General Flashcards
what are the main Vital signs to be documented?
*hint: THROB
TEMPERATURE, HEART RATE, RESPIRATORY RATE, OXYGEN SAT, BLOOD PRESSURE
Who usually takes the vital signs?
nurse or MA
Vital signs are the ___ of the pt’s subjective complaints
Example: if a patient comes in for HTN their blood pressure should be checked
objective
why are vital signs important?
they indicate how severe a problem is and how to go about to treat it
name 5 body systems in which a physician can examine a pt without palpation? and what are the questions they ask in their head?
HINT* ESPNP
(like the sports channel ESPN they talk about players body systems)
eyes- are the sclera yellow? (sklur-uh) (which is the white outer layer of the eye)
skin- is their skin a normal color?
pulmonary -are they breathing normally?
neurological- are they answering questions appropriately?
psychiatric-are they acting normally?
what is the doctor looking for when listening to a patients chest?
breathing sounds
heart, rate, and rhythm and murmur
what is a doctor looking for when palpitating the abdomen
abdominal tenderness and softness
what is the doctor looking for when examing the legs?
Edema, distal (away from the center of the body) pulses, and tenderness
what is a detailed exam system not typically included in a basic exam
gyno exam, hearing and vision assessment, more detailed neuro exam,