Patient Assement Flashcards
Responsive medical patient
OPQRST
Onset Provocation Quality Region Severity Timeframe
Responsive medical patients
SAMPLE
Sign and symptoms of current complaint Allergies Medications Pertinent past history Last oral intake Events that led to the current injury or illness
Assessing body for trauma
DCAP-BTLS
Deformities Contusions Abrasions Penetrations Burns Tenderness Lacerations Swelling
Pulse oximetry
Measure the percentage of hemoglobin saturation.
Should never be used as absolute indicator.
Inaccurate reading may be obtained for a variety of reasons
HEENT Check
Head Ears Eyes Nose Throat
5 SP’s
Pain Pallor Pearathasis Paresis Pulselessness
Rights to medication
Person Time Drug Dose Route Refuse
Adult vital signs
HR
60-100
Tachycardia: over 100
Bradycardia: less than 60
Adult vital signs
RR
10-20
Hyperventilation: adult +24 bpm,
child +30 bpm,
Infant +40 bpm
Adult vital signs
BP
120/80
Hypertensive: over 140
Hypotensive: under 100 (both systolic)
Adult vital signs
Pupils
Pearl
Pupils equal and reactive to light
Adult vital signs
Skin
CTC
Color
Temperature
Condition
Adult vital signs
SPO2
Less than 80% is urgent
Glasgow Coma Scale (GCS)
Eyes
4 - spontaneous
3 - verbal
2 - pain
1 - no response
Glasgow Coma Scale (GCS)
Verbal
5 - oriented 4 - confused/disoriented 3 - inappropriate words 2 - incomprehensible 1 - no response