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Identify the most common Vital Signs
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BP, HR, Respirations, Pulse Ox, Temperature, pupil response, level of consciousness
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Identify the overall purpose for obtaining vitals
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Provides information about the status of the cardiopulmonary system
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From the text and from the respiratory care lecture, identify the vital sign that is obtained by using a pulse oximeter and give the purpose for obtaining this vital sign
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arterial blood oxygen saturation levels; screen for hypoxemia to see how much oxygen is getting to the blood.
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Discuss the practice of using established normal values (norms) for vital signs
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If you know the normals of you patient, you can note a change in their status
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Explain the “disadvantage” of using a one-time assessment to determine a patient’s status
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If you are only taking one set of vital signs, you will not note a change in the status of a patient and you can't prevent an issue from worsening
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Discuss the factors that influence vital signs (ones related to life-style patterns, to patient characteristics, and others--others being things like time of the day, etc) and discuss how these factors relate to patients in therapy
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Stress, diet, obesity, drugs, age, gender, menstrual cycle, health status, and pain. Patients that are stressed about therapy will have a higher BP than patients who aren't.
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Discuss specific aspects of a patient that one could observe that would provide important data on the patient’s status
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Facial expressions, obesity, skin color changes, skin texture, diaphoresis, abnormal sitting positions, use of accessory muscles, or edema.
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Discuss central thermoreceptors
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Central thermoreceptors are located in the hypothalmus and are sensitive to temperature changes in blood perfusing the hypothalmus; sensitive to core temp chagnes and monitoring body temp
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Discuss peripheral thernoreceptors
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Peripheral thermoreceptors are composed primarily of free nerve endings, have a high distrbution in the skin
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Determine the location of the temperature-regulating center in the body
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Hypothalamus
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Use Figure 4-2 (Physiological adjustments during heat acclimation) to diagram how the body regulates heat during exercise
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Increase sweat production to maximize heat loss by evaporation, dilate skin blood vessels for improved cutaneous blood flow.
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Describe the mechanisms of heat conservation and production
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Vasoconstriction of blood vessels decreases blood flow near the surface where the blood would normally be cooled, thus the amount of heat lost to the environment is decreased; decreased sweat gland activity is diminished to prevent or reduce heat loss by evaporation; cutis anserina or piloerection functions to trap a layer of insulating air near the skin and decrease hat loss in lower mammals with greater hair covering (goosebumps!); shivering is increased tone of skeletal muscle initiated so that heat is produced; hormonal influence increases cellular metabolism which increases body heat.
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Describe the primary methods your body uses to dissipate excess heat
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Conduction, convection, radiation, evaporation.
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Oops
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Can't delete this one. crap. :)
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Hyperthermia
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Extremely high fever; temp higher than 106 degrees.
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