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Flashcards in Week 4 Deck (41)
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1

ABCDE

airway
breathing
circulation
disability
exposure

2

AMPLE - history taking in trauma unit

allergies
medications
PMH
last meal
events of injury

3

Delirium

-iatrogenic delirium, anesthesia-induced dementia, post-op delirium
-usually temporary (can last hours to weeks)
-much higher with hip fractures and TKA/THA

4

Scales to assess consciousness

-CAM/CAM ICU
-glasgow
-karnofsky performance scale
-Eastern Cooperative Oncology Group

5

Early screening tools for systemic disease/illness

temp and BP

6

Pulse rate and pulse ox

DO NOT RELY ON PULSE OXIMETER FOR PULSE RATE

7

Paradoxic pulse

-pulse amplitude that fades with inspiration and strengthens with expiration
-should be reported to physician
-common in COPD, constriction or compression around the heart

8

Time to wait in bw BP measurements

1 minute
preferred position is seated with arms parallel and extended in a forward direction

9

Pulse pressure

Normal=40
Consistently greater than 60-80 at rest= yellow flag, risk for a-fib
-high pulse pressure with bradycardia- s/s intracranial pressure
-narrowing pulse pressure=CHF, blood loss

10

BP in arms vs. legs

Lower in legs than arms=medical referral

11

BP high in the morning

predictor of stroke in older adults with HTN

12

Most common cause of orthostatic hypotension

-volume depletion
-autonomic dysfunction

13

6th vital sign

walking speed

14

First sign of PVD (arterial or venous)

-skin changes

15

Normal ABI

.91-1.3
lower than 1 can be indicative of PVD

16

Rubor of dependency

-place pt in supine, elevate legs, if color in soles disappears quickly, then compromised arterial supply. once feet brought into dependent position, a very bright red color may appear in impaired individuals

17

Strongest predictor of UE thrombosis

indwelling central venous catheter

18

Autar scale scoring

<6-no risk, 7-10-low risk, 11-14-moderate, greater than 15 high risk

19

Diminished fremitus

-can indicate pleural effusion of pneumothorax

20

Dullness during percussion

-can indicate a mass or consolidation (pneumonia)

21

RUQ refers pain to

(R) shoulder

22

LUQ refers pain to

(L) shoulder

23

L and R LQs refer pain to

pelvis, pelvic floor, groin, hip, SIJ

24

Grey turner's sign

bluish color on lower abdomen

25

Most likely to palpate enlarged lymph nodes where?

Neck, supraclavicular, axillary areas

26

Lymph nodes suspicious of cancer if...

hard, immovable, non-tender

27

Virchow's node

Enlargement of one of the supraclavicular lymph nodes
-primary carcinoma of the thorax or abdominal organs
-more common on left side

28

DTR scoring

0-absent
1+-low normal, decreased
2+-normal
3+-brisk
4+-hyperactive, very brisk, clonus, suspected SC disorder

29

Steroid skin

bruising or ecchymosis results from chronic use of topical or systemic corticosteroids

30

STD/infections

-often accompanied by skin and/or nail bed lesions and joint pain
-HPV is the leading viral StI