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what is the normal heart rate for an adult?
60-100 BPM
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How long do you check a pulse?
30secX2 or ir irregular a full minute
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What is tachycardia?
Heart rate more than 100 BPM
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What causes tachycardia?
Strenuous activity, sepsis, fever,and dehydration
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What would be your next step when taking a pulse that is 105?
check baseline, notify RN, and document
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Pulse amplitude scale: 0=?
absent
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Pulse amplitude scale: +1=?
weak/diminished
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Pulse amplitude scale: +2=?
normal
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pulse amplitude scale: +3=?
full
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Pulse amplitude scale: +4=?
bounding
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What is the RRT parameter for a pulse?
<45 or >125
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what is bradycardia?
heart rate <60 BPM
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what causes bradycardia?
good physical condititon, medication, aging, defecation, vomiting,hypothyroidism, hypothermia, electrolyte disturbance (high or low potassium)
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what would be your next step when taking a slow pulse?
check baseline, notify RN, document
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what is the normal range for BP?
- 90-140 systolic (top #)
- 60-90 diastolic (bttm #)
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What actions would you take before applying a BP cuff?
Look for signs stating "no BP right/left arm": due to PICC/stent placement or pt had mastectomy, then choose right size cuff
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What is hypertension (HTN)?
sustained elevation of systolic BP >140 and diastolic >90 at least 3times on 2 different occasions.
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what can cause hypertension?
ETOH/drug withdrawals, increase of intracranial pressure, renal failure, aortic dissection, endocrine conditions, unhealthy lifestyles (smoking, poor diet, stress)
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what is hypertension known as?
The silent killer
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What is hypotension?
Sustained BP of <90/60
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what are some symptoms that come with HTN?
Headache, chest pain, dizziness, SOB, nausea
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what is the difference between primary, and secondary HTN?
Primary has no know cause, secondary has a know cause
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What is the difference between hypertensive emergency/urgency?
Emergency is associated with end organ damage reguardless of BP reading; Urgency is an elevated BP >200/120 but no evidence of end organ damage
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What is anemia?
Low red blood cell volume/count
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What is the purpose of Ted hose or SCD?
To promote blood circulation and prevent DVT's
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How do you assess for DVT?
Have patient point their toes towards their head, and pain felt (other than normal muscle streteching pain) is a positive sign
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What would you tell your patient if you suspect they have DVT?
Do not move, massage, or apply warm compress or SCD'S to the area
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What is a doppler used for?
A small pen like device used to locate a pulse that cannot be found by palpitation
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What is the capillary refill time?
< 3 seconds
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Where is the apical pulse located?
- 5th intercostal space, mid-clavicular line;
- apex of the heart
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