Term
| 4 components of vital signs |
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Definition
1.pulse
2.respiration
3.Blood Pressure
4.Temperature |
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Term
| How long should the patient sit before you check their vitals? |
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Definition
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Term
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Definition
| The number of heartbeats per minute |
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Term
| What does pulse "note"(check for)? |
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Definition
1.Rate
2.Rhythm
3.Volume
4.Regularity |
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Term
| Normal Heart rate values(child 1-10) |
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Definition
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Term
| Normal Heart Rate Child 10-Adult |
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Definition
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Term
| Heart rate of well trained athletes? |
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Definition
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Term
| Procedure for taking pulse(3 steps) |
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Definition
1.Place the tips of your index and middle fingers just proximal to the patients wrist on the thumb side, orienting them so that they are both over the length of the vessel.
2.Press firmly with flat fingers until you feel the pulse
3.Once you find the pulse, count for 30 seconds then multiply by 2 to give BPM |
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Term
| How is respiration rate recorded? |
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Definition
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Term
| Normal respiration rate for adults, child, infant |
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Definition
Adults: 12-20
Children: 24-48
Infants: 44 |
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Term
| factors effecting respiration(8) |
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Definition
1.Age
2.Gender
3.High Altitudes
4.Exercise
5.Elevated temperature
6.Metabolic acidosis/alkalosis
7.Emotional Stress
8.Odors |
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Term
| Procedure for measuring respiration |
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Definition
| Count breaths without patient knowing while you are doing something else so they will not be conscious of it. Measure for 30 secs and multiply by 2 |
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Term
| Why do we measure blood pressure? |
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Definition
TO SCREEN PATIENT FOR HIGH BLOOD PRESSURE FOR THESE REASONS-
Pts are seen by dental providers about 5 times more frequently than by
medical providers
To determine the need to modify treatment
Use of local anesthetics containing epinephrine may be
contraindicated with elevated blood pressures
To assess the appropriateness of continuing w/dental care
Given the anxiety that many pts experience, extremely elevated blood
pressures place the pt at risk for an emergency in the dental office |
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Term
| What is the reading that is considered normal for blood pressure? |
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Definition
| 120/80 -systolic/diastolic |
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Term
| Blood pressure reading that is considered prehypertension? |
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Definition
120-139/80-89
*Just recheck at next appointment* |
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Term
| Blood pressure reading considered to be "Stage 1 Hypertension" |
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Definition
140-159/90-95
*Patient should get this check again in 2 months* |
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Term
| Blood pressure reading considered to be "Stage I and II hypertension" |
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Definition
160-199/or 95-114
*Recheck in 5 mins and if still high patient should receive med con before thearpy* |
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Term
| Blood Pressure reading considered to be "Stage II" |
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Definition
>200/ and or >115
*Recheck in 5 mins and if still same then perform immediate med con* |
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Term
| Factors influencing blood pressure reading accuracy(5) |
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Definition
1.Size of BP cuff-too small makes false high reading and too big makes false low reading
2.Taking BP over clothing
3.Rolling patient with tight fitting sleeve over bicep
4.Making sure patient has opportunity to rest before taking BP
5.Ingesting coffee or any other drugs |
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Term
| What are two things to check when positioning a patient for BP reading? |
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Definition
1.Ensure Patient has uncrossed legs
2.Ensure the antecubital fossa is at Midsternum level
Below heart level can result in false high readings
Above heart level can result in false low readings |
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Term
| What does AAMI stand for? |
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Definition
| Association for advancement of medical instrumentation |
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Term
| Three types of blood pressure monitors |
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Definition
1.Manual
2. Automatic arm monitor
3. Automatic wrist monitor |
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Term
| See blood pressure procedure |
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Definition
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Term
| What kind of rhythm does your body temperature have? |
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Definition
| Circadian- lower readings in the morning and higher at night |
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Term
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Definition
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Term
| Factors that can effect body temperature (6) |
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Definition
1. Excessive exercise
2. Infection
3. Inflammatory dz
4. Hyper- or hypothyroidism
5. Excessive alcohol intake
6. Chronic debilitating dz |
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Term
| Procedure for taking temp |
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Definition
1. Place thermometer under the tongue & close the mouth using the lips to hold the thermometer tightly
2. The pt should not have eaten, drank or smoked anything for at least 10 minutes before taking temperature
3. Remind pt to breathe through nose
4. Leave thermometer in the mouth for 3 min or until it beeps |
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Term
| variables that commonly effect body temperature |
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Definition
1. Time of day
2. exercise
3. age- people over 70 have normal temp at 96.8
4.Enviornment-cold or hot in clinc
5. Stress
6. Hormones-womens temp varies by about 1 degree throughout mentral cycle
7.Hot liquids- ^ oral temp for about 15 mins
8. Cold Liquids- degrease oral temp
9. Smoking- increases oral temp for about 30 mins
10.Tachypnea(rapid breathing)-decreases oral temp
11. Infection or inflammation |
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Term
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Definition
2. American Society of Anesthesiologists Physical Status Classification System.
1. Determines level of medical risk during treatment |
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Term
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Definition
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Term
| What does a patients blood pressure have to be in order to be dismissed from the clinic? |
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Definition
| 160 or higher/and(or) 95 or higher |
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