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What methods of assessing temperature reflects core temperature
1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature
axillary
Which patients are contraindicated for rectal temperature readings
Patients with increased HR
Preferred method of taking infants and small children's temperatures
Rectal
,Pulse deficit
- Difference between apical peripheral pulse
Pulse amplitude scale
0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
Which pulses are assessed during a routine physical assessment?
1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult
60 to 100 bpm
Well trained athletes heart rate
Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm
Someone with anxiety and right after exercise
,Eupnea
Normal RR, rhythm and depth
Normal SPO2 value
95-100%
What level is poor oxygenation
below 90%
Systolic BP
Maximum pressure on the artery during ventricular contraction
Diastolic BP
Resting pressure during ventricular filling
Pulse pressure
Difference between systolic and diastolic
Stroke volume
Amount of blood ejected with each beat
, How does age affect BP
BP increases with age
What BP is pre hypertensive?
Sustained BP over 120/80
What extremities should you avoid taking a BP in
Extremities with IV lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension
- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications