patient assessment modle Flashcards

1
Q

what 3 things are you assessing with heart rate

A

rate, rythm, quality

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2
Q

what are you assessing for respiratory rate

A

rate, rythm, volume

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3
Q

glasgow coma scale for eye opening

A

4- eyes open spontaneously
3- voice
2- to pain
1- no response

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4
Q

glasgow coma scale for verbal response

A

5- oriented and converses
4- disoriented and converses
3- inappropraite words
2- incomprehensible sounds
1- no response

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5
Q

glasgow coma scale for best motor response

A

6- obeys commands
5- localizes to pain
4- withdrawls from pain
3- flexion (decorticate)
2- extension (Decerebrate)
1- no response

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6
Q

what are you assessing for when checking a pt skin

A

colour, temp, moisture

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7
Q

what are you doing in you secondary survey

A
  • vital signs
  • history taking
  • hospital notifcation
  • head to toe examination
  • functional inquiry
  • bedside report
  • documentation
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