Patient Assessment Details Flashcards
(36 cards)
assess the level of consciousness with the _____ scale
AVPU (alert, responds to verbal or painful stimuli, unresponsive)
what questions can you ask to assess mental status?
who, what, when, where
when assessing the airway, the 2 points are earned by…
opening and assessing the airway, then adding an adjunct if indicated
when assessing for breathing, the 4 points are earned by…
assess breathing, initiate appropriate oxygen therapy, assure adequate ventilation, and manage any injury that may compromise breathing/ventilation
when assessing circulation, the 4 points are earned by…
checking the pulse, assess skin, assess and control major bleeding, initiate shock treatment
if you cannot assess the skin well, what is another good place to look?
the sclera, the white portion of the eye
qualities of the skin to assess
the skin’s color, temperature, moisture, and the capillary refill
DCAP-BTLS stands for…
deformity, contusions, abrasions, punctures, burns, tenderness, lacerations, and swelling
deformity is described as…
misshapen body part
contusions are described as…
bruising, blood under the skin
abrasions are described as…
loss of damage to the skin by rubbing or scraping
tenderness is described as…
pain when the area is palpated
OPQRST stands for…
onset, provocation, quality, radiation, severity, and timing
onset can be assessed by asking…
what were you doing when the symptoms started?
provocation can be assessed by asking…
what makes the symptoms worse/better?
quality can be assessed by asking…
how do the symptoms feel? waves, pressure, etc.
radiation can be assessed by asking…
does the pain or symptoms move anywhere? where is the pain?
severity can be assessed by asking…
rate your pain on a scale of 1 to 10
timing can be assessed by asking…
how long have you had the symptoms?
SAMPLE stands for…
signs and symptoms, allergies, medications, past medical history, last oral intake, and events leading to the NOI/MOI
if you hear a brassy crowing sound, it is called…
stridor
what does stridor tell us?
obstruction in the upper airway
if you hear wheezing, what does that tell you?
obstruction and narrowing of the lower airway
if you hear wet, muffled, or _____ in the lungs, we call that…
crackles
