Chapter 46 Vital Signs

conversion from Celsius to Fahrenheit

F= (9/5 x Celsius) +32

conversion from Fahrenheit to Celsius

C = 5/9 (Fahrenheit -32)

without a temperature

afebrile

with a temperature

febrile

another word for fever

pyrexia

sign of some disorder within the body

fever

temp that alternates between fever and normal or subnormal reading is called

intermittent fever

temp that rises several degrees above normal and returns to normal or near normal is called

remittent fever

fever stays elevated is called

constant fever

sudden drop in fever to normal temp is called

crisis

gradually decline in temp to normal is called

lysis

fever that returns to normal for at least a day and then reoccurs is called

relapsing fever

used to perform surgical procedures reducing body temp

clinical hypothermia

life-threatening hypothermia requiring immediate treatment

accidental hypothermia

life-threatening temp for hyperthermia

108 F

life-threatening temp for hypothermia

93.2 F

oral temp is where

mouth

rectal temp is where

rectum

axillary temp is where

armpit

tympanic temp is where

ear canal

temporal temp is where

forehead

all locations for temps are covered paper or plastic cover except for what site

temporal

In taking an oral temp, if the client has smoked, eaten, drank a cold or hot beverage what is the waiting time for taking the temp

15 minutes

should you use oral temp on infants or young children

No

Should you use oral temps on suicidal clients?

No

The rectal temp is a highly accurate place for measurement of temperature?

True

The axillary temp is the least accurate area for temperature recording?

True

The axillary temperature is used frequently for obtaining temps in newborns?

True

Tympanic temp measures the thermal radiation given off by the tympanic membrane?

True

the tympanic membrane blood supply is similar to that of what heat regulating center

thalamus

the tympanic temp can be measured in how many seconds

1-2 seconds

The quickest and most non-invasive method for taking a temp is by which method

Temporal Artery Temp (TA)

What color are oral glass thermometers in the clinical setting?

Blue

what color are rectal glass thermometers in the clinical setting?

Red

Are mercury glass thermometers used in the clinical settings?

No

wave of blood that causes pulsations through the arteries is called

pulse

how often a person's heart beats per minute is called

pulse rate

abbreviation of heart rate

HR

normal pulse rate of an adult is

60-80bpm

normal pulse rate of a newborn ranges

120-140 bpm

Does the pulse rate increase with fever or an overactive thyroid gland?

True

1F increase heart rate 10bpm

true

pulse rate >100 bpm is called

tachycardia

pulse rate < 55-60 bpm is called

bradycardia

pulse volume varies with the blood volume in the arteries, strength of heart contractions and the elasticity of blood vessels

true

weak or thready pulse can be a sign of what

hemorrhage

simultaneous measurement of the apical and the radial pulse is called

apical-radial pulse

irregular in force and rhythm is called what?

dysrhythmia

feeling with the fingers is caused

palpation

listening of sounds with a stethoscope is called?

auscultation

PMI means what

point of maximal impulse at the apex of the heart

closure of the mitral and biscupid valves causes the first heart sound called what?

S1

closure of the pulmonic valve and the aortic valve causes the second heart sound called?

S2

this pulse site is used in children under 2yrs of age

apical pulse

this measurement is ordered when it is suspected that the client's heart is not effectively pumping blood

apical - radial pulse (A-R)

Is it possible for the apical pulse to be lower than the radial pulse?

No

pulse felt over the dorsalis pedis is called what?

pedal pulse

when assessing pedal pulses should you assess them bilaterally?

True

pulse located posterior to the knee

popliteal pulse

pulse on either side of the neck

carotid pulse

should you check the carotid arteries bilaterally at the same time?

No

cessation of breathing is called

apnea

normal breathing is called

eupnea

abnormally rapid >20 breathes per minute is called

tachypnea

abnormally slow breathes fall below <10 breathes is called

bradypnea

this act produced by the equalizing the pressure between the outside atmosphere and the middle ear

sighing or yawning

pressure in increased cerebral pressure on the respiratory center cause the respiratory rate to do what?

decrease

poisons in the body in uremia and diabetic coma cause respirations to do what?

increase

normal respiratory rate for newborn

30-80

normal respiratory rate for early childhood

20-40

normal respiratory rate for late childhood

15-25

normal respiratory rate for adult male

12-18

normal respiratory rate for adult female

16-20

respiration rate below 10 or above 24 breathes per minute is a sign of what?

respiratory impairment

deep labored respirations seen in diabetic coma is called?

Kussmaul's respirations

occurs when the air passageway is partially blocked is called

snoring

Occurs when air passes through secretions present in the air passages

stertorous breathing

term for difficult or painful breathing

dyspnea

unable to breath except in an upright position is called

orthopnea

spasms and edema of the bronchi is called

asthma

bluish tinge of the skin is called?

cyanosis

bluish color around the lips is called?

circumoral cyanosis

slow and shallow with gradual increase and deeper until periods of apnea is what type of breathing disorder?

Cheyne-Stokes respirations

Cheyne-Stokes respirations usually precede death?

True

what two factors determine blood pressure (BP)

cardiac output and peripheral resistance

Cardiac Output (CO) is a combination of what?

heart rate and the amount of blood pump on each contraction (stroke volume)

the resistance of blood vessels to the flow of blood is called?

peripheral resistance

loss of elasticity in the walls of the vessels is called?

arteriosclerosis

build up of plaque in the vessels is called?

atherosclerosis

if peripheral resistance is increased does the heart have to compensate by the heart pumping harder?

True

high blood pressure is called?

hypertension

low blood pressure is called?

hypotension

systolic pressure is the measure of pressure where in the heart

ventricles on contraction

diastolic pressure is the measure of pressure when the heart is what

relaxing

Korotokoff's first sound is when the heart is ?

contracting

Korotokoff's 5th phase sound is the what pressure

diastolic

Do not use an arm on an affected side of a client with the following conditions

dialysis, stent or fistula
recent mastectomy
arm injury
splint
IV line

What is a normal body temp in Fahrenheit

98.6

What is a normal body temp in Celsius

37

Oral temperature is more accurate than axillary and less accurate then rectal?

True

The rectal temperature is highly accurate because it is placed in an enclosed cavity?

True

The axillary is the least accurate because the skin surfaces in the axillary space may not come together to form a tight seal?

True

When the pulse occasionally skips a betat, this irregularity is described as an intermittent or irregular pulse?

True

The amount of blood pump with each contraction is called?

Stroke Volume

If peripheral resistance is low, the heart does not have to pump as hard, and blood pressure lowers?

True

Phase I of the Korotkoff's sounds is the systolic pressure?

True

Severe drop in BP when the client sits up or stands is called?

orthostatic or postural hypotension