week 3 Flashcards

Clinical approach and systematic patient assessment

1
Q

SAMPLE

A
Signs + symptoms 
Allergies
Medications
Past medical history
Last meal or GP visit
Events leading up to incident
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2
Q

Pulse

A

60 –100 sines rhythm

Above 100 - Tachycardia
Below 60 - Bradycardia

Rate (per minute)
Regularity
Strength

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3
Q

Blood pressure

A

80 - 120 mmHg

Systolic pressure (1st)/ diastolic pressure (2nd)

Hypertension - high blood pressure over 120

Hypotension - low blood pressure under 80

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4
Q

Respiratory rate

A

12-20 breaths per minute

Tachypnea - above 20

Brandypnea - below 12

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5
Q

Oxygen oximetry (Sp02)

A

Measure the oxygen saturation of arterial blood

94-100% oxygen saturation

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6
Q

Skin assessment

A

Skin Temperature
Colour
Hydration/ dehyration
Moisture

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7
Q

Glasgow Coma Scale

A

Severe: GCS 3-8
Moderate: GCS 9-12
Mild: GCS 13-15

Eye opening: (scored out of 4)

Verbal: response (scored out of 5)

Motor response: (scored out of 6)

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8
Q

Blood sugar levels

A

Hypoglycaemia < 4.0 mmol/L

Normal 4.0-8.0 mmol/L

Hyperglycaemia > 8.0 mmol/L

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9
Q

Temperature

A

Normal: 37.5 C
Hypothermia: <35.0 °C
Hyperthermia: >37.5 or 38.3 °C

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10
Q

Electrocardiograph (ECG)

A

ECG is a trace of the hearts electrical activity. The heart rate, rhythm and other important information can be interpreted from the ECG.

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11
Q

Pupils

A

Assessment of the pupils is undertaken to identify changes in intracranial pressure

Pupil size prior to light
Pupil size immediately post light
Responsiveness of pupils

Normal pupil function can be notes as PEARL -> Pupils Equal And Reactive To Light

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