CH 14: Assessment of Medical Patient - Concepts Flashcards
What is the most important source of information from a medical patient?
What the patient can tell you.
What are the four parts of secondary assessment for a medical patient?
HPI
PMH
Physical exam
Baseline vital signs
What questions do you ask during the HPI?
Onset Provokes Quality Radiation Severity Time
What questions do you ask during the PMH?
Signs/symptoms Allergies Medications Pertinent past history Last oral intake Events leading to illness
What sort of physical exam do you perform for a respiratory complaint?
Lung sounds (presence and equality)
Wheezing
Work of breathing/position
Pulse oximetry
What sort of physical exam do you perform for a cardiovascular complaint?
Skin color, temp, condition BP Pulse Lung sounds Jugular vein distention Ankle edema O2 saturation
What sort of physical exam do you perform for a neurological complaint?
FAST Face - drooping? Arms - hold equally outright? Speech - clear and understandable? Test - oxygen saturation
What sort of physical exam do you perform for a allergic complaint?
Stinger Hives Lung sounds Face and neck edema Oxygen saturation
What sort of physical exam do you perform for a abdominal/gastrointestinal complaint?
Inspect/palpate all four quadrants of abdomen
What sort of physical exam do you perform for a endocrine complaint?
Blood glucose monitoring
Skin color, temp and condition
Mental status
Unusual breath orders
