Assessments Flashcards
1
Q
Airway Assessment
A
Look, Listen & Feel:
1. Patency
2. Security
2
Q
Patency
A
- Airway integrity - e.g. trauma, narrowing.
- Absence of obstructions - e.g. foreign objects, secretions/blood, food, tongue.
3
Q
Security
A
4
Q
Breathing Investigations
A
- ABGs/VBGs
- CXR
- Capnography/spirometry
- Sputum culture
5
Q
Breathing Assessment
A
- Respirations
- Effort/WOB
- Efficacy
- Effects
6
Q
Respirations
A
7
Q
Effort/WOB
A
8
Q
Efficacy
A
- Chest expansion and symmetry
- Chest auscultation
- Percussion
- CXR
9
Q
Effect
A
- Skin - colour, temp, moisture.
- CRT
- SpO2
- ABGs
- HR
- Mental status
10
Q
Circulation Assessment
A
- Skin and oral mucosa - central/peripheral
- Pulses - central/peripheral
- IV access
- Blood pressure
- Heart rate, rhythm and sounds
- Capillary refill time
- Fluid balance
11
Q
Circulation Investigations
A
- Non-invasive - ECG, echocardiogram.
- Invasive - TOE, arterial line, CVC, PAC.
- Blood tests
- FBC
- U&E
-ABG/VBG
-LFTs
-Troponin
-D-dimer
- INR
- Cross-match
- Culture - Urinalysis
- Bladder scan
12
Q
Skin/oral mucosa
A
13
Q
Pulses
A
- Present and equal - central/peripheral, bilateral.
- Rate
- Rhythm
- Strength/volume
14
Q
Heart Rate, Rhythm & Sound
A
15
Q
Fluid Balance
A
16
Q
Disability Assessment
A
- Neurological status
- Medication review
- Seizure activity
- BGL & ketones
- Pain
17
Q
Neurological Status
A
- AVPU
- GCS
- PEARRLA
- Posturing
- BEFAST
18
Q
Disability Investigations
A
- CT/MRI/XR
- EEG
- Lumbar puncture
- BGL & ketones
- Toxicology
- ICP
19
Q
Exposure Assessment
A
- Temperature
- Head-to-toe - skin, injuries, DVT
- Invasive devices
- Known risk factors
- PMHx
20
Q
Seizure Activity
A
- Time
- Trigger - e.g. trauma, medication.
- General or focal
- Past history
21
Q
Exposure Investigations
A
- CT/MRI/XR
- Wound swabs
- Bloods - WBC, cultures, d-Dimer, Hb
- Pregnancy test
- PMHx/documentation
