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Paramedic School #99 > Pt Assessment > Flashcards

Pt Assessment Flashcards

(66 cards)

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1
Q

Stethoscope

A

Used to auscultate sound and vibrations

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2
Q

Otoscope

A

Used to visualize the inner ear and tympanic membrane (eardrum)

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3
Q

Ophthalmoscope

A

Used to examine the inside of an eye

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4
Q

Thermometer

A

Used to measure the pt core body temp

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5
Q

4 Examination Techniques

A

Inspection, Auscultation, Percussion, Palpation

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6
Q

Inspection

A

Visual observation

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7
Q

Auscultation

A

Sense of hearing to obtain physical findings

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8
Q

Percussion

A

Consists of striking the surface of the body emitting sounds of varying pitch

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9
Q

Palpation

A

The act of feeling with the hand

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10
Q

Induration

A

feeling of firmness in the subcutaneous tissue, associated with hemorrhage, infection, or inflammation

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11
Q

Fluctuance

A

Wavelike motion felt when palpating a fluid-filled structure

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12
Q

Voluntary Guarding

A

Conscious contraction of the abdominal muscles

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13
Q

Involuntary Guarding

A

Subconscious contracting of muscles

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14
Q

Respiration

A

Exchange of carbon dioxide and oxygen between the alveoli and blood vessels

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15
Q

Ventilation

A

Inhalation and exhalation of air

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16
Q

Tidal Volume

A

Volume of air moved in and out of the lungs during normal breath

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17
Q

Minute Volume

A

Amount of air in and out of the lungs in 1 minute/ multiply tidal volume by respiratory rate

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18
Q

Pulse Pressure

A

difference between systolic and diastolic

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19
Q

AVPU

A

Used in assessing mental status/ Alert, Verbal, Pain, Unresponsive

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20
Q

Comprehensive Patient Assessment System

A

Scene size up, Initial assessment, reassessment

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21
Q

Scene size up components

A

Safety, Number, Mechanism of injury

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22
Q

Purpose of Primary Survey (Initial Assessment)

A

Find life-threatening conditions and fix them

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23
Q

Critical Body Systems

A

Respiratory, Circulatory, and Nervous System

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24
Q

General Appearance Includes:

A

Appearance, Breathing, Circulation

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25
Pt Appearance Refers To:
Mental status, muscle tone, and body position
26
Abnormal Body positions:
Sniffing Position, Tripod position, head bobbing
27
Breathing
Presence or absence of visible movement of the chest or abdomen
28
Circulation
Perfusion ( Skin color )
29
6 Immediate Life Threats are:
Uncontrolled airway, inadequate breathing, pulselessness, severe bleeding, decreased level of consciousness, and potential spinal injury
30
3 parts of Secondary Survey
Physical exam, vital signs, SAMPLE history
31
DCAPBTLS
Deformities, Contusions, Abrasions, Punctures, Bruising, Tenderness, Lacerations, Swelling
32
Skin Turgor
Skin's resistance to deformation when pinched
33
Lesions
Disruptions in the structure of the skin
34
Clubbing
Flattening of the nail base more than 160 degrees associated with chronic hypoxia
35
Battle's Sign
Significant bruising around the mastoid process (behind the ears)
36
Raccoon Eyes
Bruising around the orbits of the eyes
37
Exophthalmia
"bug eyed" often appears in pt with grave's disease
38
Grave's Disease
Hyperthyroidism
39
Nystagmus
pauses in eye motion (often observed when pt look to the side or down)
40
Diplopia
Double vision
41
Bruits
Sound made when blood in an artery passes over built up plaque
42
Vesicular Lung Sounds
Soft, Low pitched sounds heard over healthy lung tissue
43
Bronchovesicular lung sounds
Medium pitched sounds heard mainly over the major bronchi
44
Bronchial lung sounds
High Pitched sounds normally heard only over the trachea/manubrium
45
Crackles
High pitched crackling sounds caused by air passing through moisture
46
Rhonchi
Loud, low, coarse sounds caused by buildup of mucus or fluid in the trachea or large bronchi
47
Wheezes
High-pitched whistling sounds caused by air moving through narrowed passages
48
Friction Rub
Sound like two pieces of sandpaper rubbing together
49
PMI (Point of maximum impulse)
Fifth intercostal space just lateral to the midclavicular line( hearts apex) Point where the heartbeat is most strongly felt.
50
S1 sound
"Lubb" sound of the tricuspid and mitral valves closing at the beginning of systole
51
S2 Sound
"dupp" sound which signals the closing of the pulmonic and aortic valves at the beginning of diastole
52
Heart Murmor
Whooshing sound that usually follows S2 (abnormal sound that indicates the valve may not be fully closing)
53
Ecchymosis
Bruising and may suggest internal bleeding
54
Grey-Turner's Sign
Bruising of the flanks (May be seen in acute pancreatitis, trauma, and rupturing AAA)
55
Cullen's Sign
Yellow Bruising of the umbilical region (may be seen in pancreatitis, or ectopic pregnancy)
56
Rebound Tenderness
Tenderness that occurs when pressure is released during palpation
57
STOPEATS
mneumonic for possible causes of LOC, Sugar, Temperature, Oxygen, Increased intracranial pressure, electricity, alcohol, toxins, salts
58
Decorticate posturing
Flexing
59
Decerebrate posturing
extension
60
Assessment Based Management
Taking info from assessment and using it to treat the pt
61
Pattern Recognition
Determining whether pt's presentation fits with the pathophysiologic signs and symptoms of illnesses or injuries
62
Pattern Response
Anticipating the equipment and care needed based on pt history and PE
63
Tunnel vision
Focusing on one aspect of the situation without taking into account of all possibilities
64
Resuscitative Approach
Do what you have to on scene and then transport the pt (used when pt has life threatening problems that you can help fix or stabilize)
65
Contemplative Approach
Conduct the History and PE first then provide interventions as necessary ( Immediate intervention not necessary)
66
Evacuation approach
Immediate evacuation to the ambulance for transport (Pt needs life saving interventions you can't provide, or scene is unsafe, unstable or too chaotic)

Paramedic School #99 (3 decks)

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