CLIA-Waived Laboratory Procedures -: tests to be performed are simple with a low risk
of error
What is the normal Temperature -: 97.6-99.6 (36.4C-36.7C)
Oral temperature above 100 (37.8C)
Rectal/Ear Temperature above 101 (38.3C)
What do these numbers indicate? -: Fever
Pediatric patient fever -: rectal temperature is 100.4 (38C) or above
Normal Blood Pressure -: Systolic is less than 120 and diastolic is less than 80
(120/80)
Pre hypertension -: systolic 120-139
diastolic 80-89
Hypertension Stage 1 -: systolic 140-159
diastolic 90-99
Hypertension Stage 2 -: systolic 160+
diastolic 100+
Hypertensive crisis -: systolic 180+
Diastolic 110+
Hypotensive -: Systolic <90
diastolic <60
Heart Rate range -: 60-100 BPM resting state
Athlete 40BPM
Tachycardia -: 100+ BMP heart rate
Bradycardia -: <60BPM heart rate
respiration rate -: 12-20RPM
abnormal-pale skin/cold
vital signs -: provides diagnostic information for the physician
blood pressure, temperature, pulse, and respirations
,ventricles contract -: blood is pushed out of heart and into the aorta and pulmonary
artery
blood pressure is divided into two section -: systolic/diastolic
systole -: when the heart contracts
diastole -: when the heart relaxes
sphygmomanometer -: used to measure a patient's blood pressure
Blood pressure procedure -: 1. palpate the brachial artery in the antecubital fossa
region of the arm
2. palpate for the brachial pulse in both arms. Use right arm
3. position the patients arm in an outstretched relaxed position at heart level.
4. center the bladder of the blood pressure cuff over the brachial artery
5. blood pressure cuff 1 inch above bend in elbow
6.hold stethoscope between 1st and 2nd fingers/thumb not over it
7. bell completely touching the skin
8. release the dial on the bulb by 2mm per second
9 First beat note the number on the dial- SYSTOLIC READING
10.Continue listening until beats have stopped-
DIASTOLIC READING
120/80mm Hg
patients heart rate provides information about -: heart's rhythm, volume, and vessel
elasticity
Pulse procedure -: 1. palm side of wrist
2.count number of times beat repeats for 30 sec
3.multiply by 2
respiration procedure -: 1. do not tell patient
2.count number of times chest rises 30 sec
3.multiply by 2
temperatures -: tympanic membrane, temporal artery, axillary, rectal
rectal temperature position -: sims
anthropometric measurements -: height and weight
to convert celcius to F -: (C x 9/5) +32
, to convert F to C -: (F-32) x 5/9
1 pound=.45kg -:
kilograms to pounds -: kilogram x 2.2
pounds to kilograms -: pound x .45
Supine Position -: laid flat
dorsal recumbent -: laid face up with knees bent
Fowlers position -: patient is laid on a table with head of the table elevated to 90
degrees
semi fowlers -: table elevated to 45degrees
prone position -: patient is face down
Sims position -: patient lies on their left side with the right leg sharply bent with knee on
exam table
knee chest position -: patient rests on the knees and chest with head turned to one
side
Trendelenburg position -: patient is supine and bottom of the table is raised about 30
degrees
medication administered -: oral, topical, and parenteral
injectable medication -: intramuscular, intradermal, and subcutaneous
intramuscular injection -: seated position exposing deltoid, 3 fingers below acromial
process, aspirate and observe for blood, if no blood inject medication 90 degree angle
intradermal injection -: seated position 15 degree injection
subcutaneous injection -: upper arm inject 45 degrees aspirate for blood and then
inject medicine
pulmonary function test -: uses spirometer and blow as hard as possible
snellen chart -: vision test
routine specimens -: most common urine test