Health Assessment 1 Flashcards

1
Q

Collection patient data with specific skills?

A
  • Inspection
  • Palpation
  • Percussion
  • Auscultation
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2
Q

What is subjective data?

A

Information gathered from what patients tell us

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3
Q

What is objective data?

A

Information gathered that are numerical (vital signs)

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4
Q

Primary survey of A-E assessment

A
  • Airway (talking? normal sounds?)
  • Breathing (R rate? SpO2? chest movements?
  • Circulation (Pulse, capillary refill time?)
  • Disability (consciousness, mental health chart, drugs)
  • Exposure (Temperature)
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5
Q

What are focused body systems?

A
  • Assessments of specific body systems (Gastrointestinal, circulatory)
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6
Q

What is inspection?

A
  • Visual inspection of a patient
  • comparing bilaterally for symmetry
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7
Q

What is palpation?

A
  • Assessment of a patient using your hands
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8
Q

List the pulses?

A
  • Temporal
  • Carotid
  • Brachial
  • Radial
  • Femoral
  • Popliteal
  • Posterior tibial
  • Dorsalis pedis
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9
Q

What is percussion?

A

Assessment using tapping with your fingers and hands to examine a patient.

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10
Q

What is auscultation?

A
  • Assessment technique by listening to sounds the body makes of a patient.
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11
Q

What is the importance of Vital signs?

A
  • Results provide an indication of persons systemic function
  • Objective evidence
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12
Q

Respiration?

A

Average: 12-20 breaths per minute

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13
Q

Factors that can affect respiration rate?

A
  • strong emotion
  • medications
  • pain
  • recent exercise
  • some medical conditions
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14
Q

Alterations in breathing patterns?

A
  • Apnoea: pause in breath pattern
  • Bradypnoea: Slow abnormal breaths (less than 12 per minute)
  • Tachypnoea: Fast abnormal breaths (more than 20 breaths per minute)
  • Hyperventilation: rate and depth of R inscrease
  • Hypoventilation: rate and depth of R decreases
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15
Q

Signs of acute respiration distress?

A
  • Flared nostrils
  • Cyanosis
  • Intercostal muscle movements
  • anxious look
  • Tracheal tug
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16
Q

Pulse?

A

Average: 60-100 beats per minute
- Electrical impulses that travel through heart to stimulate cardiac contraction

17
Q

Alterations in Cardiac patterns?

A
  • Tachycardia: fast abnormal P rate (more than 100 beats per minute)
  • Brachycardia: slow abnormal P rate (less than 60 beats per minute)
18
Q

Temperature?

A

Average: 36.0-38

19
Q

Temperature equation?

A

heat produced - heat loss = temperature

20
Q

Factors that can affect Pulse rate?

A
  • strong emotion
  • stress
  • anxiety
  • drugs
  • age
  • some medical conditions
21
Q

Factors that can affect temperature rate?

A
  • Recent hot drinks or foods
  • some medical conditions
22
Q

SpO2?

A
  • Oxygen saturation
  • assess effectiveness of persons respiratory process
  • measures the % of haemoglobin carrying oxygen
    Average: 95%-100%
23
Q

Factors that can affect SpO2 rate?

A
  • Nail polish
  • Acrylic nails
  • Excessive movement
24
Q

Blood Pressure?

A

Average: 110-130 / 70-90
- Measuring pressure that pulsing blood exerts on artery walls

25
Q

Blood Pressure equation?

A

CO x SVR (systemic vascular resistance) = BP

26
Q

What is systolic and diastolic reading?

A
  • contraction of the heart
  • relaxation of the heart
27
Q

Factors that can affect BP rate?

A
  • medications
  • anxiety
  • age
  • stress
28
Q

Alterations in BP patterns?

A
  • Hypotension: low blood pressure (bellow 110)
  • Hypertension: high blood pressure (above 139/89)
29
Q

What are Korotkoff sounds?

A

Listening to heart beat through stethoscope
Phases:
- quiet tapping
- swooshing sound
- sharp distinct tapping
- muffling soft blowing sound
- no sound

30
Q

Pain?

A
  • Subjective
  • Numerical rating scale
  • Wong-Baker faces pain rating scale -> best for children over age 3
31
Q

What is PQRSTU?

A
  • Provoking?
  • Quality?
  • Radiation/region?
  • Severity?
  • Time of onset/duration?
  • Understanding of causation from patient