Clinical skills 2

Question 1

What is a normal pulse rate

Answer 1

A Normal pulse rate is between 60-100 beats per minute

Question 2

What is average normal body temperature

Answer 2

37 degress is accepted as the normal body temperature,

-36.1 to 37.2 degress is still a normal temperature range

Question 3

What temperature is too high and often means you have a fever?

Answer 3

A temperature which is 38 degrees or over is considered abnormal and in most occasions means you have a fever

Question 4

What is the normal systolic blood pressure?

Answer 4

-A normal systolic blood pressure is less than 120 mm Hg

Question 5

What is the normal diastolic blood pressure?

Answer 5

-A normal diastolic blood pressure is less than 80mm Hg

Question 6

What is the normal respiratory rate in healthy adults at rest?

Answer 6

-12-16 breaths per minute.

Question 7

What equipment should you use to measure temperature?

Answer 7

• A Tempadot which you should leave in place for 1 minute,

- A Tympanic thermometer what you place in your ear.

Question 8

What pulse is the standard site to record pulse rate?.

Answer 8

-The Radial pulse at the wrist,

Question 9

What pulse is the standard site to record Blood pressure?

Answer 9

-The Brachial Pulse just above the elbow

Question 10

What Pulse is used to detect cardiac arrest and monitor resuscitation?

Answer 10

-The Carotid pulse

Question 11

What Pulse is used to monitor a unconscious patient e.g. during anaesthetic ?

Answer 11

-The Superficial temporal pulse.

Question 12

How do you feel pulses?

Answer 12

-You feel pulses by placing the tips of the middle and index fingers on the most appropriate pulse.

Question 13

How do you count pulse rate?

Answer 13

-Count the number of beats in a period of 15 seconds and multiple the number by 4

Question 14

How do you count respiration rate?

Answer 14

-Count the Respirations for first 30 seconds than multiple the number by 2

Question 15

What pieces of equipment are used to calculate blood pressure?

Answer 15

• An Inflatable cuff,
• A Pressure gauge,
• Stethoscope

Question 16

How do you calculate Peak Expiratory Flow Rate?

Answer 16

• A Patient is asked to stand up if possible and is then asked to breathe in as deeply as possible and then blow into the peak expiratory monitor as hard and fast as possible,
• This is repeated 3 times, and highest flow rate is recorded.

Question 17

Key things about ABCDE Approach

Answer 17

• It’s a Systematic approach that is used to assess and treat the acutely and critically ill patient. Its based on,
• Airway,
• Breathing,
• Circulation,
• Disability,
• Exposure and Examination

Question 18

Key things about the Glasgow Coma Scale

Answer 18

• Originally developed as a prognostic tool for the assessment of patients with head injury. Today it’s more used as a tool to assess and calculate a patients levels of consciousness.
• Three aspects measured are
  1) Eye opening
  2) Speech (Verbal communication)
  3) Limb movements (motor response)
• The highest score is 15, lowest score is 3

Question 19

What is the highest and lowest scores possible in The Glasgow Coma Scale?

Answer 19

• The Highest score possible is 15,

- The Lowest score possible is 3

Question 20

What are the 3 basic principles of management involved with dealing with an unconscious patient?

Answer 20

• Dignity and ethics,
• Safety issues when moving an unconscious patient,
• Comfort of the patient