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patient health history
written and oral communication regarding the patient's present and past health status, including medication, treatment, allergies, and health concerns
vital signs
body indications of the patient's present health status, including blood pressure, pulse, respiration, temperature, and the patient's concept of pain
blood pressure (BP)
an indication of the pulsating force of blood circulating through the blood vessels at rest diastolic and while under the highest pressure of the circulating blood, systolic pressure: recorded as systolic/diastolic(120/80)
stethoscope
device employed to intensify body sounds
diaphragm
a thin layer over the disc end of the stethoscope that helps to enlarge or amplify pulse and body sounds
sphygmomanometer
an instrument employed to measure the arterial blood pressure
aneroid
air pressure
antecubital fossa
interior depression or bend of the elbow; the approximate area for the placement of the stethoscope diaphragm to determine blood pressure sound
brachial artery
situated at the inside, upper arm area; selected site of blood-pressure cuff placement
pulse
beating force for blood circulating through arteries, which is classified according to rate, rhythm, and condition
accelerated
faster pulse rate than expected or normal, also called rapid
alternating
changing back and forth of weak and strong pulsations
arrhythmia
irregular heartbeat or pulsations
bradycardia
pulse rate under 60 beats per minute(bpm)
tachycardia
an abnormal condition of pulse rates over 100bpm (except in children)
deficit
lower pulse rate at the wrist than at the heart site; heart flutter
febrile
normal pulse rate becoming weak and feeble with prostration or illness
frequency
pulse count; number of pulsations, which differs with age, sex, body position, health of patient
intermittent
occasional skipping of heartbeat
irregular
variation of force or frequency in pulse rate
regular
uniform pulse force, frequency, and duration
thready
a fine, hard to locate, barely perceivable pulse
respiration
inhaling or breathing in of oxygen and the exhaling or expelling of carbon dioxide; are described according to rate, character, and rhythm
inspiration
breathing in
expiration
breathing out
absent
suppresses respiratory sounds
apea
cessation of breathing, usually temporary
Cheyne- Stokes
respirations gradually increasing in volume until climax, and then subsiding and ceasing for a short period of time before starting again; may be noted in dying
deep
strong inhalation of air with exhilation
dyspnea
out of breath; difficult or labored breathing
frequent
rapid breathing that may be noted in children, those with disease, those in hysteria, or those in a drug-induced condition
rale
noisy, bubbling sounds from long mucous, heard on inhalation
shallow
short inhalation with small rise in chest
slow
fewer than 12 respirations per minute
stertorous
rattling, bubbling, or snoring sounds that obscure normal breaths
temperature
balance of heat loss and production in a body and may be taken at various sites, such as oral, rectal, axillary, and aural(pertaining to the ear)
fever
elevated body temperature, usually considered over 38.3 C (100-103 F)
hyperthermia
body temperature exceeding 40 C (104F)
hypothermia
body temperature below 35 C (95F)
tympanic
measurement of body heat registered by an ear thermometer
emergency call list
important phone numbers necessary in an emergency, which are located in a prominent position near every available phone
oxygen source
container with oxygen gas tank, colored green; obtained in various sizes and may be centrally supplied to each work station
oxygen regulator
device used to control the flow of oxygen
oxygen flowmeter
gauge used to adjust the flow amount of oxygen
oxygen mask
device placed over a patients nose and mouth to administer gas; may be clear or tinted plastic or rubber material
demand-valve resuscitator
device attached to an oxygen mask to apply pressure to the oxygen flow and thereby inflate the lungs
AMBU-bag
handheld squeeze device with a mask that is placed over the patients nose and mouth and used to force atmospheric air into the patients lungs; may also be attached to the oxygen supply to force oxygen to lungs
emergency tray
a tray assembled with materials and items necessary for emergencies; often supplied in kit form with medicines, administration items, and chemicals to be used for various emergency events
cyanosis
bluish discoloration of the skin caused by lack of oxygen
abdominal thrust
quick, jabbing pressure and force at belt line to force air up into the windpipe
asphyxiation
not breathing; a result of oxygen imbalance
chest thrusts
