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Vital Signs Exam

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Vital Signs Exam


what are vital signs primarily used for?

monitoring a patient's condition

how long will it take post blood transfusion for a rxn to occur in a patient [if there is one]?

10-15 minutes. patient's vitals especially need to be monitored during vital signs

name all 5 (6) vital signs

respiration, blood pressure, temperature, pulse ox, pulse [pain]

normal temperature for a pt

36-38 degrees celsius, 96.8-100.4 degrees Fahrenheit

what is considered a normal pulse rate

60-100 BPM

what is considered normal respirations in a patient

12-20 breaths per minute

What is considered a normal BP for a patient

< that or equal to 120/80

what is considered a normal pulse ox for a patient

95-100%

what is considered the 6th vital sign

pain

what is typical rectal temperature

99.5 or 37.5 degrees celsius

who is responsible for taking vitals?

the nurse caring for the pt. nurse can delegate to a CNA

what kind of approach do we want to use when assessing a patient?

a systemic approach [step-by-step] covering each step thoroughly

body temperature equation

heat produced - heat lost

, what are the two different kinds of temperatures that can be taken and which tends to be more
reliable?

core/surface temperature [core more reliable]

what are the 4 aspects under the umbrella of thermoregulation

heat loss, heat production, neural and vascular control, behavioral control

anterior hypothalamus is responsible for...

keeping the body cool via heat loss; vasodilation, sweating. also inhibits production of heat

posterior hypothalamus is responsible for ...

heat production, vasoconstriction, shivering

what is the response of our blood vessels when it becomes cold?

they vasoconstrict and retain the heat

Shivering
[what is there a demand for?]

response to being cold
produces heat
demand for O2

when can shivering become problematic to a patient?

if the patient is suffering from a cardiac condition

BMR

basal metabolic rate. Heat produced when the body is at total rest

what is heat production
list mechanisms of heat production

a by-product of metabolism
-voluntary movement
-shivering
-nonshivering thermogenesis [neonates, brown fat]

why do men have a higher BMR over females?

because BMR is effected by things such as thyroid/testosterone production. since males have a higher
testosterone production than females, they have higher BMR levels.

Skeletal muscle movement produces ______x greater production of BMR

4-5x

BMR increases with exercise up to _____x normal

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