Patient Assessment Details Flashcards

1
Q

assess the level of consciousness with the _____ scale

A

AVPU (alert, responds to verbal or painful stimuli, unresponsive)

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2
Q

what questions can you ask to assess mental status?

A

who, what, when, where

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3
Q

when assessing the airway, the 2 points are earned by…

A

opening and assessing the airway, then adding an adjunct if indicated

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4
Q

when assessing for breathing, the 4 points are earned by…

A

assess breathing, initiate appropriate oxygen therapy, assure adequate ventilation, and manage any injury that may compromise breathing/ventilation

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5
Q

when assessing circulation, the 4 points are earned by…

A

checking the pulse, assess skin, assess and control major bleeding, initiate shock treatment

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6
Q

if you cannot assess the skin well, what is another good place to look?

A

the sclera, the white portion of the eye

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7
Q

qualities of the skin to assess

A

the skin’s color, temperature, moisture, and the capillary refill

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8
Q

DCAP-BTLS stands for…

A

deformity, contusions, abrasions, punctures, burns, tenderness, lacerations, and swelling

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9
Q

deformity is described as…

A

misshapen body part

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10
Q

contusions are described as…

A

bruising, blood under the skin

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11
Q

abrasions are described as…

A

loss of damage to the skin by rubbing or scraping

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12
Q

tenderness is described as…

A

pain when the area is palpated

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13
Q

OPQRST stands for…

A

onset, provocation, quality, radiation, severity, and timing

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14
Q

onset can be assessed by asking…

A

what were you doing when the symptoms started?

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15
Q

provocation can be assessed by asking…

A

what makes the symptoms worse/better?

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16
Q

quality can be assessed by asking…

A

how do the symptoms feel? waves, pressure, etc.

17
Q

radiation can be assessed by asking…

A

does the pain or symptoms move anywhere? where is the pain?

18
Q

severity can be assessed by asking…

A

rate your pain on a scale of 1 to 10

19
Q

timing can be assessed by asking…

A

how long have you had the symptoms?

20
Q

SAMPLE stands for…

A

signs and symptoms, allergies, medications, past medical history, last oral intake, and events leading to the NOI/MOI

21
Q

if you hear a brassy crowing sound, it is called…

A

stridor

22
Q

what does stridor tell us?

A

obstruction in the upper airway

23
Q

if you hear wheezing, what does that tell you?

A

obstruction and narrowing of the lower airway

24
Q

if you hear wet, muffled, or _____ in the lungs, we call that…

A

crackles

25
Q

crackles in the lungs tell us…

A

fluid in the lungs

26
Q

rhonchi breath sounds tell us…

A

junk in the lungs!

27
Q

if you hear congested breath sounds or blowing bubbles under water, that tells us…

A

rhonchi

28
Q

normal pupils are…

A

equal, round, good size, and react to light

29
Q

wheezing occurs with ___ and ____

A

asthma and bronchoconstriction

30
Q

crackles and ____ are the same lung sounds that produce…

A

rales, fluid in the lower airways