Flashcards in Patient Assessment Chpt. 8 Deck (71):
The secondary muscles of respiration. They include the neck muscles (Sternocleirdomastiods) the chest pectoralis major muscles, and the abdominal muscles
To listen to sounds within an organ with a stethoscope.
A method of assessing the level of consciousness by determining whether the patient is awake and alert responsive to verbal stimuli or pain, or unresponsive; used principally early in the assessment process.
The pressure of circulating blood against the walls of the arteries.
A slow heart rate, less then 60 beats/min
An indication of air movement in the lungs, usually assessed with a stethoscope.
A test that evaluates distal circulatory system function by squeezing (blanching blood from an area such as a nail bed and watch the speed of its return after releasing the pressure.
A noninvasive method that can quickly and efficiently provide information on a patients ventilatory status, circulation and metabolism
The use of a capnometer, a device that measures the amount of expired carbon dioxide.
Carbon dioxide is a component of air and typically makes up 0.3% of air at sea level. It is also a waste product exhaled during expiration by the respiratory system.
The reason a patient called for help; also the patients response to quetions such as "whats wrong?" or "What happen?"
To form a clot to plug an opening in an injured blood vessel and stop bleeding.
Capnometer or end-tidal carbon dioxide detectors are devices that use a chemical reaction to detect the amount of carbon dioxide present in expired gases by changing colors (qualitative measurement rather than quantitative)
The delicate membrane that lines the eyelids and covers the exposed surface of the eye
A grating or grinding sensation caused by fractured bone ends or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling
A bluish gray skin color that is caused by a reduced level of oxygen in the blood
a Mnemonic for assessment in which each area of the body is evaluated for deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations and Swelling
Characterized by profuse sweating
The pressure that remains in the arteries during the relaxing phase of the heart's cycle (diastole) when the left ventricle is at rest
The amount of carbon dioxide present in exhaled breath
A type of physical assessment that is typically performed on patients who have sustained non-significant mechanisms of injury or on responsive medical patients. This type of examination is based on the chief complaint and focuses on one body system or part.
Damage to tissues as the result of exposure to cold; frozen or partially frozen body parts
A systematic head-to-toe examination that is performed during the secondary assessment on a patient who has sustained a significant mechanism of injury, is unconscious or is in critical condition
The overall initial impression that determines the priority for patient care; based on the patient's surrounding, the mechanism of injury, signs and symptoms and the chief of complaint.
The time from injury to definitive care, during which treatment of shock and traumatic injuries should occur because survival potential is best.
Involuntary muscle contractions (Spasms) of the abdominal wall in an effort to protect an inflamed abdomen; a sign of peritonitis
A step within the patient assessment process that provides detail about the patient's chief complaint and an account of the patient's signs and symptoms
Blood pressure that is higher then a normal range
Blood pressure that is lower than normal range.
A condition in which the internal body temperature falls below 95°F (35°C) after exposure to a cold environment
A system implemented to manage disasters and mass- and multiple-casualty incidents in which section chiefs, including finance, logistics, operations and planning, report to the incident commander. Also referred to as the incident management system
Incident Command System
Yellow skin or sclera that is caused by liver disease or dysfunction
Breathing that requires visibly increased effort; characterized by grunting, stridor and use of accessory muscles.
The way in which traumatic injuries occur; the forces that act on the body to cause damage.
Mechanism of injury
Flaring out of the nostrils, indicating that there is an airway obstruction
The general type of illness a patient is experiencing
Nature of illness
An abbreviation for key terms used in evaluating a patient's pain: Onset, Provocation or Palliation, Quality, Region/radiation, Severity and timing of pain
The mental status of a patient as measured by memory of person (Name), place (current location), Time (Current year, month and approximate date), and event (what happen)
TO examine by touch
The motion of chest wall section that is detached in a flail chest; motion is exactly the opposite of normal motion during breathing (ie, in during inhalation, out during exhalation)
Circulation of blood within an organ or tissue
Clothing specialized equipment that provides protection to the wearer.
Personal Protective Equipment (PPE)
Negative findings that warrant no care or intervention
A step within the patient assessment process that identifies and initiates treatment of immediate and potential life threats.
The pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries
An assessment tool that measures oxygen saturation of hemoglobin in the capillary beds
A crackling, rattling breath sound that signals fluid in the air spaces of the lungs; also called crackles
A step within the patient assessment process that is performed at regular intervals during the assessment process. Its purpose is to identify and treat changes in a patient's condition. A patient in unstable condition should be reassessed every 5 minutes, whereas a patient in stable condition should be reassessed every 15 mintues
The way in which a patient responds to external stimuli, including verbal stimuli (sound), tactile stimuli (touch), and painful stimuli.
Movements in which the skin pulls in around the ribs during inspiration
Coarse, low-pitched breath sounds heard in patients with chronic mucus in the upper airway
A brief history of a patient's condition to determine signs and symptoms, allergies, medications, pertinent past history last oral intake and events leading to the injury or illness
A step within the patient assessment process that involves a quick assessment of the scene safety and the mechanism of injury or nature of illness before you enter and begin patient care.
The white portion of the eye; the tough outer coat that gives protection to the delicate, light sensitive inner layer
A step within the patient assessment process in which a systematic physical examination of the patient is performed. The examination maybe a systematic full-body scan or a systematic assessment that focuses on a certain area or region of the body, often determined through the chief complaint.
Respiration that are characterized by little movement of the chest wall (reduced tidal volume) or poor chest excursion.
Objective findings that can be seen, heard, felt, smelled or measured
An upright position in which the patient's head and chin are thrust slightly forward to keep the airway open
Breathing that occurs with no assistance
Protective measures that have traditionally been developed by the Centers for Disease Control and Prevention for use in dealing with objects, blood, body fluids and other potential exposure risk of communicable disease
A harsh, high-pitched, crowing inspiratory sound, such as the sound often heard in acute laryngeal (upper airway) obstruction; may sound like crowing and be audible without a stehoscope
The presence of air in soft tissues, causing a characteristic crackling sensation on palpation
Subjective findings that the patient feels but that can be identified only by the patient
The increased pressure in an artery with each contraction of the ventricles (Systoles).
A rapid heart beat, more than 100 beats/min.
The amount of air (in milliliters that is moved in or out of the lungs during one breath
The process of establishing treatment and transportation priorities according to severity of injury and medical need
An upright postion in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward
A severe breathing problem in which a patient can speak only two to three words at a time without pausing to take a breath
Two-to-three word dysphnea
Narrowing of a blood vessel