Head-to-toe assessment and vital signs flashcards
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Twenty flashcards on the head-to-toe assessment and vital signs: normal values, technique and red flags.
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20 cards
- Normal adult resting heart rate?
- 60 to 100 beats per minute.
- Normal adult respiratory rate?
- 12 to 20 breaths per minute.
- Normal oxygen saturation in a healthy adult?
- 95 to 100 percent.
- Correct blood pressure cuff size?
- Bladder length about 80% and width about 40% of arm circumference.
- Effect of a cuff that is too small?
- Falsely high blood pressure.
- Orthostatic hypotension definition?
- Drop of 20 mmHg systolic or 10 mmHg diastolic within 3 minutes of standing.
- Temperature that defines fever?
- 100.4 F (38.0 C) or higher.
- Most reliable temperature route in an infant?
- Rectal.
- Formula for body mass index?
- Weight in kg divided by height in meters squared.
- BMI that defines obesity in adults?
- 30 or higher.
- Snellen result of 20/40 means?
- The patient reads at 20 feet what a normal eye reads at 40 feet.
- Normal resting heart rate in a newborn?
- About 100 to 160 beats per minute.
- Pain scale for young or nonverbal children?
- FLACC: Face, Legs, Activity, Cry, Consolability.
- Normal capillary refill time?
- 2 seconds or less.
- Neurovascular check of a limb: the 5 Ps?
- Pain, pallor, pulse, paresthesia and paralysis.
- What does PERRLA stand for?
- Pupils equal, round, reactive to light and accommodation.
- One fixed, dilated pupil after head injury suggests?
- Brain herniation pressing on cranial nerve III.
- Minimum adequate urine output for an adult?
- 0.5 mL/kg/h, about 30 mL per hour.
- How long to count an irregular pulse?
- A full 60 seconds, ideally at the apex.
- Home blood pressure: arm position?
- Supported at heart level, seated with back supported and feet flat.