NURS 2070- Midterm Exam Guide - Comprehensive Notes for the exam ( 15 pages long!)

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Published on 12 Oct 2017
Department
Course
Professor
BC
NURS 2070
MIDTERM EXAM
STUDY GUIDE
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Vital Signs
Pulse rate: 48 - 125 bpm
Respiratory rate: 10 - 25
Blood pressure: Systolic: 90-180
Temperature: 37°C or 98.6°F
Oxygen saturation: <90%
Things you can rate numerically:
Pitting edema
Muscle resistance strengths
Tonsils
Sounds:
Abdominal: tympany, bruits
Heart: murmurs, thrills, bruits
Lungs: resonance
Bones: dull
Class #2 - THE HEART
Tachycardia: rapid resting heart rate; over 90 bpm
o elevated blood pressure may be due to fever, anxiety, or exercise
Bradycardia: resting heart rate; less than 50 bpm
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o common in athletes
Auscultatory Gap: A period of diminished or absent Korotkoff sounds during the
manual measurement of blood pressure; an underestimation of the systolic blood
pressure/ overestimation of the diastolic blood pressure
Systolic pressure: max pressure felt on artery during LV contraction
o normal: <120 mmHg
Diastolic pressure: resting pressure blood exerts constantly between each
contraction
o normal: <80 mmHg
Hypertension: abnormally high BP
o 140/90 mmHg or above
Hypotension: abnormally low BP
Orthostatic hypotension: a drop in systolic pressure of more than 20 mmHg;
aka postural hypotension
Transcultural Considerations: people at higher risk for HBP
o Higher % of men have HBP until age 45
o At ages above 65, women are more likely to have HBP
o more common in women taking oral contraceptives
o African Americans!
o Smoking
o Obesity
o Type 2 Diabetes Mellitus
Older age:
o aorta and major arteries harden
o systolic pressure increases
o diastolic pressure increases
o pulse is easier to palpate
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Document Summary

Vital signs: pulse rate: 48 - 125 bpm, respiratory rate: 10 - 25, blood pressure: systolic: 90-180, temperature: 37 c or 98. 6 f, oxygen saturation: <90% Things you can rate numerically: pitting edema, muscle resistance strengths, tonsils. It is usually heard when taking in a breath: wheezes: high-pitched, musical, squeaking adventitious sound, fremitus: a palpable vibration from the spoken voice felt over the chest wall. Rebound tenderness: pain upon removal of pressure aka abdominal hurts when you take your hand off. Is this what you meant, am i on the right track? . You don"t smoke, do you? : closed or direct question: limits the patient"s response; generally to yes and no, or a when question, do you drink alcohol, when did you drink alcohol, explanation: share factual and objective information. Neurological assessment mental status: sensation: physical feeling or perception from contact, perception: process of becoming aware of something.

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