abnormal musical lung sounds heard on ascultation of the lungs durning inspiration
crackles
decreased oxygen in the blood
hypoxemia
High-pitched crowing sound on inspiration
stridor
slow, shallow breathing
bradypnea
difficult and labored breathing
dyspnea
the pressure written below the line on B/P
diastolic
an abrupt decline in fever
crisis
a silence is heard between sounds when auscultating B/P
auscultatory gap
the rate at which heat is produced when the body is at rest
Basal Metabolic Rate (BMR)
heat production is a by product of
metabolism
what structure controls the temperature? and by what type of mechanism?
hypothalamus; feedback mechanism
the pulse rate multiplied by the stroke volume equals
cardiac output
heat prodution is a by-product of _______which consist of _____________________.
metabolism; cellular chemical reaction of the body
what are factors that affect BMR?
-thyroid hormone
-epinephrine hormone
-norepinephrine hormone
-testosterone hormone
-muscle movement that produce heat
what mechanisms attempts to cool the body by evaporation when a high fever occurs?
diaphoresis
what is stroke volume?
the volume of blood pumped into the aorta per heart beat
the pulse rate is normally dependent on the impulses emerging from the _______ in the heart beat.
Sinoatrial node (SA)
the charater of the pulse is affected by?
stroke volume
what is the average cardiac output in the adult?
5L of blood per min
inhalation and exhalation is controlled by movement of the_______.
diaphragm
what membrane does diffusion of oxygen and carbon dioxide occur?
across the alveolar membrane
name the structure involved in respiration
-nose
-pharynx
-larynx
-trachea
-bronchi
-lungs
-diaphagm
-respiratory muscle
what is the substance necessary to keep the alveoli open?
surfactant
where is the respiratory center located?
in the pons and medulla of the brain stem
what is systolic pressure?
maxium pressure exerted on the arteries durning LT ventricle contraction
what is diastolic pressure
the heart is at rest and pressure in the arteries is lowest
B/P increases as _____ increases.
stroke volume
arterial B/P rises when there is an increase in ___________ resistance.
peripheral vascular
what happens when the blood volume decrease
B/P decrease
when vascular wall decrease the B/P will ________
increase
what is considered the normal temperature
-97.5-99.5*F
-36-37.5*C
what is the normal pulse rate in adults
60-100 BPM
what are some pulse finding that should be reported
-bradycardia
-tachycardia
-arrhythmia
-unable to palpate (name the pulse site)
a fever is considered significant when the temperature reaches
101.3*F or 38.5*C
where is the thermostat for the brain located
brain in the hypothalamus
what is the average B/P for a healthy young adult
120/70
when is B/P dangerous?
when it occur with symptoms of dizziness or faintness
average healthy adult temperature is
-98.6*F
-37*C
______ temperature is about 1* higher than _______
rectal temperature; oral temperature
_______ temperature is about 1* lower than the ________
axillary temperature; oral temperature
what is the closest temperature to core body temperature
tympanic temperature
what effects temperature
-time of day
-environment
-age
-exercise
-hormones
-emotional stress
-disease condition
-certain drugs
another name for pyrexia is
fever
what is pyrexia or fever
abnormal temperature over 100.2*F (37.8*C)
what temperature cause damage to body cells
-105.8*F
-41*C
______ occurs when the temperature falls below normal range.
hypothermia
how is the pulse initiated?
by contractions of the heart sending blood out into the arteries
where is the pulse normally assessed?
the pulse is normally assessed at the radial artery in the wrist or at the apex of the heart
what is the average pulse rate of the adult?
72 BPM
what is a pulse rate greater than 100 BPM called?
tachycardia
what is a pulse rate lower than 60 BPM called?
bradycardia
what is noted when recording the pulse measurement?
-rate
-rhythm
-volume
what is the nomal respiration rate for the healthy adult?
12-20 per min
a pattern of breathing in which there is an increase in the rate and the depth of breaths and carbon dioxide is expelled, causing the blood levels of carbon dioxide to fall
hyperventilation
an increase rate and depth with panting and long grunting exhalation
kussmaul's respiration
shallow for two or three breaths with a period of variable apnea.
Biot's respiration
-consist of a pattern of dyspnea followed by a short period of apnea
-respirations are faster and deeper, then slower, and are followed by a period of no breathing, with continuation of the cycle
Cheyne-Stokes respiration
apnea
absence of breathing
continuous dry, rattling sounds heard on auscultation of the lungs caused by partial obstruction
rhonchi
snoring sounds produced when patients are unable to cough secretion from the trachea or bronchi
stertor
what another name for crackles?
rales
crowing sound on inspiration caused by obstruction of the upper air passages
stridor
whistling sound of air forced past a partial obstruction
wheeze
sounds like hair rubbed between the fingers next to the ear
crackles or rales
abnormal lungs sounds as occurs in croup or laryngitis
stridor
abnormal lung sounds as found in asthma or emphyseam
wheeze
what is the term for normal breathing
eupnea
tachypnea results from?
the presence of fever and a number of diseases
- breathing rate increase about four breaths for each 1*F or 0.5*C increased in temperature
bradypnea is often seen in patients who?
-are under medical sedation
-recovering from anesthesia or abdominal surgery
-who are weak or debilitated condition
hyperventilation the condition is seen
-after exertion
-durning high levels of anxiety or fear
-fever
-conditions such as diabetic acidosis
kussmaul's respiration are seen in patients
-with diabetic acidosis
-renal failure
biot's respiration are seen in patient with
increased intracranial pressure
cheyne-stokes respirations are seen in
-critically ill patients
-patients with brain conditions
-patients with heart or kidney failure
-cases of drug overdose
what is prehypertension B/P
-systolic B/P 120-139
-diastolic B/P 80-90
what is stage 1 hypertension B/P
-systolic B/P 140-159
-diastolic B/P 90-99
what is stage 2 prehypertension
-systolic B/P >160
-diastolic B/P >100
what are the signs and symptoms that indicate shock?