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Vital observations > Deck 1 > Flashcards

Deck 1 Flashcards

1
Q

What is the two types of Delirium

A

Hypoactive

Hyperactive

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2
Q

What is the assessments tools for delirium

A

4at
confusion assesment model
single question
pinch me

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3
Q

what does pinch me stand for

A 
P= Pain
IN= Infection
C= Constipation
H= Hydration
M= Medication
E= Environment
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4
Q

What are the two assesments in neurological assessment

A

Glasgow coma scale

AVPU

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5
Q

What are the four steps for a glasgow coma scale

A

Assess, verbal, motor and eyes opening responses.

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6
Q

what is avpu?

A

Alert, voice, pain and unresponsive

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7
Q

what is emesis

A

vomit

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8
Q

wha is haematemis

A

blood in vomit

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9
Q

what is copramesis

A

prescene of faeces in vomit

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10
Q

what is blood glucose

A

needed for people with diabetes

anyone actually unwell

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11
Q

what is hyperglycaemia

A

a random plasma glucose of more than one 11mmol

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12
Q

cause of hyperglycaemia

A

Infections, stress, inadequate of insulin, surgery.

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13
Q

what is sepsis

A

when the Immune system overreacts as response to an infection

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14
Q

assessment tools for sepsis

A

NEWS2

ABCDE

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15
Q

What is ABCDE

A

airways, breathing, circulation, disability, expourse

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16
Q

what is sbar

A

situation, background, assesment, recommendation

17
Q

what is soler?

A

effective communcation

18
Q

what are the 5 points in soler

A 
sit squarely 
open posture 
lean forward 
eye contact
relax
19
Q

How may times do you do BD

A

twice a day 12 hours

20
Q

how many times is tds

A

3 times - 8 hours

21
Q

how many times is qds

A

4 times a day - 6 hours

22
Q

what are the two terms of respiratory rate

A

external

internal

23
Q

what is tachypnoea

A

hyperventilation

24
Q

what is bradypneoea

A

hypoventiliation

25
Q

what is dyspnoea

A

shortness of breath

26
Q

what is apnoea

A

absesne of breathing

27
Q

what is hyperpnoea

A

deep and laboured breathhing

28
Q

what are the 4 terms of art of noticing

A

hearing
sight
touch
smell

29
Q

what is noticing

A

Noticing - interpretation - repsond to interpretation - review outcome

30
Q

how do we notice? what are the four terms

A

sight, smell, touch and listen.

31
Q

what does airway consist of

A
  • look for signs of obsruction
  • treat obstruction as a medical emergency
  • give oxygen at a high level
32
Q

what are the three steps to circulation

A
  1. pulse/ heart rate per min
  2. assess rhythm and quality
  3. blood pressure
33
Q

what is normal temp

A

36-37.5

34
Q

what is normal resperation

A

12-20pm

Vital observations (3 decks)

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