Question 1

Primary Assessment

Accepted Answer

The first element in a patient assessment; steps taken for the purpose of discovering and dealing with any kind life-threatening problems. The six parts of primary assessment are: (1) forming a general impression, (2) assessing mental status, (3) assessing patients airway, (4) assessing breathing, (5) assessing circulation, and (6) determining the priority of the patient for treatment and transport to the hospital

Question 2

Interventions

Accepted Answer

Actions taken to correct or manage a patient's problems

Question 3

General Impression

Accepted Answer

Impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint, and appearance

Question 4

Spinal Motion Restriction

Accepted Answer

A procedure for limiting movement of the head, neck, and spine when spinal injury is possible or likely

Question 5

Manual Stabilization

Accepted Answer

Using one's hands to prevent movement of a patient's head and neck until a cervical collar can be applied

Question 6

Chief Complaint

Accepted Answer

In emergency medicine the reason EMS was called, usually in the patients own words

Question 7

Mental Status

Accepted Answer

Level of responsiveness

Question 8

AVPU

Accepted Answer

A memory aid for classifying a patient's level of responsiveness or mental status. The letters stand for Alert, Verbal Response, Painful Response, Unresponsive

Question 9

ABC's

Accepted Answer

Airway Breathing Circulation

Question 10

Priority

Accepted Answer

The decision regarding the need for immediate transport of the patient versus further assessment and care at the scene

Question 11

High Priority Conditions

Accepted Answer

Poor General Impression Unresponsive Responsive, but not following commands Difficulty breathing Shock Complicated childbirth Chest pain consistent with cardiac problems Uncontrolled bleeding Severe pain anywhere

Question 12

Primary Assessment - Responsive

Accepted Answer

General Impression : Form general impression of patients condition Mental Status : AVPU - Alert Airway - Open Breathing - Look for rise and fall of chest, and listen and feel for rate and depth of breathing. Look for work of breathing (use of accessory muscles, retractions). Assess O2 saturation Circulation - Pulse; bleeding; skin color, temperature, condition

Question 13

Primary Assessment - Responsive Interventions Priority

Accepted Answer

Breathing interventions: Administer O2 based on the patient's O2 saturation reading, complaint, and level of distress. If breathing becomes inadequate, provide positive pressure ventilations and high-concentration O2 Circulation Intervention: Control bleeding. Treat for shock. If Cardiac arrest occurs perform CPR Priority - A responsive patient's depends on on chief complaint, status of ABC's and other factors

Question 14

Primary Assessment - Unresponsive

Accepted Answer

General Impression: Form general impression of patient's condition Mental Status: AVPU - Responsive to only verbal or painful stimulus, or unresponsive Airway is compromised Breathing : Look for rise and fall of chest and listen feel for rate and depth of breathing (use of accessory muscles, retractions). Assess oxygen saturation Circulation : Pulse; bleeding, skin color, temperature, condition

Question 15

Primary Assessment - Unresponsive Interventions Mental Airway Breathing Circulation Priority

Accepted Answer

MENTAL INTERVENTION : Recognize that hypoxia or shock may be a cause of altered mental status/ Administer O2, as appropriate, during your treatment in breathing intervention AIRWAY INTERVENTION : Open airway with head-tilt, chin lift maneuver; consider oropharyngeal or nasopharyngeal airway; suction as needed. For foreign body obstruction, use abdominal thrusts or other blockage-clearing technique BREATHING INTERVENTION : Administer O2 based on the patient's O2 saturation reading complaint and level of distress. Position patient on side. If breathing is inadequate, provide positive pressure ventilations with O2. If respiratory arrest develops, perform rescue breathing CIRCULATION INTERVENTION : Control breathing. Treat for shock. If cardiac arrest occurs perform CPR PRIORITY : An unresponsive patient is automatically a high priority for immediate transport

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CH 12 Primary Assessment Flashcards

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