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essential parts of the initial assessment of a patient who is in the diagnostic imaging department for an invasive procedure
Temperature
Pulse
Pulse oximetry
Respiration
Blood pressure
Systolic blood pressure can be defined as
Highest point reached during contraction of left ventricle while blood is in the arteries (highest number)
Normal adult respiratory rate
15 to 20 breaths per minute
Why oxygen can be toxic to patients if incorrectly used
Aerobic infections can thrive if there is too much
If the patient has COPD, excess oxygen can can depress respiratory drive and stop the patients breathing
Two types of equipment used to deliver oxygen
Nasal cannula
Nasal catheter
Face mask
Ventilator
Transtracheal
Bradycardia
slow heart rate of less than 60 beats per minute
Chronic obstructive pulmonary disease (COPD)
Lung disease where inspiratory and expiratory lung capacity is diminished
Cyanosis
Blood doesnt supply enough oxygen to body causing bluish tone to lips and fingertips
Dehydration
Excessive loss of fluids from body causing headaches and constipation
Diastolic
Blood pressure reading during relaxation of ventricles (lowest number)
Dyspnea
Difficult breathing from insufficient airflow to lungs
Hypercapnia
Carbon dioxide being retained in arterial blood
Hypertension
High blood pressure
Long term- pressure against artery walls can cause heart problems
Hypotension
Low blood pressure that may cause dizziness or fatigue
Hypoxemia
Low levels of oxygen in blood
Korotkoff sounds
Extraneous sounds during taking blood pressure pressure
May be tapping, knocking, or swishing
Orthostatic hypotension/ postural hypotension
Form of low blood pressure
blood pressure quickly drops when going from sitting/laying down to standing
Sphygmomanometer
Blood pressure cuff
Tachycardia
Fast heart rate
100 or more beats per minute
Vital signs
Assessment of patients bp, temp, pulse, pulse oximetry, respiration
Volatile
Easily vaporized or evaporated ; unstable or explosive
Normal body temperature
37° or 98.6°F
Common areas where body temperature is measured
Oral
Rectal
Axillary
Temporal
Tympanic
Most accurate area to measure body temperature
Rectal
Most common place to measure temperature
Oral
Average oral temp
97.8 to 99°F
98.6°
Normal rectal temp
37.5°C or 99.6°F
One degree higher than oral
Normal axillary temp
36.4°C to 36.7°C
Or
97.6°F to 98°F
Pulse
Blood is pumped into arteries resulting in a throb
Common Pulse Sites
Apical
Radial
Carotid
Femoral
Popliteal
Temporal
Dorsal pedis
Posterior Tibial
Brachial
Average adult pulse
60-90 beats per min
Average infant pulse rate
120 beats per min
Most accurate pulse site
Apical
Most common pulse site
Radial
Pulse site for CPR
Carotid
Adult respiration rate
15-20 breaths per min
Infant respiratory rate
30-60 breaths per min
Blood pressure is the force
exerted by flowing blood against the arteries
BP is usually
Lower in the morning and higher later in the day
Mens BP is usually
Higher than womens
Blood pressure cuff is called
Sphygmomanometer
normal systolic pressure
90 to 120 mmHg
Normal diastolic pressure
50 to 70 mmHg
F° =
C° x 1.8 +32
C°=
F°-32 /1.8

Temporal pulse

Apical pulse

Dorsalis pedis

Posterior tibial pulse

Brachial pulse

Radial pulse

Carotid pulse

Femoral pulse

Popliteal pulse