Ch.10 Patient Assessment Flashcards
1
Q
XABC
A
Blood sweep first
Adress circulatory first if unresponsive
2
Q
High priority transport
A
Unresponsive
Difficulty breathing
Uncontrolled bleeding
Altered LOC
Severe chest pain
Pale skin or signs of poor perfusion
Complicated childbirth
Severe pain
3
Q
GCS Eyes
A
Spontaneous 4
In response to sound 3
In response to pressure 2
None 1
4
Q
GCS Verbal
A
Oriented conversation 5
Confused conversation 4
Inappropriate words 3
Incomprehensible sounds 2
None 1
5
Q
GCS motor response
A
Obeys commands 6
Localizes to pressure 5
Withdraws from pressure 4
Abnormal flexion 3
Abnormal extension 2
None 1
6
Q
GCS scores
A
13-15 mild dysfunction
9-12 moderate dysfunction
8 or less severe dysfunction