History Taking

Question 1

What should you investigate after the primary assessment is complete?

Answer 1

The chief complaint and signs or symptoms of other injuries based on the MOI and/or NOI.

Question 2

What is a potential cause of internal bleeding in medical patients?

Answer 2

Ectopic pregnancy, gastrointestinal bleeding, bleeding from a dialysis shunt, severe nosebleed.

Question 3

What should you do if signs and symptoms of internal bleeding are not obvious?

Answer 3

Look more carefully during the patient assessment process.

Question 4

In a responsive trauma patient with an isolated injury, what should you consider after assessing vital signs?

Answer 4

A detailed physical examination of the specific area.

Question 5

When encountering a patient with minor or superficial bleeding, what should you avoid?

Answer 5

Focusing solely on the bleeding.

Question 6

What should you assess in a patient with significant trauma?

Answer 6

The entire patient, looking for the source of the problem, any preexisting illnesses, and other issues.

Question 7

What history should you obtain if the patient is responsive?

Answer 7

A SAMPLE history.

Question 8

Why is it important to ask if a patient takes blood-thinning medications?

Answer 8

Because bleeding is generally more profuse and difficult to control in patients who take blood thinners.

Question 9

What are common reasons for prescribing blood thinners?

Answer 9

History of stroke, pulmonary embolism, or heart attack.

Question 10

Name three common antiplatelet blood thinners.

Answer 10

• Aspirin
• Clopidogrel (Plavix)
• Ticagrelor (Brilinta)

Question 11

Name three common anticoagulant blood thinners.

Answer 11

• Warfarin (Coumadin)
• Rivaroxaban (Xarelto)
• Dabigatran (Pradaxa)
• Apixaban (Eliquis)
• Edoxaban (Savaysa)