ABCDE Flashcards
1
Q
Airway
look
A
- Type of airway
- are they self ventilating?
- artificial?
- is the airway patent?
2
Q
airway listen
A
- stridor
- gurgling
- wheeze
- snoring
- no sound
3
Q
airway feel
A
air movement
4
Q
breathing look
A
- colour
- mode of ventilation
- respiratory rate
- Sp02 and Fi02
- pattern of breathing
- expansion of chest
- accessory muscle use
- sputum
- ABGs
- CXRs
5
Q
breathing listen
A
- able to speak?
- auscultation
- cough
- percussion note
- auscultation - stethoscope
6
Q
breathing feel
A
- chest wall movement
- apical
- diaphramatic
- expansion
- tactile fremitus
7
Q
circulation look
A
- colour
- HR and rhythm
- BP on a machine
- CRT
- core temp
- urine output and colour
- fluid balance
- limb odema
8
Q
circulation listen
A
blood pressure manually
9
Q
circulation feel
A
- pulse
- HR
- strength and regularity
- skin temp
- assess for pitting odema
10
Q
disability look
A
- level of conciousness
- ACVPU (alert, confusion, voice, pain, unresponsive)
- GCS (glasgow coma scale)
- RASS (richmond agitation-sedation score)
- pupils
- blood sugars
11
Q
disability sound
A
- verbal responses
- agitation
- pain? VAS
12
Q
exposure look
A
- patient position
- muscle wasting
- wounds/dressing
- signs of infection, bleeding
- finger clubbing
- nicotine stains
- mobility aids
- general condition of patient
13
Q
exposure listen
A
- chest drains- bubbling
- alarms- what are they
14
Q
exposure feel
A
- skin tempreture
- ROM/muscle strength if applicable
