Chapter 14 Flashcards

Performing a secondary assessment

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1
Q

Trauma Assessment

A

the part of the 2ndary assessment that is performed on a patient who has an injury

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2
Q

Medical patient pertains to….

A

Illness

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3
Q

Trauma patient pertains to…

A

injury

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4
Q

Stable

A

a patient who is not likely to get worse soon

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5
Q

Unstable

A

a patient who has a high likelihood of getting worse in the immediate future

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6
Q

Secondary Assessment

A

Physical examination and medical history of the patient

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7
Q

What are the 3 main considerations when doing a 2ndary assessment?

A
  • is the patient stable
  • does the patient have a medical complaint
  • does the patient have a traumatic injury
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8
Q

What are the signs of a stable patient?

A
  • alert and oriented
  • no major complaints of chest or abdominal pain
  • no uncontrolled bleeding or recent blood loss
  • normal breathing
  • vital signs in the normal limits
  • absence of recent trauma
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9
Q

What are the signs of an unstable patient?

A

-abnormal mental status
- significant chest or abdominal pain/discomfort
- significant mechanism of injury
- uncontrolled breathing
- abnormal vital signs

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10
Q

Distention

A

stretched beyond normal dimensions

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11
Q

Guarding

A

contracting the abdominal muscles in response to pain

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12
Q

Mechanism of injury (MOI)

A

the event or mechanism that caused the injury

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13
Q

Multisystem Trauma

A

damage to multiple organ systems in the body caused by a mechanism/injury

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14
Q

Nonsignificant mechanism of injury

A

an injury that is isolated to a nonvital area of the body
(still bad but not BAD BAD)

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15
Q

what does BP-DOC stand for

A

Bleeding
Pain
Deformities
Open wounds
Crepitus

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16
Q

Describe Crepitus

A

the grating, crackling, or popping sounds and sensations that can be heard and felt beneath the skin

17
Q

Subcutaneous emphysema

A

air trapped beneath the skin

18
Q

Reassessment

A

a continuous rechecking of the patient’s condition to ensure that everything checked previously is still within normal limits or is not getting worse

19
Q

What are the components of a reassessment?

A
  • repeating the primary assessment
  • rechecking vital signs
  • reassess chief complaints/injuries
  • checking the effectiveness of your interventions
  • confirm status and transport priority