CVR Assessment Flashcards
What is the problem list for for clinical reasoning?
Subjective assessment ➡️ objective assessment ➡️ problem list ➡️ treatment plan
What should you ask about their present condition?
Onset, duration, symptoms
What history is important to gather?
Past treatments, response to interventions, progress
What social history information should you gather?
ADLs, lifestyle factors, smoking, alcohol use
What drug history information is relevant?
Medications affective respiratory or cardiovascular function (e.g., bronchodilators)
What family history should you consider?
Genetic predispositions (e.g., COPD, asthma)
Why is employment history important?
Exposure to risks (e.g. dust, chemicals) affecting respiratory health
What should you ask about pain?
Location, type (sharp, dull), severity
Why are aggravating/easing factors important?
They guide management by identifying triggers
Where can you gather additional patient information?
MDT, patient/family, medical notes
Why is the symptom timeline critical?
Helps distinguish between acute and chronic conditions
What does threads stand for?
Thrombosis, hypertension, rheumatic fever, epilepsy, asthma, diabetes, stroke
What are the examples of red flags?
Dizziness, diplopia, dysphasia, drop attacks, chest pain, cyanosis
What is diplopia?
Double vision
What is dysphagia?
Difficulty swallowing, which may result from neurological, muscular, or structural issues in the throat or esophagus
What are drop attacks?
Sudden, unexplained falls without loss of consciousness
What is cyanosis?
A bluish discolouration of the skin, lips or nails caused by low oxygen levels in the blood
What is fremitus?
A vibration felt on the chest wall during speaking or breathing, used in assessments to detect abnormalities like fluid masses in the lungs
What should be in your objective assessment?
Breathing patterns, fremitus (vibrations), breath sounds, heart rate, blood pressure, SpO2
What does A-E stand for?
Airway, breathing, circulation, disability, exposure
What is ACVPU and what does it stand for?
A neurological assessment to evaluate consciousness
A - Alert
C - Confusion
V - Response to voice
P - Response to pain
U - Unresponsive
What is the Glasgow Coma Scale (GCS)?
A scale to assess consciousness, based on:
Eye opening (scored 1-4)
Verbal response (scored 1-5)
Motor response (scored 1-6)
Score ranges from 3 (deep coma) to 15 (fully alert)
What does an airway assessment involve?
Ensure it is open and unobstructed
What does a breathing assessment look like?
Assess the rate, depth & spO2
What does a circulation assessment look like?
Assess HR & BP
What does a disability assessment look like?
Assess consciousness via ACVPU and Glasgow coma scale
How would you assess exposure?
By looking at any wounds, drains, attachments and protecting their dignity
