Assessment Flashcards Preview

AHA > Assessment > Flashcards

Flashcards in Assessment Deck (28):
1

General Survey Physical Appearance

Age, Sex, LOC, Skin Color, Facial Features, Distress

2

General Survey Age

Patient appears to be stated age

3

General Sex

Patients sexual development is appropriate for age and gender

4

General Level of Consciousness

Individual is alert and oriented. Patient Is responding to questions.

5

General Skin Color

Patient has even tone, skin intact, pigment appropriate for genetic background

6

General face

Face is symmetrical with movements

7

General Distress

Individual does not appear to be in acute distress

8

Body Structure Questions

Stature, Nutrition, Symmetry, Posture, Position, Body build/ Contour

9

Body Structure- stature

Height within normal range for age and genetic heritage

10

Body structure- nutrition

Weight within normal range for age and body build

11

Body Structure- symmetry

Body parts equal bilaterally and in relative proportion to eachother

12

Body Structure-posture

Standing comfortably erect as appropriate for age.

13

Body structure-position

Sitting comfortably on the bed with arms relaxed at sides

14

Body Structure- Body Build/Contour

Normal proportions; arm span equals height

15

Mobility Questions

Gait, range of motion

16

Behavior Questions

Facial expression, mood and affect, speech, dress, personal hygiene

17

Mobility-Gait

Smootg even well balanced walk with symmetrical arm swing

18

Mobility- ROM

Full mobility in each joint with accurate coordination of movements

19

Normal range of temp and 3 factors that influence

35.8-37.3
Exercise
Age
Diurnal cycle

20

Range of pulse and 3 factors

60-100bpm
Gender
Age
Exercise
Anxiety/Stress

21

Range of Respiration and factore

10-20 bpm
Exercise
Anxiety
Disease process

22

Range of BP and factors

<135/85
Age & Sex
Weight
Exercise
Stress

23

Range of oxygen sat and factors

>95 on room air
Vascular disease
Medications
Cardiac output

24

What should be mentioned while assessing pulse

Rate, normal, rhythm (even tempo),force (normal force of 2+), equality (bilaterally)

25

What should be mentioned while assessing respiration

Quality and type of breathing.
Relaxed, regular, autonomic and silent.

26

OPQRSTUV

Onset
Provocative/palliative
Quality I'd pain
Region/ radiation
Severity
Timing/treatment
Understanding of pain
Values (acceptable level)

27

Cardiac History Chest

Chest pain
Dyspnea/SOB
Orthopnea
Cough/sputum
Fatigue
Cyanosis
Nocturia
Cardiac Hx
Family Hx
Self care-exercise

28

Cardiac History-Periperhal

Leg cramps
Skin changes
Swelling
Lymph nodes change
Medications