HWA PPx 2 Techniques, General Survey, Vital Signs, Pain, Nutrition Flashcards

1
Q

What are the 4 examination techniques?

A
  1. Inspection
  2. Auscultation
  3. Palpation
  4. Percussion
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2
Q

What are the components of general survey? (6 Items)

A
  1. Age
  2. Sex
  3. LOC
  4. Skin Color, Skin Moisture (Dry vs Diaphoretic).
  5. Facial Features (Symmetry)
  6. Overall Appearance (Acute Distress vs No Acute Distress/NAD)
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3
Q

What should you eval for body structure? (6 Items)

A
  1. Stature (Height)
  2. Nutrition (Weight)
  3. Symmetry
  4. Posture
  5. Position
  6. Body Build
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4
Q

What do you eval for mobility? (2 Items)

A
  1. Gait
  2. ROM
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5
Q

What do you eval for behavior? (5 Items)

A
  1. Facial Expression
  2. Mood and Affect
  3. Speech
  4. Speech Pattern
  5. Dress/Appearance
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6
Q

What are normal vital signs for:
1. Temp
2. Pulse
3. Pulse Rhythm
4. Pulse Force
5. Respirations
6. SPO2

A
  1. 96.4-99.1F
  2. 60-100bpm
  3. Regular, even tempo.
  4. 2+
  5. 10-20 breath/min
  6. > 95% on room air
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7
Q

What is systolic BP?

A

Maximum pressure during left ventricular contraction (systole).

Top reading of BP

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8
Q

What is Diastolic BP?

A

Recoil/resting pressure between each contraction

BOTTOM READING

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9
Q

What is pulse pressure? How is it calculated?

A

Difference between systolic and diastolic pressures and reflects stroke volume

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10
Q

What are the BP Categories from AHA?

A
  1. Normal SYS < 120 DIA <80
  2. Elevated SYS 120-129 DIA <80
  3. HTN Stage 1 SYS 130-139 DIA 80-90
  4. HTN Stage 2 SYS >140 DIA >90
  5. HTN Crisis SYS >180 DIA >120
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11
Q

What is visceral pain?

A

Pain from internal organs.

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12
Q

What is somatic pain?

A

From musculoskeletal tissues.

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13
Q

What is deep somatic pain?

A

Blood vessels, joints, tendons, muscles, and bone.

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14
Q

What is cutaneous pain?

A

From skin surface and subcutaneous tissues.

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15
Q

What is referred pain?

A

Pain originating at one location that moves/refers elsewhere.

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16
Q

What is Acute pain?

A

Short term, dissipates after healing.

17
Q

What is Chronic pain?

A

Pain continues for 6+ months.

18
Q

What is breakthrough pain?

A

Transient pain that occurs in between times of no pain.

19
Q

What is OLDCARTS?

A

O: Onset
L: Location
D: Duration
C: Character
A: Aggravating factors
R: Relieving factors
T: Treatment
S: Severity

20
Q

What is optimal nutrition status?

A

Receiving sufficient nutrients to support daily needs

21
Q

What is undernutrion status?

A

Reserves are depleted and/or intake is inadequate

22
Q

What is overnutrition nutritional status?

A

Excessive consumption over daily needs