Ch.13 Preparation For Patient Care

Front 1

What is included in patient demographics?

Back 1

Full name, address, phone number, work number, social security number, insurance, emergency contacts, and physician's name and number.

Front 2

What does the medical history contain?

Back 2

Past surgeries, systemic diseases, injuries, and allergies.

Front 3

What are the typical allergies of concern?

Back 3

Anesthetic, latex, and antibiotics.

Front 4

What is included in vital signs?

Back 4

Body temperature, pulse, blood pressure, and respiration rate.

Front 5

What can cause body temperature to rise?

Back 5

Exercise, emotional excitement, and eating.

Front 6

Normal temperature ranges

Back 6

96°-99.5°

Front 7

Fahrenheit

Back 7

Freezing point of water 32°. Boiling point of water 212°.

Front 8

Celsius

Back 8

Freezing point of water 0°. Boiling point of water 100°.

Front 9

Manual thermometer

Back 9

Mercury filled thermometer. Place under the tongue with lips closed for 5 minutes.

Front 10

Digital thermometer

Back 10

Dispose of probe in biohazard waste.

Front 11

Tympanic thermometer

Back 11

Temperature taking by placing thermometer gently in the ear canal.

Front 12

Name the pulse sites

Back 12

Radial, carotid, or temporal.

Front 13

Radial pulse site

Back 13

Located on the radial artery on the thumb side of the wrist. Approximately 1 inch above the base of the thumb. Most common site for obtaining pulse.

Front 14

Carotid pulse site

Back 14

Located on the Carotid artery in the neck just below the angle of the mandible.

Front 15

Temporal pulse site

Back 15

Over the smaller temporal artery located in the temporal fossa. A slight depression just in front of the ear about the level of the eyebrow. More difficult to locate than others.

Front 16

How is the pulse usually described?

Back 16

Irregular, slow, or rapid

Front 17

Normal pulse rate

Back 17

Adults - 60-100

Children- 70-100

Front 18

Normal respiration rates

Back 18

Adults- 12-18

Children- 20-40

Front 19

Sphygmomanometer

Back 19

Blood pressure apparatus

Front 20

What artery do you place the blood pressure cuff around?

Back 20

The brachial artery. 1 inch above the antecubital space.

Front 21

Where is the brachial artery located?

Back 21

In the antecubital space, at the inside of the elbow.

Front 22

How do you estimate the systolic pressure?

Back 22

By using the "palate, inflate, obliterate, deflate" method. Add 30 mm Hg to the number representing the obliteration point. Wait one minute before reinflating.

Front 23

Systolic blood pressure

Back 23

First sound heard. Created when the heart contracts and forces blood through the arteries. Top number, 100-140.

Front 24

Diastolic blood pressure

Back 24

Reflects heart muscle at rest. Heart takes blood to the oxygenated before next contraction. Bottom number, 60-100.

Front 25

How many Korotkoff sounds are there?

Back 25

5. Named after Russian physician, Dr. Nikolai Korotkoff, in 1905.

Front 26

Normal blood pressure reading

Back 26

Child 10 years of age- 100/66

Adolescent to 16 years of age- 118/76

Adult- 140/90

Front 27

What is observed during a clinical exam?

Back 27

Mouth and lips for cracking or alterations, smile line, vermilion border, commissures, external floor of the mouth (mouth must be closed), external lymph nodes (from ear to collar bone), tmj, visual inspection of interoral (lesions, accessed teeth, and color change), floor of the mouth, and tongue.

Front 28

What are you checking for when examining cervical lymph nodes?

Back 28

Swelling, abnormalities, tenderness, and infection.

Front 29

What are you checking for when examining the TMJ?

Back 29

Noise, tenderness, pain, and limited function.

Front 30

What are you checking for when examining the floor of the mouth?

Back 30

Tenderness, abnormalities, lesions, and bony Tori.

Front 31

What is the frenum?

Back 31

Narrow band of tissue that connects two structures.

Front 32

What are you checking for when examining the

palate?

Back 32

Palatal Tori and lesions.

Front 33

What are you checking for when examining the tongue?

Back 33

Geographical, color, papillae, coating, and abnormalities.

Front 34

What are the basic signs of life?

Back 34

Vital signs

Front 35

What are Baseline vital signs?

Back 35

Initial measurements of vital signs

Front 36

What are some antipyretic?

Back 36

Cold pack, alcohol rub, and aspirin.

Front 37

What is hypothermic?

Back 37

Below normal body temperature.

Front 38

What can cause hypothermia?

Back 38

Too much aspirin or prolonged exposure to cold.

Front 39

What is a pulse?

Back 39

A beating sensation felt in an artery.

Front 40

What is the most common pulse site used?

Back 40

Radial

Front 41

What is an abnormally rapid resting pulse rate called?

Back 41

Tachycardia

Front 42

What is an abnormally slow resting pulse rate called?

Back 42

Bradycardia

Front 43

What is arrhythmia?

Back 43

Irregular heartbeat patterns.

Front 44

Do children or adults have a slower respiration rate?

Back 44

Adults

Front 45

What is tachypnea?

Back 45

Abnormally rapid resting respiratory rate

Front 46

What is bradypnea?

Back 46

Abnormally slow resting respiratory rate.

Front 47

What is blood pressure?

Back 47

Amount of Labor heart has to exert to pump blood throughout body.

Front 48

1st Korotkoff sound

Back 48

Snapping sound first heard at the systolic pressure. Clear, repetitive, tapping sounds for at least two consecutive beats are considered systolic pressure.

Front 49

2nd Korotkoff sound

Back 49

Murmurs heard for most of the area between the systolic and diastolic pressures. No known clinical significance.

Front 50

3rd Korotkoff sound

Back 50

Loud, crisp, tapping sound. No known clinical significance.

Front 51

4th Korotkoff sound

Back 51

Heard at pressures within 10mm Hg above the diastolic pressure. Described as thumping and muting.

Front 52

5th Korotkoff sound

Back 52

Silence as the cuff pressure drops below the diastolic pressure. Disappearance of sound is considered the diastolic blood pressure - 2mm Hg above the last sound heard.

Front 53

What are the steps to take blood pressure?

Back 53

Extend patient's arm to the level of heart.

Make sure arm is supported and relaxed.

Wrap and secure cuff 1 inch above antecubital space.

Expel all air from cuff beforehand.

Inflate cuff to 160 - 180.

Release 2 - 4 millimeters Mercury per second.

Front 54

What Does the clinical evaluation include?

Back 54

Obtaining vital signs and Performing both an internal and external oral evaluation.