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Frt II > Lecture #3 Patient Assessment > Flashcards

Lecture #3 Patient Assessment Flashcards

1
Q

It aid in clearing the airway of secretions

A

Cough

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2
Q

What are the 2 types of cough?

A

Productive and Non-productive

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3
Q

What sputum color indicates Pseudomonas Infection?

A

Green and foul smelling

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4
Q

The patient’s complaint of difficult or labored
breathing?

A

Dyspnea

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5
Q

SOB in lying down?

A

Orthopnea

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6
Q

SOB in sitting up?

A

Platypnea

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7
Q

SOB in right or left lateral position?

A

Trepopnea

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8
Q

Is sudden onset of shortness of breath
after being in bed for several hours?

A

Paroxysmal Nocturnal Dyspnea

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9
Q

Its severity is determined by the amount of exertion. It is often seen in patients with cardiopulmonary
disease.

A

Exertional dyspnea

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10
Q

Coughing up blood from the respiratory tract.

A

Hemoptysis

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11
Q

Types of hemoptysis

A

Frank
Massive
Non-massive

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12
Q

Types of Chest Pain

A

Pleuritic
Non-pleuritic

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13
Q

Most common source of chest pain?

A

Thoracic wall

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14
Q

A form of obtaining objective data that involves the use of one’s sense to obtain information about the
structure and function of an area being observed or manipulated.

A

Assessment

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15
Q

4 basic techniques of assessment

A

Inspection
Palpation
Percussion
Auscultation

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16
Q

2 Considerations of Assessment

A

Positioning
Draping

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17
Q

Under Initial Impression

A

General appearance
Mental status

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18
Q

Under assessment of mental status

A

Level of consciousness
Glasgow Coma Scale

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19
Q

Measures of various
physiologicalstatistics, often taken by health professionals, in order to asses the most basic body function.

A

Vital Signs

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20
Q

Vital Signs is also called?

A

Cardinal Signs

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21
Q

•It is the balance between the heat
produced by the body and the heat lost from the body.

A

Temperature

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22
Q

Types of temperature?

A

Core temperature
Surface temperature

23
Q

Normal range of body temperature

A

36 - 37 degree celsius or
96.8 - 98.6 fahrenheit

24
Q

3 to 5 minutes in place
This site is inconvenient for
1. unconscious patients,
2. infants and children, and
3. patients with ulcer or sore of the
mouth,
4. pts with persistent cough.

A

Oral route

25
Q

Insert in rotating motion in Rectal route

A

Adult - 1 & 1/2 inches
Child - 1 inch
Infant - 1/2 inch

26
Q

Is considered the least accurate & least reliable of all the sites because the temp obtained using this route can be influenced by a number of factors e.g. bathing & friction during cleaning

A

Axillary

27
Q

Axillary route time?

A

5-10 min.

28
Q

Tympanic time?

A

1-2 seconds

29
Q

•It is a wave of blood created by contraction of the left ventricle of the heart.

A

Pulse

30
Q

Pulse rate is expressed in?

A

Breaths per minute (bpm)

31
Q

It is the act of breathing; it includes the intake of oxygen and
output of carbon dioxide.

A

Respiration

32
Q

This is the measure* of the force blood exerts against the blood
vessel walls.

A

Blood pressure

33
Q

Maximum venticular contraction

A

Systolic

34
Q

Minimum ventricular relaxation

A

Diastolic

35
Q

Stages of hypertension

A

(Prehypertension) Systolic Bp 120-139 mmHg
(Stage 1) Systolic Bp 140-159 mmHg or Diastolic Bp 90-99 mmHg
(Stage 2) Systolic Bp 160 mmHg or Diastolic Bp 100 mmHg

36
Q

The percent of all hemoglobin binding sites that are occupied by oxygen.

A

Osygen saturation

37
Q

Normal O2 saturation

A

93-100%

38
Q

Normal Vital signs for adults

A

HEART RATE/PULSE RATE (60-100 beats/min)
RESPIRATORY RATE (12-20 breaths/min)
BLOOD PRESSURE (120/80 mmHg)
TEMPERATURE (98.6 fahrenheit or 37 degree celsius)
OXYGEN SATURATION ( >93 %)

39
Q

The normal rate and depth of respirations

A

Eupnea

40
Q

Normal Respiratory rates

A

Adult (12-20 breaths/min)
Children (15-25 breaths/min)
Infant (35-45 breaths/min) can go up to 70 with excitement

41
Q

Less than the normal respiratory rate. May be seen with respiratory center depression caused by head trauma or drug overdose.

A

Bradypnea

42
Q

Absence of breathing for a specific period of time (usually at least 10 seconds).

A

Apnea

43
Q

Faster than the normal respiratory rate but with the normal depth of breathing.

A

Tachypnea

44
Q

Shallow respirations (about half of normal depth) with slower than normal respiratory
rate.

A

Hypopnea

45
Q

A deep, rapid, and labored breathing. Associated with conditions in which there is an inadequate O2 supply, such as cardiac and respiratory diseases.

A

Hyperpnea

46
Q

Hyperpnea is usually refers to ?

A

Hyperventilation

47
Q

increased rate and depth of breathing. Usually seen in patients with severe metabolic acidosis (diabetic ketoacidosis).

A

Kussmaul respiration

48
Q

An irregular breathing pattern characterized by short periods of deep, consistent volumes with periods of apnea. The apneic period may last 10 to 30 seconds.

A

Biot respiration

49
Q

A deep, rapid breathing followed by apnea. The breaths begin slowly and shallowly and gradually increase to above normal volume and rate, then gradually diminish in volume
and rate, followed by apnea. Apnea may last 10 to 20 seconds before the cycle is repeated.

A

Cheyne-Strokes respiration

50
Q

Concave curvature of the spine, resulting in a “hunchback”
appearance. It is best assessed from an anterior view.

A

Kyphosis

51
Q

Backward curvature of the lumbar spine, resulting in a “swayback” appearance.

A

Lordosis

52
Q

Lateral curvature of the thoracic spine, resulting in chest protrusion posteriorly and the anterior ribs flattening out. Chest protrudes on right or left side.

A

Scoliosis

53
Q

Combination of kyphosis and
scoliosis. May be most adequately
observed by noticing different
heights of the shoulders.

A

Kyphoscoliosis

54
Q

Funnel Chest and Pigeon breast

A

Pectus Carinatum
Pectus Excavatum

Frt II (2 decks)

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