Module Four Flashcards
_____________________ helps you find out what is wrong with the patient and decide what care should be provided
PATIENT ASSESMENT
Measuring _____________ over time reveals trends in the patient’s condition
VITAL SIGNS
The patient’s _________________ helps you understand his underlying problems
HISTORY
When you arrive at the scene of an emergency call, you must _________________ about the patient’s condition
GATHER INFORMATION
_______________ are the outward clues about what is happening in the body
VITAL SIGNS
REspiration PUlse Skin Pupils Blood pressure Pulse oximetry
These are the what?
The vital signs
_____________ vital signs are the first set of measurements taken
BASELINE
Later findings are compared to the baseline to detect ___________
TRENDS
Some vitals are detected by ______________
LOOKING, LISTENING, AND FEELING
For adults, the respiratory rate is _________________ breaths per minute
12-20
Respiratory rates for adults that are less than ____________ or greater than ________ are of concern
8
24
When determining the respiratory rate, count the breaths in ___________ seconds and multiply by ________
30 seconds
2
A breath is one ___________ + one _________
INHALATION
EXHALATION
Ventilate an adult patient breathing at a rate greater than _____________ per minute or an infant or young child breathing at a rate greater than __________ per minute
40
60
_________________ occurs and the rate cannot be maintained if they are breathing outside of the normal limits
FATIGUE
___________ respiration includes snoring, gurgling, stridor or crowing, wheezing, crackles, and rhonchi
NOISY
_______________ is the regularity or irregularity of respirations
respiratory rhythm
An______________ in a patient with an altered mental status is a serious concern
ABNORMAL PATTERN
The _______________ is the pressure wave generated by the contraction is of the left ventricle, anddirectly reflects heart function
PULSE
Where are the pulse locations ?
CAROTID
FEMORAL
BRACHIAL
POPLITEAL
POSTERIOR TIBIAL
DORSALIS PEDIS
If a patient is one year or older, check the ______________ pulse
RADIAL
If a patient is one year or older without a peripheral pulse, check the __________ pulse
CAROTID
If a patient is less than one year of age, check the _____________ pulse
BRACHIAL
The pulse rate for adults, the average range is _____________________ beats per minute (resting)
60-80
Tachycardia is a heart rate greater than _____________
100 bpm
Bradycardia is a heart rate less than ________ beats per minute
60
To obtain the pulse rate, palpate the pulse with the tips of ________ or __________ fingers
TWO OR THREE
How to you record pulse? What kinds of pulse?
STRONG
WEAK
REGULAR
IRREGULAR
When assessing the appearance and condition of the skin, what are the four things you are looking for?
color
temperature
condition
capillary refill
What are the four normal skin characteristics?
pink
warm
dry
capillary refill time (usually less than two seconds)
Cool, clammy skin is an early sign of ________
SHOCK
You check the pupils for what three things?
SIZE
EQUALITY
REACTIVITY TO LIGHT
____________ is the force of blood against arterial walls
BLOOD PRESSURE
_______________ blood pressure is the higher pressure present during contraction of the left ventricle
SYSTOLIC BLOOD PRESSURE
___________ pressure reflects ejection of blood from the left ventricle
SYSTOLIC
____________ pressure reflects vascular resistance and blood volume
DIASTOLIC
Take a blood pressure in all patients ___________ years and older
THREE
Low blood pressure is an indicator of _________________
HYPOPERFUSION
High blood pressure can damage the ____________________
HEART AND VESSELS
How many numbers do you get when you calculate a “palpated” blood pressure?
ONE
How do you write a palpated blood pressure?
110/p
______________ vital signs are assessed in patients with suspected volume loss
orthostatic
W HEN TAKING ORTHOSTATIC VITAL SIGNS, OBTAIN BLOOD PRESSURE FIRST WITH THE PATIENT _______________ , AND THEN ____________ MINUTES AFTER HE STANDS UP
supine
two
A positive orthostatic changes are a drop in systolic BP of ______ to _____ mmHg
10-20
A positive orthostatic change is an increase in heart rate greater than ______ to _____ bpm
10-20
Reassess vital signs every _______ minutes for stable patients
15
Reassess vital signs every ___________ minutes for unstable patients
5
_______________ detects hypoxia by measureing the amount of oxygen in the blood
PULSE OXIMETRY
An SpO2 less than ___________ percent indicates hypoxia
94 PERCENT
An Sp02 less than _____________ percent indicates severe hypoxia
90 PERCENT
Use _______________ in conjunction with other assessments to determine what interventions are needed
PULSE OXIMETRY
_____________ may be inaccurate in these instances::
Shock
Hypothermia
Excessive patient movement
Nail polish
Carbon monoxide exposure, including from cigarette smoking
Anemia
PULSE OXIMETRY
A ________________________ can be set to reassess the blood pressure at selected intervals, or can be activated manully
NONINVASIVE BLOOD PRESSURE
Alarms can be set to signal pressures that exceed or fall below set upper and lower limites in __________________
NONINVASIVE BLOOD PRESSURE
When preparing to take the history, obtain _____________ from the person providing care before your arrival
INFORMAITION
The history begins with the reason why EMS was called, which is the ______________
CHIEF COMPLAINT
The history helps to guide the physical _______________
EXAMINAITON
The best person to get the history form is the __________________
patient
Take _________________ to document importan information
NOTES
________________ ended questions can yield information, but _____________ ended questions are also usefule
OPEN
CLOSED
____________ is a mnemonic to help you remember what information to gather
SAMPLE
What does SAMPLE stand for?
SYMPTOMS
ALLERGIES
MEDICATION
PERTITENT PAST HISTORY
LAST ORAL INTAKE
E
What does the acronym OPQRST stand for?
ONSET
PROVOCATION
QUALITY
RADIATION
SEVERITY
TIME
The mnemonic _____________helps you evaluate the signs and symptoms
OPQRST
What are the three basic goals of scene size up?
IDENTIFY HAZARDS
DETERMINE THE NATURE OF THE PROBLEM
RECOGNIZE THE NEED FOR ADDITIONAL RESOURCES
Use the ____________ level of PPE being used by other personnel
SAME
Ensuring scene safety is a dynamic and ________________ process
ONGOING
Scene safety requires EMT ____________
LEADERSHIP
___________________ is how the patient was injured
MOI
Use the ______________ to develop the extent of the injury
MOI
A significant impact is a deformity to the vehicle greater than ____________ inches
20
A significant impact is an intrusion into the _____________ compartment
PASSENGER