Chapter 7 - Patient Assessment Flashcards Preview

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Flashcards in Chapter 7 - Patient Assessment Deck (42):
1

AVPU

Determines Level of Responsiveness
A - Alert
V - Verbal
P - Pain
U - Unresponsive

2

ABCD

4 Parameters of the Primary Assessment
A - Airway
B - Breathing
C - Circulation
D - Disability

3

Normal pulse for an adult

60-100 bpm

4

Normal pulse for a child

80 - 100 bpm

5

Normal pulse for an infant

100 - 120 bpm

6

Normal adult respirations

12-20

7

Normal child respirations

15-30

8

Normal infant respirations

25-50

9

Normal adult Bp

90-140 / 60-90

10

Normal Child Bp

80-100 / 60-90

11

Normal Infant Bp

75-95 / 60-90

12

Normal Temperature

97.0 F to 100.4 F

13

What is decorticate posturing and what does it indicate?

Abnormal flexing
Nerve pathway injury between brain and spinal cord.

14

What is decerebrate posturing and what does it indicate?

Abnormal extension
Injury to the brain at the level of the brainstem.

15

What is paresthesia?

"pins and needles" feeling

16

What is paralysis?

Loss or impairment of motor function.

17

What is hypoxia?

a reduction in O2 supply to a tissue

18

MOI

Mechanism of Injury

19

NOI

Nature of Illness

20

Under normal circumstances how long should capillary refill take?

2 Seconds

21

When determining LOR what does AAO X 4 mean?

Awake, alert, and oriented to person, place, time and situation.

22

When determining LOR what 4 questions should be asked?

1. Name
2. Location
3. Time of day
4. What happened

23

What are the three components of the Glasgow Coma Scale?

1. Eye response
2. Verbal response
3. motor response

24

What is SAMPLE used for and what does it stand for?

Medical History
S - Signs and symptoms
A - Allergies
M - Medications
P - Pertinent past medical history
L - Last oral intake
E - Events leading to incident

25

What is OPQRST used to assess and what does it stand for?

Pain Assessment
O - Onset
P - Provocation and palliation
Q - Quality
R - Radiation
S - Severity
T - Time

26

What is a sign?

An objective finding that can be seen, heard, smelled or measured.

27

What is a symptom?

A subjective finding that the patient tells you.

28

What is a distracting injury?

Any injury that directs the patient's attention away from the exam.

29

What is DCAP-BTLS used to assess and what does it stand for?

Trauma
D - Deformity
C - Contusions
A - Abrasions/avulsions
P - Punctures/penetrations
B - Burns/bleeding/bruises
T - Tenderness
L - Lacerations
S - Swelling

30

What is PERRL used to assess and what does it stand for?

Eyes
P - Pupils are
E - Equal
R - Round
R - Reactive to
L - Light

31

How should you examine the pelvis?

Gently squeeze the "hip" bones inward, only once.

32

What does LOR stand for?

Level of Responsiveness

33

What are the three sections of a Patient Assessment (according to the Skill Guide)

1. Scene Size-up
2. Primary Assessment
3. Secondary Assessment

34

What are the steps of the Scene Size-up (according to the Skill Guide)?

1. Determine scene is safe.
2. Introduce yourself and obtain permission to examine and treat.
3. Initiate standard precautions.
4. Determine MOI and/or NOI and Chief Complaint.
5. Identify number of patients and LOR of each.
6. Form general impression - evaluate extrication issues - C-spine considerations.

35

What are the steps of the Primary Assessment (according to the Skill Guide)?

1. ABCDs
2. Provide Airway/breathing interventions
3. Check for and control major breathings
4. Confirm and monitor LOR
5. Call for transport, equipment, help

36

What is PERRL used to assess and what does it stand for?

Eyes
P - Pupils are
E - Equal
R - Round
R - Reactive to
L - Light

37

How should you examine the pelvis?

Gently squeeze the "hip" bones inward, only once.

38

What does LOR stand for?

Level of Responsiveness

39

What are the three sections of a Patient Assessment (according to the Skill Guide)

1. Scene Size-up
2. Primary Assessment
3. Secondary Assessment

40

What are the steps of the Scene Size-up (according to the Skill Guide)?

1. Determine scene is safe.
2. Introduce yourself and obtain permission to examine and treat.
3. Initiate standard precautions.
4. Determine MOI and/or NOI and Chief Complaint.
5. Identify number of patients and LOR of each.
6. Form general impression - evaluate extrication issues - C-spine considerations.

41

What are the steps of the Primary Assessment (according to the Skill Guide)?

1. ABCDs
2. Provide Airway/breathing interventions
3. Check for and control major breathings
4. Confirm and monitor LOR
5. Call for transport, equipment, help

42

What are the steps of the Secondary Assessment (according to the Skill Guide)?

1. Perform head-to-toe assessment DCAP-BTLS
2. Obtain SAMPLE history
3. Obtain baseline vitals
4. Provide interventions
5. Treat for Shock
6. Maintain spinal immobilization if needed
7. Prepare for transport
8. Reassess vitals and primary assessment