comms skilss Flashcards
1
Q
SOCRATES
A
Site Onset Character Radiation Associated symptoms Time/duration Exacerbating/relieving factors Severity
2
Q
what medications to ask about
A
prescribed
over the counter
recreational
herbal
3
Q
assoc symptoms of CHEST PAIN
A
SOB sweaty/clammy fever nausea cough palpitations dizziness oedema- swelling in lower limbs
4
Q
social history
A
smoking alcohol drugs diet/exercise living situation occupation
5
Q
cardio systemic inquiry
A
chest pain palpitations SOB fainting swollen ankles
6
Q
resp systemic inquiry
A
SOB cough sputum - blood wheeze chest pain
7
Q
gi systemic inquiry
A
appetite nausea vomiting - blood indigestion weight loss bowel habit abdo pain
8
Q
what does ABCDE stand for
A
airways breathing circulation disability exposure
9
Q
first step in ABCDE
A
Airways - are they breathing
if they can talk: airways are OPEN and PATENT
10
Q
what to do if patient struggling to breathe
A
15L non re-breather mask 100% O2
SIT THEM UP
11
Q
what do you want O2 sats to be in healthy people
A
94% +
12
Q
how to check o2 sats
A
pulse oximetry - clip on finger
13
Q
second stage in ABCDE
A
Breathing - what is their breathing like pulse oximetry resp rate consent patient and remove top - do mini resp exam if wheezy - neb salbutamol
14
Q
what to do in ABCDE when patient removes top
A
check for abnormalities, accessory muscle use sweatiness/generally struggling or not symmetrical chest expansion trachea and JVP percuss and auscultate front and back
15
Q
what to give for wheeze (asthma/anything)
A
NEB SABA/LABA
continuous dosage
every 15-30 mins
