, chills and the use of oxygen by cannula or mask can affect
measurements
Advantages of axillary temperature - ✅✅
--safe and noninvasive
-can be used with newborns and uncooperative clients
Disadvantages of axillary temperature - ✅✅--reading impaired by diaphoresis
-requires continuous positioning
-affected by environmental temperature
Advantages of rectal temperature - ✅✅-Argued to be more reliable when oral
temperature cannot be obtained
Disadvantages of rectal temperature - ✅✅-- not used for patient's who have had
rectal surgery, or decreased platelets
- not used on newborns
- risk of body fluid exposure
-risk injuring the rectal lining
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