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Flashcards in 1. Deteriorating Patient Deck (16):
1

What is subjective data?

Information from clients point of view - symptoms, feelings, perceptions

2

What is objective data?

Observable and measurable data - signs, labs, physical signs

3

Adult RR?

12 - 20

4

Adult HR?

60 - 100

5

Adult BP?

120/80

6

3 ways to assess airway?

Look, listen & test - tracheal tug, accessory muscles, wheezing

7

3 ways to assess breathing?

Look - res rate, conscious, chest movement
Listen - bilateral air entry
Test - SpO2, ABGs

8

3 ways to assess circulation?

Look - skin colour, jugular venous pressure
Feel - warmth of extremities, pulse rate and rhythm
Test - BP, fluid balance, UO, conscious

9

Assess disability?

GCS

10

3 areas assessed by a GCS

motor, eye, verbal

11

Pupils are dilated and non-reactive, what could the cause be?

Indicative of a severe traumatic brain injury

12

Lowest score of a GCS?

3

13

What is a neurological assessment?

Assessment of sensory neutron and motor responses and reflexes

14

What is a neuromuscular assessment?

Monitoring of the 5 Ps

15

What are the 5 Ps of a neuromuscular assessment?

1. Pain
2. Pallor
3. Pulse
4. Parasthesia
5. Paralysis

16

What does the PQRST acronym for a pain assessment stand for?

Provocation, quality, radiation/region, severity (0-10) and time