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Health Assesment Test 1-ch7
ch7
39
Medical
Professional
09/12/2008

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Term
General survey
Definition
a view of the whole person, general state of health, and obvious characteristics
physical appearance
mental status
mobility
behavior
age-related considerations
age
gender
level of consciousness
skin color
facial features
signs of acute distress
Term
general survey body structure
Definition
stature
nutrition
symmetry of body parts bilaterally
posture
position
body fluid, contour and proportions
obvious physical deformities
Term
components of mental status assessment
Definition
alertness/level of consciousness
attention
comprehension
construction
emotional status
higher memory function
insight
intelligence
judgment
memory
orientation of time, place, and person
Term
MMSE mini-mental stress examination
Definition
purpose: quantify cognitive ability ; measure change over time; identify presence of organic disease
Term
FROMAJE
Definition
functioning
reasoning
orientation
memory
arithmetic
judgment
emotional status
Term
Level of consciousness-alertness
Definition
alert: awake and aware
Term
lethargic
Definition
you must speak in a loud forceful manner to get a response
Term
obtunded
Definition
you must shake a patient to get a response
Term
stuporous
Definition
unarousable except by painful stimuli (sternal rub)
Term
coma
Definition
completely unarousable
Term
TPRBPPAIN
Definition
temperature
pulse
resp
blood pressure
pain
Term
temperature
Definition
norm body temp: 97.7-99.5
Term
Oral temperature
Definition
most accurate
Term
rectal
Definition
inserted into the anus 1.5-4cm 1degree higher than oral
Term
axillary
Definition
armpit, 1 degree lower than oral
Term
tympanic
Definition
inserted in the ear drum, most preferred, 1.4 degree higher than oral
Term
Pulses
Definition
left ventricle contracts with each beat forcing blood to systemic arteries
norm pulse rate 60-100/min
Term
stroke volume
Definition
amount of blood pumped per heartbeat
Term
arteries
Definition
temporal
carotid
apical
brachial
radial
femoral
popliteal
dorsalis pedis
posterior tibial
Term
apical pulse
Definition
most accurate, tells you about the left ventricle, can show signs of an englarged heart if it is found to the left side,
Term
rhythm
Definition
-regular
-irregular aka. dysrhythmia
-use of ECG
-halter monitor
-telemetry
Term
Respirations
Definition
30-80:newborns
20-30: 3-9 yrs old
16-22: 10-15
15-20: 16-adult
12-20: adult
15-25: older adult
Term
Respiratory assessment
Definition
1. rate
2. ventilatory depth
3. ventilatory rhythm
4. arterial oxygen saturation
Term
pulse ox
Definition
oximeter measures oxygen saturation of hemoglobin
norm: 95%-100%
70%-life threatening
Term
Systolic BP
Definition
STARTS
-pressure at the height of the wave when left ventricle contracts
Term
diastolic BP
Definition
STOPS
-pressure between the ventricular contractions, when the heart is at rest
whole cycle of diastolic and systolic takes 8 seconds
Term
cardiac output
Definition
avg: 5.5L/min
amount of blood being ejected from the heart, pushed out by forced by the left ventricle
Term
blood volume
Definition
drops in BP indicates drop in blood volume
ex: trauma: look at hemoglobin and hematocrit in labs
Term
peripheral vascular resistance
Definition
influenced by length and width of vessell
Term
blood viscosity
Definition
ratio b/w hemoglobin and hematocrit
Term
Blood pressure
Definition
blood in the systemic circulation flows along a pressure gradient from central to peripheral
-pressure is higher in the arteriols than the cappilarries and even higher in the aorta
avg bp: 120/80 mm/hg
Term
Age and how it affects BP
Definition
stabolizes at about 18
systolic begins to rise b/c the elasticity in arteries begins to decrease
Term
gender and how it affects BP
Definition
females tend to have lower bp than males after puberty, but it increases after menopause
Term
physical activity and stress and how it affects BP
Definition
increases CO2 and therefore increases BP
Term
diurnal variations
Definition
the lowest in the morning
Term
BP cuff
Definition
width: 40% of upper arm circumference
length: 80% of upper arm circumference
Term
prehypertension
Definition
120-139 or 80-89
Term
stage 1 hypertension
Definition
140-159 or 90-99
Term
stage 2 hypertension
Definition
greater than or equal to 160 or greater than or equal to 100
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