Pulse
What is the normal BPM range for a pulse rate?
60-100 BPM
What is considered a normal BP?
Systolic- Less than 120
Diastolic- Less than 80
What is the normal range for a RR?
12-20 BPM
What area of the body is a Tympanic temperature taken?
The ear canal
What is a normal Sp02 (pulse oximetry) range?
95%-100%
What for Pt's with COPD? = as low as 88%
What is the pulse point in the neck called?
Carotid pulse
What is orthostatic Hypotension?
A BP that decreases when the Pt changes positions (laying, sitting, standing).
Common causes? Peripheral vasodialation, adverse medication effect, hypovolemia, anemia, prolonged bed rest, shock 😲
Common Locations for oximetry reading?
Fingertip, earlobe, forehead, toe, and bridge of the nose
How long in between eating or drinking should you wait before taking an oral temperature?
20-30 mins (ATI)
According to ATI how much of the arm's circumference must be surrounded by the bladder of the cuff for an accurate BP?
80% of the arm's circumference.
Where is an apical pulse taken?
At the apex of the heart, the 5th intercostal space at the mid-clavicular line
In the older adult how do the systolic and Diastolic pressures change compared to the average adult?
Systolic BP typically increases
Diastolic BP stays the same
What is Tachypnea?
RR greater than 20 BPM
Bradypnea?
Dyspnea?
Apnea? 😵
What is considered a normal oral temperature range for the average adult? (Based on ATI)
96.8-100.4⁰ F or 36-38⁰ C
Criteria for stage 2 hypertension?
Systolic- greater than 140
Diastolic- greater than 90
How is pulse strength graded?
0 = Absent, unable to palate
1+ = Diminished, weaker than expected
2+ = Normal, brisk and expected
3+ = Increased, strong
4+ = Bounding, full volume
How high above the antecubital space (elbow) should the BP cuff be placed?
1 inch or 2.5cm (ATI)
Common reasons for false reading with pulse oximeter?
Motion artifact (movement), hypotension, nail polish, poor perfusion/cold extremities
Is the older adults temperature generally lower or higher than the average adult?
What is the range? (ATI)
Do to a lose in subcutaneous fat the older adult has a lower average body temperature.
95⁰-97⁰ F or 35-36.1⁰ C
Name the 2 main parts of the end of a stethoscope
The Diaphragm (large) and the Bell (small)
What is a Pulse Deficit?
The difference between the number of heartbeats detected by listening to the heart (apical pulse) and the number of beats felt at a peripheral location such as the wrist (radial pulse).
What is a pulse pressure?
The difference between your systolic blood pressure (the top number) and your diastolic blood pressure (the bottom number) when measuring a blood pressure
What common drug type often depresses the RR?
Opioids/analgesics/pain medication
Name the 4 types of Heat loss
Radiation, Evaporation, Convection, and Conduction
What is Hyperpyrexia?
A temperature above 106⁰ F or 41.1⁰ C
Malignant Hyperthermia?