Phys Di- Exam 3- Vital Signs, Examination and Findings- Temperature and Heart Rate

What is the average body temperature?

98.6 F (37 C)

What is the normal body temp range?

97.2-99.9

What is a body temp above 99.9?

Fever

Hyperthermia

Pyrexia

When would a body temperature increase?

In response to disease or illness

What are the child fever temps?

100.4 (rectal)

99.5 (oral)

99 (axillary)

What is the adult fever temp?

Above 99-99.5

The pulse is best palpated where?

Over artery close to surface and lies over bones

What are the different areas we can feel the pulse?

Carotid

Brachial

Radial

Femoral

Popliteal

Dorsal pedis

Posterior tibial

What should you do if you can't find the most distal pulse in extremity?

Work proximal

What pulse characteristics do you palpate for?

Rate

Rhythm

Contour (waveform)

Amplitude (force)

Symmetry

Obstructions

Variations

What is the typical range of pulse rate?

60-100 beats per minute

What is the average resting pulse rate in adults?

70 beats per minute

What is a heart rate above 100 bpm?

Tachycardia

What is a heart rate below 60 bpm?

bradycardia

What should you do if you find an irregular pulse rhythm?

Count for full 60 seconds to identify the pattern with it

What are the different ways to describe pulse contour?

Pliable

Smooth

Rounded top

What is the dichiotic notch?

Closure of aortic valves

Describe a level 0 amplitude?

Absent, not palpable

Describe a level 1 amplitude

Diminished, barely palpable

What is a normal amplitude of pulse?

2

What is level 3 amplitude?

Full, increased

What is a level 4 amplitude

Bounding, aneurysmal

The pulse of a neonate may be as high as?

200 bets per minutes

At just a few hours of age the pulse can drop to?

Closer to 120 beats per minute

A newborns pulse is more _________ than that of older infants with actives of feeding, sleeping and waking

Variable

Premature infants have very ____________ heart rates

Variable

The heart rate of pregnant women gradually increases throughout pregnancy until?

It is 10-30% higher at term

Systolic blood pressure in older adults often ________

Increases

Why does systolic blood pressure in older adults often increase?

Vessels become stiff and increased vascular resistance