Expansion Questions Flashcards
Expansion Questions for Patient Assessments
Acute Abdomen (6)
Type of pain- steady, intermittent
Vomiting- frequency, color, appearance
ETOH history
GYN history- LMP, unusual discharge, pregnancy
Dietary habits- dyspepsia, fatty food intolerence
Bowel habits- frequency, appearance, color
Asthma (6)
Severity/frequency of past attacks
Asthma medications- inhalers, frequency of use
Hospitalized for this in the past
Intubated for this before
Changed or stopped meds recently
Meds/treatments that have worked in the past
Behavioral (9)
Current C/C or situation- per pt and bystander
Thoughts, threats or previous destructive behavior
History or active alcohol or drug abuse
Bizarre or abrupt change in behavior
Recent crisis
Hallucinations/ delusions- severity?
Interaction with family and friends
Onset, previous history, previous disorders, family history
Suicidal- plan, detailed
Diabetes (6)
Insulin dependent- type, dose, amount Compliant with medications Normal diet, exercise, BG BG monitored daily? Recent illness/ infection Family history
Drowning (4)
Length of submersion
Fresh/ saltwater
Water temp
Trauma
Head- Neck- Spinal Trauma (9)
Loss of consciousness Current LOC Symptoms- dizziness, vertigo, HA, N/V MOI- restrained, helmet Previous event Aggravating factors- ETOH, drugs Regionalized tingling, numbness, weakness, paralysis HA- where and how pain presents Changes in vision, hearing, sensation and/or motor function
Body Cavity or Abdominal Trauma (7)
Location of pain/tenderness
Respiratory effort- easier or more difficult
MOI- what caused injury
Projectile- range, size, entrance and/or exit
Puncture- knife size, object diameter, clean
Safety precautions- seat belt, airbag, body armor
Special physical- breath sounds, neck veins, SQ air, trach midline
OB/ GYN (6)
LMP- normal duration, average flow Is pregnancy possible? Contraceptives used Trauma to reproductive system Current blood loss or vaginal discharge Previous OB history- gravida/para, abortions, c-sections, miscarriages, previous infections
Pulmonary Embolus (5)
Recent surgery, prolonged bed rest, fractures, pregnancy or postpartum bleeding
Cardiac irregularities- afib, valve problems
Personal or genetic varicose veins
Special physical- breath sounds, JVD
See respiratory distress
Respiratory (6)
HPI
Orthopnea (positional)
Coughing- productive, hemoptysis, color
Pain- location, onset, duration/radiation/increase with resp
Body temp
Special physical- breath sounds, JVD, accessory muscle use
Seizures (8)
History of seizures- epilepsy
Medication and compliance
Describe seizure activity- post/current, full body/ jacksonian
Frequency of seizures. Can they be controlled. Warning/ aura?
PMH of ETOH, head trauma, diabetes, infection, fever, CVA, HTN
Length of seizure- normal?
Length of postictal- normal?
Special physical- breath sounds, core temp, BG, trauma exam
Syncope (8)
Position prior to event Duration of event Symptoms prior to event Associated symptoms PMH including previous syncopal episodes Meds and compliance R/O other med emergencies- CVA, seizures, AMI, etc. ECG
Unconscious/ Unknown (6)
Med history- HTN, PE, ETOH/drug abuse, recent infection, trauma
Med alert tags, ID, med info in wallet
Complete trauma exam- check nuchal rigidity of trauma can be ruled out
S/S ETOH, alcoholism, jaundice, ascities, angioedema
Investigate bystanders or witness about preceding symptoms or events
Vitals include BG and core temp
Poisoning (6)
PMH When was it taken What was taken Anything else taken Interventions- dilution, ipecac Last meal
Chest pain
Dyspnea? breath sounds N/V Hx syncope Previous AMI Increase in pain with respiratory cycle Tenderness upon palpation of chest wall ECG
