Lecture 6 General Survey

Question 1

General Survey

Four Areas of whole person

Answer 1

1. Physical appearance
2. Body Structure
3. Mobility
4. Behaviour

Question 2

Physical Appearance

ASLSF

Answer 2

Age
Sex
Level of Consciousness
Skin colour
Facial features

Question 3

Body Structure

SNSPPB

Answer 3

Stature(height)
Nutrition (weight)
Symmetry
Posture
Position
Body Build

Question 4

Mobility

GR

Answer 4

Gait

Range of motion

Question 5

Behaviours

FMSDP

Answer 5

Facial expression
Mood and affect
Speech
Dress
Personal Hygiene

Question 6

BMI formula

Underweight, normal weight, overweight, obesity

Answer 6

Weight(kg) / height (m)^2

Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = >30

Question 7

Waist to hip ratio

Answer 7

Reflects body weight distribution

Waist circumference/ hip circumference

Abnormal
>= 1.0 in men
>= 0.8 in women

Waist circumference alone can be used to predict health risk

Question 8

Vital signs normal ranges

Temp, pulse, RR, BP, SpO2

Answer 8

36-38
60-100 beats/min
10-20 breaths/min
120-139/80-89mmHg
95-100%

Question 9

Temperature

Answer 9

Circadian rhythm = low in morning, high in afternoon
period/menopause = high in period, hot flashes in menopause
Up with exercise
Low in elders,
Up with stress

0. 5 lower in axilla
1. 5 higher in rectal

Wait 20 mins after pt drank
5mins after gum
2 mins after smoke

pyrexia = fever

Question 10

Pulse

Answer 10

Palpable bounding blood flow

Irregular do full minute

Rate, Rhythm, force 0-3, equality

Question 11

Respirations

Answer 11

Don’t tell pt your are observing, rise and fall = one resp

4:1 pulse rate to resp

resp rate, pattern, depth

Question 12

Oxygen Saturation SpO2

Answer 12

% of hemoglobin bound with O2

Influenced by nail polish

Question 13

Blood Pressure

Answer 13

Systolic over diastolic

Systolic = ventricular contraction
Diastolic = Resting filling heart

Rest 5 mins
2,5 cm above artery
Cuff 40% arm circumference
80% arm length

Question 14

Blood Pressure COmponents

Korotkoffs sounds

Answer 14

Phase 1 systolic pressure = clear tapping
Phase 4 = muffling
phase 5 = diastolic pressure (silence)