Patient Assessment Ch.4 Flashcards
First process in patient assessment? (1/4)
Scene Size-Up
Second process in patient assessment? (2/4)
Primary Assessment
Third process in patient assessment? (3/4)
Secondary Assessment
Fourth process in patient assessment? (4/4)
Reassessment
Name the 7 baseline vitals
HR RR BP LOR SCTM CSM PERRL
What are the steps involved in the Scene Size Up?
Scene safety PPE MOI/NOI # of patients Resources needed (consider 911) Consider c-spine immobilization Establish consent Chief Complaint
What are the steps involved in the Primary Assessment?
Airway Breathing Circulation Disability/Defib./Diabites Expose/Environment Transport Decision
What are the steps involved in the Secondary Assessment?
Baseline Vitals
History
Physical Exam
What are the steps involved in the Reassessment?
Reevaluate
Document
What is the range for a normal HR?
60-100 bpm
What is the range for a normal RR?
12-20 bpm
What is a good indicator of sufficient BP?
Presence of a radial pulse
AVPU is the scale used to relay information pertaining to LOR. Name the 7 levels of AVPU.
Alert & Oriented x 4 (person, place, time, event) A&O x 3 (person, place, time) A&O x 2 (person, place) A&O x 1 (person) Verbal Pain Unresponsive
What is the skin color of a healthy person and name three good places to look for it. (Especially when dealing with darker complexions.)
Pink.
Nail beds
Palms
Mucous membranes
What does a red skin color indicate? Name 4 possible causes.
Vasodilation.
Allergic reactions
Fever
Hyperthermia
Vasogenic shock
What does a pale skin color indicate? Name 2 possible causes.
Vasoconstriction
Hypovolemic or cardiogenic shock
Hypothermia
What does a blue skin color indicate? What is another name for blue skin color?
Lack of O2/asphyxiation
Cyanosis
What does a yellow skin color indicate? What is another name for yellow skin color?
Liver problems/failure
Jaundice
Bonus quote from class- “Yellow people need doctors.” Racist much?
Name 4 possible causes of an elevated temperature.
Allergic reactions
Vasogenic shock
Fever
Hyperthermia
Name the three acronyms associated with History in the Secondary Assessment and when they would be used.
SAMPLE- always ask about SAMPLE if possible
OPQRST- when dealing with medical (NOI) pain
1ST STEP- when dealing with an altered LOR
What does SAMPLE stand for?
Signs and Symptoms Allergies Medications Past-pertinent medical history/pre-existing conditions Last ins and outs Events prior
What does OPQRST stand for?
Onset Provoke Quality Radiate Severity Time
Name the steps, in order, of a detailed head-to-toe exam.
Skull & cervical spine Eyes Ears & mouth Neck Chest Abdomen Back Pelvis Legs & feet Arms & hands
What does 1ST STEP stand for?
Sugar Temperature Salt Toxins Electricity Pressure
