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CH. 12 Vital Signs


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[Front]


apical pulse
[Back]


heartbeat as measured with the bell or disk of the stethoscope placed over the apex of heart; represents the actual beating of the heart

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CH. 12 Vital Signs - Details

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Apical pulse
Heartbeat as measured with the bell or disk of the stethoscope placed over the apex of heart; represents the actual beating of the heart
Auscultate
To listen for sounds within the body to evaluate the condition of the heart, lungs, pleura, intestines, or other organs or to detect fatal heart sounds
Blood pressure
Pressure exerted by the circulating volume of the blood on the arterial walls, veins, & the chambers of the heart
Bradycardia
Slow cardiac rhythm characterized by a pulse rate <60 beats/min
Bradypnea
A slow respiratory rate of <12 breaths/ minute
Cheyne-Stokes respiration
An abnormal pattern of respiration characterized by alternating periods of apnea(repeatedly stops & starts) & deep, rapid breathing
Diastolic pressure
Second number recorded in the blood pressure reading; represents the minimum level of blood pressure measured between the contractions of the heart
Dyspnea
Shortness of breath or difficulty in breathing; may be caused by disturbance in the lungs, certain heart conditions, & hemoglobin deficiency
Dysrhythmia
Any disturbance or abnormality in a normal rhythmic pattern, specifically irregularity in the normal rhythm of the heart
Febrile
Body temperature above normal
Hypertension
Occurs when the elevated blood pressure is above normal
Hyperthermia
Condition of abnormally high body temperature
Hypotension
Occurs when the blood pressure is below normal
Hypothermia
Condition of abnormally low body temperature
Korotkoff sounds
Sounds heard while measuring blood pressure when sphygmomanometer & stethoscope
Orthostatic hypotension
A drop of 25 mm Hg in systolic pressure and a drop of 10 mm Hg in diastolic pressure when moving from a lying to sitting position
Oxygen saturation
Measurement of how much oxygen has combined with hemoglobin in the red blood cells
Pulse
A rhythmic beating or vibrating movement; regular recurrent expansion and contraction of an artery produces by waves of pressure caused by the ejection of blood from the left ventricle of the heart as it contracts
Pulse deficit
A condition that exists when the radial pulse rate is less than the ventricular rate as auscultated at the apex of the heart
Pulse oximeter
Device used to measure oxygen saturation
Pulse pressure
Difference between the systolic and diastolic blood pressure, usually 30 to 40 mm Hg
Respirations
The taking in of oxygen, its use in the tissues, and the giving off carbon oxide; the act of breathing inhaling and exhaling
Systolic
The number or reading that represents ventricles contracting, forcing the blood into the aorta and pulmonary arteries
Tachycardia
An abnormal condition in which the myocardium contracts regularly but at rate greater than 100 beats/minute
Tachypnea
An abnormal rapid rate of breathing
Vital signs
Measurement of temperature, pulse, respiration, and blood pressure
Normal temperature
97 to 99.6 fahrenheit
Core temperature
Temperature of the deep tissues of the body
Surface temperature
Temperature of the skin
Body temperature falls into 2 categories:
Core temperature and surface temperature
Factors that affect body temperature
Age, exercise, hormonal influences, diurnal (daily) variations, stress, environment, smoking, ingestion of food and hot and cold liquids
Fever temperature
> 100.4 indicated infection or an illness
Constant
Fevers remain elevated consistently and fluctuate very little
Intermittent
Fever rise and fall, temperature normal in the morning and in the afternoon elevated
Remittent
Fever rise and fall does not return to normal until patient is well
Factors that influence pulse rates
Acute pain, anxiety, age, exercise, fever, heat, hemorrhage, medications, metabolism, postural changes, pulmonary conditions, chronic pain, dehydration, fluid volume excess
Major pulses site
Temporal, carotid, brachial, radial, apical, femoral, popliteal, posterior tibial, and dorsalis pedis
Normal pulse range
60-100 beats/minute
External respiration
Breathing movements that are observable
Cycle of external respiration:
Inspiration and expiration
Inspiration
Inhaling air with oxygen into the lungs
Expiration
Exhaling air with carbon dioxide out of the lungs
Normal respiration range
12-20 respirations per minute