MISC.
the "5th" vital sign
what is pain
Normal Respiratory rate for an adult?
What is 12-20 respirations per minute
Normal pulse range for an Adult
What is 60-100/minute
temperature that is considered febrile in all life stages?
what is anything over 100 degrees F or 37.7 degrees Celsius
Normal blood pressure reading for an adult?
what is 120/80
What is: Temperature, Pulse, Respiratory Rate, Oxygen Saturation, Blood Pressure
Normal Pulse Ox reading for an adult
92-100%
the pedal pulse is palpated in what anatomical region?
Dorsal surface of the foot
What factors might alter a patient's temperature
physical activity, eating or drinking, being outdoors, wearing a head covering etc.
the upper number of a blood pressure reading is called
systolic
What actions should you complete prior to performing vital signs on your patient?
Introduce yourself, perform hand hygiene, and identify the patient (name & DOB)
a Pulse Oximeter measures what?
the amount of oxygen attached to hemoglobin in blood
A "normal" pulse palpation should be documented as what score?
What is 2+
a tympanic thermometer measures the temperature of what area?
What is the ear (drum)
the lower reading of a blood pressure is called
diastolic
Factors you assess to determine orientation
Person, Place, Time, Situation.
characteristics you watch for when counting respirations
what is rate, rhythm, depth
What does Bradycardia mean?
A pulse rate less than 60 BPM in adults
When is a rectal temperature indicated?
-other methods of temperature measurement aren't working
-A concerning high or low reading
-Age-Neonate/infant
-Clinically indicated (concern for sepsis)
heart contraction and ventricle emptying
what is location, intensity, quality, duration, alleviating/aggravating factors.
What should you do if your pulse ox reading is very low?
-validate the reading clinically (assess and determine if your patient is in distress.)
-recheck on a different finger
-warm the extremity
-remove any nail polish/clean the finger
-try different equipment
What does Tachycardia Mean?
A pulse rate greater than 100 BPM in adults
If a patient's temperature is accurately elevated what other vital sign is also likely to be elevated?
What is the pulse/heart rate
the diastolic reading of blood pressure measures
Ventricles relaxing and blood filling the heart