Chapter 11: Basic Vital Signs and Measurements

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College Clinical Medical Assisting (Clinical Medical Assisting) FlashCards sobre Chapter 11: Basic Vital Signs and Measurements, criado por La'Shae em 25-07-2015.
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FlashCards por La'Shae, atualizado more than 1 year ago
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Resumo de Recurso

Questão Responda
Vital Signs -cardinal signs temperature, pulse, and respiration (TPR), and blood pressure (BP) pain assessment sometimes included height and weight and patient's oxygen saturation
Patient Intake describes the process of obtaining vital signs and measurements, and conducting a brief patient interview -reason for visit (complaint) -patient history or update info -height and weight -vital signs
Height and Weight mensuration- means measurement fluctuations with height or weight could indicate health disorder or illness
Body Mass Index (BMI) a numerical correlation between a patient's height and weight *multiply weight in lbs by 703 *divide the total by height in inches *divide by height in inches *result is BMI less than 18.5: underweight 18.6-24.9: acceptable 25.0-29.9: overweight greater than 30: obese
Waist Circumference measured in standing position, tape measure placed around patient's waist just superior to the hip bone
Weight Circumference to establish body fat -measurements for a woman greater than 35 in would be considered excessive -measurements for a man greater than 40 in considered excessive
Body Fat Calipers are devices that measure skin folds on different parts of the body
Temperature staying within a particular temperature range is essential for the body to maintain homeostasis tissues and cells in the body function best between 97F and 99F
Structures that Help Regulate Temperature -The Hypothalamus: within the brain; aka thermostat -Blood Vessels: when hot; vasodilation occurs. when cold vasoconstriction -The Integumentary System: allows the body o lose heat through perspiration -The Neurmuscular System: controls shivering, and helps raise body temperature
Heat Produced Vs Heat Lost if the amount of heat produced exceeds the amount lost, a fever occurs and the patient is febrile if the heat lost is greater than the amount produced, hypothermia can occur Normal temp is afebrile
Normal Temp normal temp is approx: 98.6F must document the way the temp is taken rectal temps run higher than oral, axillary temps run lower than oral, and generally less accurate. Tympanic membrane, or aural (ear) temps run higher than oral readings because they are within a closed cavity
Temperature Conversion Celsius to Fahrenheit: multiply the celsius reading by 9/5 and add 32 C= 36.1 X 9= 324.9/5= 64.98 + 32 = 97F Fahrenheit to Celsius: subtract fahrenheit by 32 then multipy 5/9 F= 97- 32 = 65 X 5= 325/9 = 36.1C
Normal Temps by Route Oral: 98.6F-37.0C Aural (ear): 99.6F- 37.7C Rectal: 99.6-37.7C Temporal(forehead): 99.6F-37.7C Axillary(armpit): 97.6-36.3C
Fever Low Grade: 100.4F- 102.2F (38C-39C) Moderate: 102.2F-104F (39C-40C) High-Grade: 104-107.6 (40C-42C) Hyperpyrexia: greater than 107.6 (42C) Lethal: greater than 109F (43C)
Pulse- Temporal locate in the temple region of cranium, mainly used in emergency situations
Pulse- Apex located at the apex of the heart or at the fifth intercostal can be palpated or can be listening to with a stethoscope. used to check pulse in infants and children up to the age of three
Pulse- Brachial located in the antecubital space at the front side of the elbow used for blood pressure in adults, checkpoints for infants recieving CPR, and artery is compressed to control bleeding
Pulse- Carotid located laterally to midline of the anterior neck easy to palpate
Pulse- Dorsalis Pedis located on the superior surface of the foot difficult to palpate used to assess circulation in the foot
Pulse- Femoral located in the center of the groin region used to assess circulation and control bleeding
Pulse- Popliteal located on the posterior surface of the knee can be used for blood pressure best palpated when the knee is slightly bent
Pulse- Posterior tibial the medial aspect of ankle used to assess circulation
Pulse- Radial radial or thumb side of wrist checking pulse rates in adults
Average Pulse Rates Newborn:140 0-6 M: 130 6-12 M: 115 12- 24 M: 110 2-6 years: 100 Early school Age: 95 Adolescene through adulthood: 80 Geriatric: 74 Athletes: 60 Elite athletes:50
Pulse heart rate over 100 BPM- tachycardia heart rate below 60 BPM- bradycardia
Pulse rhythem interval timing between measured beats
Arrhythmias/Dysrhymias are irregularities may order EKG or ECG
Pulse Volume strength of the pulse, the amount of blood being discharged from the heart
Taking an Apical Pulse is taken with the aid of a stethoscope. the diaphragm is placed over the apex of the heart
Resipratory Values in breaths per minute Newborn: 30-60 min 12-24 M: 20-40 Min 8-15 years: 15-25 min 16 years- adult: 16-20 min
Describing Patient's Respiration -Dyspnea: difficult or labored breathing -Orthopnea: easiest breathing while in sitting or standing postion -Tachypnea: rapid rate with normal or shallow resiprations -Hyperpnea/Hyperventilation: rapid and deep respiration Bradypnea: breathing abnormally slow
systole when the cardiac ventricles contract Systolic pressure- greatest amount of force is applied to the aterial vessels the top number when recording blood pressure
Diastole when cardiac ventricles relax the pressure is lower during this phase as the heart relaxes and is referred to as diastolic pressure the bottom number
Adult Blood Pressure Normal: Sys: less than 120 Dia: less than80 Prehypertensive: Sys: 120-139 Dia: 80-89 Stage 1 hypertension: 140-159 Dia: 90-99 Stage 2 hypertension: greater than 159 Dia: greater than 99
Korotkoff Sounds Phase one-the first sound heard Phase 2: sound intensifies to swooshing tone Phase 3:sound becomes stronger Phase 4: the pulsation become softer Phase 5: totally inaudible

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Chapter 3: The Complete Medical Record and Electronic Charting
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Chapter 5: Conducting a Patient Interview and Developing A Medical History
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Chapter 22: Medical and Surgical Asepsis
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Chapter 6: Developing In- Office Screening Skills
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Chapter 12: The Physical Exam
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Chapter 13: Eye and Ear Exams & Procedures
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Chapter 24: Assisting with Minor Office Surgeries & Wound Care
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