General Assessment/Vitals Flashcards
What level of consciousness?
the state of arousability, behavior, and response to stimuli (verbal –> touch –> pain)
What should u document in LOC?
Eye opening
Verbal responses
Motor responses
What are the 3 categories of nutritional status?
Well nourished
Undernourished
Overnourished
What is well nurished?
Appearance suggesting caloric intake over expenditure that allows for preservation of subcutaneous tissues and muscle mass.
What is undernurished?
Appearance of having overall caloric expenditure greater than intake presented by a body habitus which is underweight
What is overnurished?
Appearance of having overall caloric intake greater than that of expenditure with increased:
“Appears younger than the stated age” implies what?
overall higher state of health than others in the same age group
“Appears stated age” implies what?
state of health equal to that of others in the same age group
“Appears older than the stated age” implies what?
implies a lower state of health than, and past or present morbidity greater than, those of others in the same age group
What are the 3 types of distress a pt can encounter?
pain, respiratory, or emotional/psychological
What is somatic pain?
Such as seen with musculoskeletal conditions or trauma
Charactersitics of somatic pain?
Often described as sharp or stabbing (sympathetic)
Usually well-localized
Demonstration of protective guarding or hesitancy in movement of the area
Movement may appear stiff, slow, and purposeful in an attempt to avoid triggering the pain
Facial grimacing
Charactersitics of acute visceral pain?
Results in diffuse peritonitis
Movement exacerbates the pain resulting in the patient attempting to remain still
Respirations are shallow in avoidance of moving the diaphragm
Abdomen is often guarded by the upper extremities
Contracture of abdominal muscles results in rigidity
Signs of resp distress in adult?
increase in respiratory rate open-mouth breathing exaggerated chest wall motion use of accessory muscles intercostal retractions cyanosis
Signs of resp distress in infant?
increased rate
exaggerated chest wall motion and accessory muscle use
intercostal retractions
cyanosis - look for perioral involvement
nasal flaring - newborns are obligate nose breathers
Position of comfort - tripoding
Signs of emotional pain?
Expressions of anxiety and depression Facial expressions sadness anguish tearfulness crying Nervousness, apprehension, muted responses, and even hysteria
What are some colors of a pt’s skin?
diffuse pallor – anemia
cyanosis – hypooxygenation
jaundice – hyperbilirubinemia
erythema - polycythemia, infection, drug reaction, or carbon monoxide poisoning
What does hygine mean?
Can be a reflection of the overall health of the patient
May equate to self-neglect in more than grooming
May be signs of medical conditions or an inability to care for oneself
this
is so stupid
How many cm are in an inch?
2.54
How many lbs are in a kg?
2.2 (what i learned is an ez conversion is take the pt’s weight in lbs, say 180 lbs, divide it by 2, so 90, and then subtract that by the first #, so 90-9 = 81kg)