applying quick pressure on the chest to force air upward into the windpipe to dislodge the obstruction; may be used on pregnant women as a substitute for abdominal thrusts
cricothyrotomy
an insert or cut into the thyroid and cricoid cartilage to introduce an emergency air supply
gastric distension
condition resulting from air having been forced into the abdomen instead of the lungs
heimlich maneuver
procedure in which abdominal thrusts are applied to a choking patient, which forces air from the diaphragm upward to expel a blocking in the airway
hypoxia
a lack of inspired oxygen
stoma
artificial opening into the windpipe that is placed between the mouth and lung; the opening is at the frontal base of neck into the windpipe for air intake
tracheotomy
a cut and an insertion of a tube into the trachea for an emergency air supply
cardiopulmonary resuscitation
CPR; life saving measure that combines artificial respiration with external cardiac massage
automated external defibrillator (AED)
mechanical/electrical device used to revive and stimulate the heart of a patient in cardiac arrest
airway device
tube inserted into the mouth and down the throat to provide air to the windpipe
compression
force applied to the chest, providing pressure on the heart to imitate a heartbeat or pulsation
finger sweep
using a finger in the mouth of an unconscious person to locate and wipe out any airway obstruction
sternum
breastbone, which is the flat bone between the ribs
xiphoid process
lowest portion of the sternum with no ribs attached
syncope
fainting
anaphylactic
shock arising from a reaction to a body allergen
cardiogenic
shock arising from improper heart action
hemorrhage
shock arising from excessive blood loss
metabolic
shock arising from endocrine diseases and disorders, such as diabetes
neurogenic
shock arising from nervous impulses
postural
shock arising from a sudden change in body positions
psychogenic
shock arising from mental origins
respiratory
shock arising from insufficient breathing
septic
shock arising from a microbial infection
allergic reaction
caused by a person's sensitivity to a specific antigen that can result in various symptoms
anaphylaxis
an allergic reaction of the body resulting in lowered blood pressure, swelling of the throat, shock, and even death
itching
a condition of irritation of the skin, scalp, or mucous membranes
erythema
a red rash or blotching of the skin
edema
a tissue swelling, enlargement of a body area
vesicle formation
small, watery blisters
urticaria
commonly called hives or wheals; vascular skin reaction
asthma
chronic disorder that is characterized by shortness of breath, wheezing, and coughing caused by spasms of the bronchial tubes or swollen mucous membranes
extrinsic
resulting from allergens entering the body(animal, dust, foods) (usually in children)
intrinsic
resulting from bronchial infection allergens(usually affecting older patients)
status asthmaticus
severe asthma attack that may be fatal
diabetes mellitus
disorder of the metabolism of carbohydrates
-type 1: insulin-dependent diabetes; treatment consists of insulin intake; has early onset
-type 2: noninsulin-dependent diabetes usually develops later in life and may be regulated by diet control and/or taking oral communication
-type 3: gestational diabetes mellitus may occur in pregnant women who have never had or been tested for diabetes before pregnancy
diabetic coma
loss of consciousness because of severe untreated or unregulated hyperglycemia, a condition termed diabetic acidosis
glucose
sugar, an important carbohydrate in body metbolism
hyperglycemia
condition characterized by an increase in blood sugar
hypoglycemia
condition in which the blood sugar is abnormally low
insulin
hormone release by the pancreas that is essential for the proper metabolism of sugar
insulin shock
condition produced by an overdose of insulin resulting in a lowered blood sugar level
juvenile diabetes
onset of diabetes in a person under 15 years of age
ketone
acidic substance resulting from metabolism; sometimes produces an acetone mouth odor similar to the odor of nail polish remover
epilepsy
disease characterized by recurrent seizures resulting from disturbed brain functioning; symptoms can range from mild twitching to periods of unconsciousness accompanied with body movements and actions
petit mal seizure
small seizures consisting of momentary unconsciousness with mild body movements or actions of staring off into space; sometimes called absence seizures
grand mal seizure
significant epileptic attack that may include an aura, unconsciousness, spasms, mouth frothing, incontinence, and coma
status epilepticus
rapid succession of epileptic attacks without the persons regaining consciousness between the occurrences
aura
a subtle sensation of oncoming physical or mental disorder