Vital Signs & Assessment
This vial sign is often considered the fifth vital sign and should be assessed routinely
What is pain?
Normal Adult heart rate ranges between these values.
What is 60-100 beats per minute?
This device is commonly used to measure oxygen saturation.
What is a pulse oximeter?
This scale is used to assess a patient's level of consciousness.
What is the Glasgow Coma Scale (GCS)?
Before administering medications, nurses typically verify this number of patient identifiers.
What are two identifiers?
A blood pressure of 88/50 mmHg would be considered this.
What is hypotension?
Chest pain that radiates to the jaw and left arm may indicate this emergency.
What is a myocardial infarction (heart attack)?
Crackles heard upon lung auscultation may indicate fluid accumulation in these structures.
What are the alveoli?
Unequal pupil size is known by this term.
What is anisocoria?
This anticoagulant is commonly monitored using INR values.
What is warfarin?
A sudden decrease in urine output may indicate impaired perfusion of this organ.
What are the kidneys?
This electrolyte imbalance can cause dangerous cardiac dysrhythmias when serum potassium is elevated.
What is hyperkalemia?
A patient with COPD should generally receive oxygen therapy cautiously because of the risk of suppressing this.
What is respiratory drive?
The FAST assessment is commonly used to identify this condition.
What is a stroke?
his opioid reversal agent is administered for respiratory depression.
What is naloxone (Narcan)?
A capillary refill time greater than this number of seconds may indicate poor peripheral perfusion.
What is 2 seconds?
This rhythm is characterized by chaotic ventricular activity and requires immediate defibrillation.
What is ventricular fibrillation?
A patient with pulmonary embolism may experience sudden dyspnea, tachycardia, and this type of chest pain.
What is pleuritic chest pain?
A positive Babinski reflex in an adult may indicate dysfunction of this nervous system pathway.
What is the corticospinal tract (upper motor neuron pathway)?
This laboratory value should be monitored closely in patients receiving unfractionated heparin.
What is aPTT?
A serum lactate level is frequently obtained to evaluate tissue perfusion in patients with this life-threatening condition.
What is sepsis?
This assessment finding is commonly associated with left-sided heart failure.
What are pulmonary crackles?
Acute respiratory distress syndrome (ARDS) is characterized by severe hypoxemia that is often refractory to this intervention.
What is supplemental oxygen?
Cushing's triad consists of hypertension, bradycardia, and this respiratory pattern.
What is irregular respirations?
This antidote is used in cases of acetaminophen overdose.
What is N-acetylcysteine (NAC) (a.k.a. Mucomyst)?