Chapter 10-Patient Assessment

Question 1

APVU Scale

Answer 1

Awake + Alert, response to Pain, responsive to Verbal stimuli and Unresponsive

Question 2

capnography

Answer 2

noninvasive method to quickly and efficiently provide information on pt ventilatory status, circulation and metabolism, measures the concentration of carbon dioxide in expired air over time (ALS)

Question 3

crackles

Answer 3

crackling rattling breath sound that signals fluid in the air spaces of the lungs

Question 4

crepitus

Answer 4

grating or grinding sensation caused by fractured bone ends or joints ribbing together

Question 5

cyanosis

Answer 5

blue skin discoloration that is caused by a reduced level of oxygen in the blood

Question 6

DCAP-BTLS

Answer 6

Deformities, Contusions, Abrasions, Punctures/Pentation, Burns, Tenderness, Lacerations and Swelling

Question 7

diaphoretic

Answer 7

characterized by light or profuse sweating

Question 8

field impression

Answer 8

conclusion about the cause of the pat condition after considering the situation, history and examination findings

Question 9

focused assesment

Answer 9

performed on pts who have nonsignificant mechanisms of injury or on responsive medical patients. Based on the chief complaint and focuses on one body system or part.

Question 10

general impression

Answer 10

overall initial impression that determines priory of care. based on MOI, S&S, CC

Question 11

golden hour

Answer 11

time from injury to definitive care during which treatment of shock and traumatic injury should occur because survival potential is best

Question 12

guarding

Answer 12

involuntary muscle contractions (spasm) of the abdominal wall an effort to protect the inflamed abdomen

Question 13

incident command system

Answer 13

system implemented to manage disasters and mass multiple casualty incidents in which section chiefs, including finance, logistics, operations and planning report to the incident commander

Question 14

MAP (Mean Arterial Pressure)

Answer 14

average pressure in the circulatory system during one cardiac cycle

Question 15

OPQRST

Answer 15

Onset, Provocation/Palliation, Quality, Region/Radiation, Severity and Timing

Question 16

paradoxical motion

Answer 16

motion of the portions of the chest wall that is detached in a flail chest, exactly the opposite of normal chest wall motion during breathing

Question 17

perfusion

Answer 17

the flow of blood through body tissues and vessels

Question 18

rhonchi

Answer 18

Coarse, low pitched breath sounds heard in patients with chronic mucus in the upper airway

Question 19

SAMPLE

Answer 19

Signs&Symptoms, Allergies, Medications, Pertinent Past History, Last Oral Intake (or LMP) and Events leading to injury

Question 20

Scene Size Up

Answer 20

step within the patient assessment process that involves quick assessment of the scene and the surroundings to provide information and scene safety and the MOI/NOI before you enter and begin patient care

Question 21

stridor

Answer 21

harsh, high pitched respiratory sound generally heard during inspiration that is cause by partial bl0ckage or narrowing of the upper airway, may be audible w/o steth

Question 22

subcuntaneous emphysema

Answer 22

characteristic crackling sensation on the palpation of the skin, caused by the presence of air in soft tissues

Question 23

vasoconstriction

Answer 23

narrowing of a blood vessel