Pain assessment and vital sign lecture

how long should you wait before taking an oral temp. if the patient has eaten, drank, or smoked

at last 15 minutes

what color is associated with oral temp.

blue

what color is associated with rectal temp.

red

when taking a tympanic temp. what should you do with the pinna of an adult

you should pull the pinna up and back

for rectal temperature, how far should you insert in an infant

.5 inches

rectal insertion for adults

1 inch

what is stroke volume

the amount of blood the heart pumps per second: average is 70mL

what does a Q4 order mean

It means to administer medication every four hours.

what is a dimural rhythm

The natural cycle of physical, mental, and behavioral changes that follow a 24-hour cycle, influenced by light and darkness.

during the dinural rythm when is BP and HR elevated

in the afternoon, its lower in the morning

what are some examples of heat conservation

vasoconstriction and shivering or muscle spasming

when can infants start to sweat

at 2 months

what is the apical impulse

It is the palpable heartbeat at the apex of the heart, typically felt in the left fifth intercostal space at the midclavicular line.

when would a PAINAD pain scale be used

for patients who are non-verbal or have cognitive impairments to assess pain levels, such as dimmentia

which fibers are myelinated in regards to nociceptors

delta fibers, thats why they can transit acute pain

what effect does testosterone have on pain

decreases pain sensitivity

what is an osculatory gap

A difference between the systolic blood pressure recorded during the first and subsequent Korotkoff sounds, indicating potential cardiovascular issues.

what are orthostatic vitals, why are they used

Orthostatic vitals are measurements of blood pressure and heart rate taken when a patient is lying down, sitting, and standing. These measurements are used to assess a patient's response to positional changes, particularly for detecting orthostatic hypotension.

what pain scales should you use for infants

Commonly used pain scales for infants include the FLACC scale

when should you use the CRIES pain scale

The CRIES pain scale should be used for assessing pain in preterm and term neonates, particularly in postoperative settings. It evaluates crying, oxygen saturation, vital signs, and facial expression.