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chapter 17 vital signs nursing1- exam 2

1.

things that can affect your vital signs

Air, Sunshine, Environmental temperature, sound, etc.

2.

six vital signs

  • Temperature (T)
  • pulse (P)
  • respirations(R)
  • blood pressure (BP)
  • oxygen saturation (o2 SAT, Pulse ox, or Spo2)
  • pain
3.

TPR

temperature, pulse, and respiration

-98.8-82-18

4.

BP

blood pressure

116/72

5.

pulse ox, o2 sat, or spo2 (oxygen saturation)

-97% RA or 97%-3l

6.

body temperature

the amount of heat the body produces and the amount of heat that is gained or lost to the external environment

7.

core temperature

temperature of the deeper structures and tissues

most IMPORTANT measurement to maintain

8.

thermogenesis

production of heat

Liver is always metabolically active and produces 15 to 20% of body heat in the resting state

9.

routes used for taking temperature

  • oral
  • tympanic
  • temporal
  • rectal
  • axillary
  • skin
10.

any physical activity that increases metabolism will increase heat production

  • shivering- increase heat production 4 to 5 times normal
11.

what organ is ALWAYS metabolically active

Liver

12.

what percentage does the liver produce of body heat in the resting state

15 to 20%

13.

hypothalamus

elevated temp

14.

febril

temperature os greater than noraml

15.

afebril

they don't have a temperature (normal)

16.

constriciton

redirecting blood flow to vital organs

17.

many facts affect body temp- what are some?

  • environment
  • time of day
  • gender
  • physical activity&exercise
  • medications
  • stress
  • food or drink
  • illness
18.

what is normal body temperature in Celsius

37 celcius

19.

axillary temp

used for patients who cannot hold an oral thermometer in place (under armpit)

20.

tympanic temperature

(in your ear) used for patients who have difficulty breathing or use oxygen

adult- pull pinna up &back~ child- pull pinna down and back

21.

temporal

located on side of forehead

inaccurate if hair is thick

22.

nonconatct infrared thermometer

hold one inch from the center of the patients forehead