Understanding Vital Signs and Their Assessment
they are indicators of physiological functioning and health status.
What are Vital Signs?
the nursing process
WHAT ISSS
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Collection of objective data about a patient's body systems
what is a Physical Assessment?
Cleansing lungs of sputum.
what is Coughing?
a disease state that results from the presence of pathogens in or on the body.
What is an infection?
the Distribution of blood cells in capillaries.
Perfusion
When Asking follow-up questions for deeper understanding.
What is Probing?
The heartbeat as heard at the apex of the heart, typically measured at the fifth intercostal space.
what is Apical pulse?
Medications that affect respirations, leading to slower respirations and respiratory depression.
What are opioids?
The #1 defense against invasion of pathogens.
What is Intact skin and mucous membranes?
Rapid breathing WITH apnea; often indicates death.
What is Cheyne-Stokes patterns ?
is the needs addressing based on airway, breathing, circulation.
High Priority
PERRLA
An acronym for Pupils Equal, Round, Reactive to Light and Accommodation, used in neurological assessments.
Decreased rate and depth of breathing.
what is Hypoventilation?
Factors affecting pathogen's ability to cause disease,
Name FOUR
1. The Number of pathogens present
2. ITS Virulence - organism's ability to cause disease
3. The Competence of patient's immune system
4. The Length of contact with pathogen
BP (greater)>180 systolic or (greater) >120 diastolic.
What is a Hypertensive Crisis?
the Actions involving multiple healthcare professionals.
what is Collaborative Interventions?
Includes inspection, auscultation, percussion, and palpation.
Basic Assessments: FOR GI tract
Deep, labored breathing pattern often associated with metabolic acidosis.
What are Kussmal respirations?
its a Gram-positive bacteria that causes diarrhea and is resistant to alcohol-based hand sanitizers.
What is Clostridium difficile (C. Dif) ?
a temp 37.5°C or 99.5°F in adults
What is a Normal tympanic temperature?
it is the ongoing evaluations during patient contact.
What is Periodic Assessment?
A condition characterized by the enlargement of the ends of fingers or toes, often associated with respiratory diseases.
what is Clubbing?
A device used to deliver supplemental oxygen through two prongs that rest in the nostrils.
What is a Nasal Cannula?
it is the most common in acute care: Ceftriaxone, Cefepime; treats UTI, Respiratory infections, Skin infections.
What is Cephalosporins?