Patient Assessment Ch.4 Flashcards

1
Q

First process in patient assessment? (1/4)

A

Scene Size-Up

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2
Q

Second process in patient assessment? (2/4)

A

Primary Assessment

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3
Q

Third process in patient assessment? (3/4)

A

Secondary Assessment

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4
Q

Fourth process in patient assessment? (4/4)

A

Reassessment

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5
Q

Name the 7 baseline vitals

A
HR
RR
BP
LOR
SCTM
CSM
PERRL
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6
Q

What are the steps involved in the Scene Size Up?

A
Scene safety
PPE
MOI/NOI
# of patients
Resources needed (consider 911)
Consider c-spine immobilization
Establish consent
Chief Complaint
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7
Q

What are the steps involved in the Primary Assessment?

A
Airway
Breathing
Circulation
Disability/Defib./Diabites
Expose/Environment
Transport Decision
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8
Q

What are the steps involved in the Secondary Assessment?

A

Baseline Vitals
History
Physical Exam

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9
Q

What are the steps involved in the Reassessment?

A

Reevaluate

Document

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10
Q

What is the range for a normal HR?

A

60-100 bpm

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11
Q

What is the range for a normal RR?

A

12-20 bpm

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12
Q

What is a good indicator of sufficient BP?

A

Presence of a radial pulse

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13
Q

AVPU is the scale used to relay information pertaining to LOR. Name the 7 levels of AVPU.

A
Alert & Oriented x 4 (person, place, time, event)
A&O x 3 (person, place, time)
A&O x 2 (person, place)
A&O x 1 (person)
Verbal
Pain
Unresponsive
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14
Q

What is the skin color of a healthy person and name three good places to look for it. (Especially when dealing with darker complexions.)

A

Pink.

Nail beds
Palms
Mucous membranes

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15
Q

What does a red skin color indicate? Name 4 possible causes.

A

Vasodilation.

Allergic reactions
Fever
Hyperthermia
Vasogenic shock

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16
Q

What does a pale skin color indicate? Name 2 possible causes.

A

Vasoconstriction

Hypovolemic or cardiogenic shock
Hypothermia

17
Q

What does a blue skin color indicate? What is another name for blue skin color?

A

Lack of O2/asphyxiation

Cyanosis

18
Q

What does a yellow skin color indicate? What is another name for yellow skin color?

A

Liver problems/failure

Jaundice

Bonus quote from class- “Yellow people need doctors.” Racist much?

19
Q

Name 4 possible causes of an elevated temperature.

A

Allergic reactions
Vasogenic shock
Fever
Hyperthermia

20
Q

Name the three acronyms associated with History in the Secondary Assessment and when they would be used.

A

SAMPLE- always ask about SAMPLE if possible
OPQRST- when dealing with medical (NOI) pain
1ST STEP- when dealing with an altered LOR

21
Q

What does SAMPLE stand for?

A
Signs and Symptoms
Allergies
Medications
Past-pertinent medical history/pre-existing conditions
Last ins and outs
Events prior
22
Q

What does OPQRST stand for?

A
Onset
Provoke
Quality
Radiate
Severity
Time
23
Q

Name the steps, in order, of a detailed head-to-toe exam.

A
Skull & cervical spine
Eyes
Ears & mouth
Neck
Chest
Abdomen
Back
Pelvis
Legs & feet
Arms & hands
24
Q

What does 1ST STEP stand for?

A
Sugar
Temperature
Salt
Toxins
Electricity
Pressure
25
Q

What does SOAAP stand for?

A
Subjective
Objective
Assessment
Anticipated worst case scenario
Plan
26
Q

What is involved in the Reevaluate portion of the Reassessment?

A
Reassess:
Chief complaint
Primary assessment
Vitals
Interventions
27
Q

What is involved in the Document portion of the Reassessment?

A

Record on athletic tape
Write out SOAAP notes
Transfer to accident report form

28
Q

What are the considerations involved in the Airway check of the Primary Assessment?

A

Open
Clear
Maintained

29
Q

What are the considerations involved in the Breathing check of the Primary Assessment?

A

Adequate/Inadequate?

30
Q

What are the considerations involved in the Circulation check of the Primary Assessment?

A

Pulse
Control/check for blood loss
SCTM

31
Q

What are the considerations involved in the Disability check of the Primary Assessment?

A

Check for c-spine injury

32
Q

What are the considerations involved in the Defib. check of the Primary Assessment?

A

Consider defibrillation if necessary

33
Q

What are the considerations involved in the Diabetes check of the Primary Assessment?

A

Consider giving sugar to a potentially diabetic patient

34
Q

What is in the right upper quadrant of the abdomen?

A
Liver
Right kidney
Gall bladder
Pancreas
Colon
35
Q

What is in the left upper quadrant of the abdomen?

A
Liver
Left kidney
Spleen
Pancreas
Colon
36
Q

What is in the left lower quadrant of the abdomen?

A

Colon
Small intestine
Ureter

37
Q

What is in the right lower quadrant of the abdomen?

A

Colon
Small intestine
Ureter
Appendix