Chapter 17- History Taking Flashcards
What should you do after stabilizing life threats?
Determine and investigate the chief complaint and the history of the present illness
This includes obtaining a brief past medical history and identifying associated signs and symptoms.
What is important to remember about patients experiencing an AMI?
Not all patients have the same signs and symptoms
Common chief complaints include chest pain, shortness of breath, and dizziness.
What are some common feelings experienced by patients suspecting something is wrong?
Restlessness, anxiety, and a sense of impending doom
Patients may appear frightened, and your professional attitude can help in gaining their cooperation.
How should you communicate with a patient during an emergency?
Speak in a normal voice that is neither too loud nor too soft
Let the patient know that trained responders are present to provide care.
What should you do if a patient asks if they are having a heart attack?
Say, ‘I do not know for sure, but in case you are, we are taking care of you’
Reassure the patient that they are in good hands and will be taken to the hospital.
What initial questions should you ask about the patient’s current situation?
Determine if the patient is experiencing chest pain or discomfort and if there are other signs or symptoms
Also check for respiratory difficulty, as it is common among patients with chest pain.
What should you inquire about if the patient is experiencing dyspnea?
Whether it is related to exertion or the patient’s position
Note that dyspnea may worsen when lying down.
What should you ask regarding the patient’s cough?
Whether the cough produces sputum
Also inquire about other signs such as nausea, vomiting, fatigue, headache, and palpitations.
What is meant by ‘pertinent negatives’?
Findings that are noted as negative but are relevant to the patient’s condition
Record these findings, as they can be important in diagnosis.
What does SAMPLE history stand for?
Signs, Allergies, Medications, Past medical history, Last oral intake, Events leading up to present illness
This history is crucial in assessing a cardiovascular emergency.
What cardiovascular emergency questions should you ask?
Have you ever had a heart attack? Have you been told that you have heart problems? Have you ever been diagnosed with angina, heart failure, or heart valve disease? Have you ever had high blood pressure? Have you ever been diagnosed with an aneurysm? Do you have any respiratory diseases such as emphysema or chronic bronchitis? Do you have diabetes or have you ever had any problems with your blood sugar? Have you ever had kidney disease? Do you have any risk factors for coronary artery disease? Is there a family history of heart disease? Do you currently take any medications?
These questions help in assessing the patient’s risk factors and medical history.
