Chapter 8: Patient Assessment Flashcards Preview

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Flashcards in Chapter 8: Patient Assessment Deck (41):
1

list the 5 main parts of patient assessment

1. scene size up
2. primary assessment
3. history taking
4. secondary assessment
5. reassessment

2

a ______ is subjective, what the patient feels and tells you

symptom

3

a _______ is objective, it is what you observe about the patient

sign

4

list the 5 main parts of scene size up

1. ensure scene safety
2. MOI/NOI
3. standard precautions/BSI
4. determine the number of patients
5. consider additional/specialized resources

5

_______ is when the skin is unbroken, underlying body systems may be damaged

blunt trauma

6

_____ is when the force of injury impales the body

penetrating trauma

7

NOI is for ______

medical patients

8

standard precautions/BSI should be

equal to the task at hand

9

determining the number of patients is critical in determining

the need for additional resources

10

______ is the process of sorting patients based on the severity of each patient's condition

triage

11

the goal of primary assessment is to

identify and initiate treatment of the immediate or potential life threats to the patients airway, breathing, circulation

12

in forming a general impression we use CUPS. what does this stand for

C- critical (cardiac or respiratory arrest)
U - unstable
P - potentially unstable
S - stable

13

for consciousness level we use AVPU. what does this stand for

A - awake and alert (who, where, time, what happened)
V - responsive to verbal stimuli
P - responsive to painful stimuli
U - unresponsive

14

GCS looks at _____, _____, _____

eyes, motor, verbal skills

15

looking at the pupils we use PEARRL. what does this stand for

P - pupils
E - equal
A - and
R - round
R - regular size
L - react to light

16

5 main steps in primary assessment

1. form a general impression
2. level of consciousness
3. assess the airway
4. assess breathing
5. assess circulation

17

to assess adequacy of breathing we use IAP. what does this stand for

I - inspect
A - ausculate
P - palpate

18

______ breaths per minute is too fast

24 or more

19

_____ breaths per minute is too slow

8

20

the ______ is the time from injury to definitive care

golden period

21

the ______ is the time it should take to begin transport

the platinum 10

22

in history taking we obtain SAMPLE. what does this stand for

S - signs and symptoms
A - allergies
M - medications
P - pertinent past medical history
L - last oral intake
E - events leading up to the injury/illness

23

to assess pain in history taking we use OPQRSTU. what does this stand for

O - onset (what brought this on)
P - provocation (what makes it better or worse)
Q - quality (tell me what this feels like)
R - region/radiation (show me where)
S - severity (on a scale from one to ten)
T - timing
U - what have YOU done to intervene

24

the _____ is the force or energy that has resulted in a temporary injury, permanent damage, even death

MOI

25

what is the significance of stridor

signifies obstruction of the airway

26

what does DCAP-BTLS stand for

D - deformities
C - contusions
A - abrasions
P - punctures/penetrations
B - burns
T - tenderness
L - lacerations
S - swelling

27

three conditions that may be indicated by low blood pressure

loss of blood or its fluid components, loss of vascular tone, and a cardiac pumping problem

28

You are working a night shift on an ambulance and arrive on the scene of an assault at a residence. The house is dark and the front screen door has been knocked off its hinges. No law enforcement is on scene yet and the street is quiet. Which of the following is your best course of action

park your ambulance several houses away and wait for police

29

As you approach the scene of a motor vehicle crash, you observe that the vehicle appears to have struck a telephone pole on a rural road at high speed. The windshield is cracked near the driver's seat and the hood has been bent up significantly. You have observed the

MOI

30

The general impression of the patient should be formed

while observing the patient during your approach and initial conversation

31

During your primary assessment, you observe that the patient can only answer questions in two- to three-word sentences. Based on this finding, you should:

give him oxygen at 15L/min by non-rebreathing mask

32

Your decision regarding whether the patient is a high priority should be made at which step in the assessment

after the initial assessment is performed

33

Abnormal skin characteristics such as paleness, coolness, or moistness may indicate

hypoperfusion

34

The "T" in DCAP-BTLS stands for

tenderness

35

During your assessment of the patient's breath sounds, when possible you should auscultate the chest from the patients ____

back

36

During your physical exam, you find that the patient has good pulse in his feet, but has trouble moving them or feeling your touch. You should

ensure proper spinal mobilization steps have been taken

37

Following your physical exam for an unstable medical patient, you should begin transport, then repeat the primary assessment and vital signs at least every

5 minutes

38

______ is used to assess a patients pulse

palpation

39

Which of the following terms would not be used to describe the pulse quality?
- bounding
- weak
- thready
- irregular

irregular

40

The skin of a light-skinned individual with adequate perfusion should appear

pink

41

You should suspect poor peripheral circulation when capillary refill takes longer than ________ seconds

2 seconds