Flashcards in 1. Deteriorating Patient Deck (16):
What is subjective data?
Information from clients point of view - symptoms, feelings, perceptions
What is objective data?
Observable and measurable data - signs, labs, physical signs
12 - 20
60 - 100
3 ways to assess airway?
Look, listen & test - tracheal tug, accessory muscles, wheezing
3 ways to assess breathing?
Look - res rate, conscious, chest movement
Listen - bilateral air entry
Test - SpO2, ABGs
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
3 areas assessed by a GCS
motor, eye, verbal
Pupils are dilated and non-reactive, what could the cause be?
Indicative of a severe traumatic brain injury
Lowest score of a GCS?
What is a neurological assessment?
Assessment of sensory neutron and motor responses and reflexes
What is a neuromuscular assessment?
Monitoring of the 5 Ps
What are the 5 Ps of a neuromuscular assessment?