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Flashcards in Chapter 11 Deck (34):
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Vital signs

The traditional signs of life, assessments related to breathing, pulse, skin, pupils, & blood pressure

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Baseline vital signs

The first set of vital sign measurements to which subsequent measurements can be compared

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Sphygmomanometer

Instrument used to measure blood pressure (blood pressure cuff)

3

Stridor

A harsh, high pitched sound heard on inspiration that indicates swelling of the larynx or obstruction of the upper airway

4

Auscultation

Listening for sounds within the body w/ a stethoscope

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Blood pressure

The force exerted by the blood on the interior walls of the blood vessels

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Bradycardia

A heart rate less than 60 beats per minute

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Capillary refill

The amount of time it takes for capillaries that have been compressed to refill with blood

8

Chief complaint

The patient complaint that is the primary reason why the EMS crew was called to the scene

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Clammy

A moist, or a cool and moist, condition; a skin condition often characteristic of shock

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Close ended question

A question that requires only a yes or no answer

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Conjunctiva

The thin covering of the inner eyelids and exposed portion of the sclera of the eye

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Constricted

Narrow, made small

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Cyanosis

A bluegray color of the mucous membranes and/or skin, which indicates inadequate oxygenation or poor perfusion

14

Diastolic blood pressure

The pressure exerted against the walls of the arteries when the left ventricle is at rest

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Dilated

Expanded, made large

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Flushing

Abnormally red skin color due to vasodilation

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Jaundice

A condition characterized by yellowness of the skin, sclera of the eyes, mucous membranes, and body fluids. It typically indicates liver failure or disease.

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Mottling

A skin discoloration similar to cyanosis, but occurring in a blotchy pattern; a possible sign of shock

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Open ended question

Questions that allow the patient to give a detailed response in his own words

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OPQRST

A mnemonic for remembering the questions to ask when assessing the patient's chief complaint or major symptoms, such as pain onset, provocation/palliation, quality, radiation, severity, and time of the complaint

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Orthostatic vital signs

An increase in heart rate of 10 to 20 BPM any decrease in systolic blood pressure of 10 to 20 mmHg when a patient moves from a supine to an upright or standing position; a positive finding for orthostatic hypertension. Also called a tilt test

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Pallor

Pale or abnormally white skin color

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Palpitation

Feeling, as for a Pulse

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Pulse oximeter

Electronic device used to determine the oxygen concentration in the arterial blood

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Pulse oximetry

Measurement of blood oxygen saturation

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Pulse pressure

The difference between the systolic blood pressure and the diastolic blood pressure

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Pulse paradoxus

A decrease in Pulse strength during inhalation; a drop in blood pressure of more than 10 mmHg during inhalation resulting from increased pressure within the chest that suppresses the filling of the ventricles of the heart with blood

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SAMPLE history

A format for taking a patient history sample is an acronym used to remember categories of information necessary to the patient's history: signs and symptoms, allergies, medications, pertinent past history, last oral intake, and events leading to the injury or illness.

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Signs

Any objective evidence of medical or trauma conditions that can be seen, heard, felt or smelled in a patient

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Symptoms

Conditions that must be described by the patient because they cannot be observed by another person

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Systolic blood pressure

The pressure exerted against the walls of the arteries when the left ventricle contracts

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Tachycardia

A heart rate greater than 100 bpm

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Tilt test

Orthostatic vital signs