Patient Assessment Nancy's Flashcards

1
Q

Alert and Oriented A x O

A
Determined when assessing the patient. Four elements are needed. 
Person
Place
Time
Event Itself
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2
Q

AVPU

A

Awake and alert
Verbal Stimuli
Pain
Unresponsive

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3
Q

Back Triad

A

Combo of
narrowed pulse pressure
muffled heart tones
Jugular Venous Distension (JVD)

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4
Q

Current health Status

A
What the patient is currently doing in their life
Diet habs
Current meds
allergies
Alch or tobacco
sleep patterns and or disorders 
immunizations
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5
Q

Cushing Reflex

A

combo of pf slowing pulse, rising blood pressure and erratic respiratory patterns. GRAVE SIGN

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6
Q

Detailed physical Exam

A

Detailed exam of the different body systems with a patients which the complainant hasn’t been identified precisely

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7
Q

Focused history and physical examination

A

the part of the assessment process which patients chief complaints or any problems are immediately evident and then further and more specifically evaluated

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8
Q

Focused physical exam

A

Meant to identify a specific area if the body only done on responsive patients. it is driven by information gathered in the initial assessment and history exam

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9
Q

Glasgow Coma Scale (GCS)

A

Evaluation tool used to determine LOC which evaluates and assigns point of views (scores)
Eye opening
verbal response
motor response
THEN totaled effective helping predict patient outcomes

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10
Q

History of present illness

A

info about the chief complaint

OPQRST

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11
Q

OPQRST

A
Onset
Provokes or Palliates
Quality
Radiates 
Severity 
Time
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12
Q

Initial Assessment

A

Identifying and managing the life threatening probs

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13
Q

MOI

A

Mechanism of injury.

In the way the traumatic injury occurred

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14
Q

NOI

A

Nature of Illness

General Illness the patient is experiencing

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15
Q

On going assessment

A

Problems are evaluated and re evaluated and responses to treatments

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16
Q

Past Medical History

A
General Heath 
Childhood/adult diseases 
Surgeries/Hospitalization
Pysch Disorders 
Traumatic injuries that are the pertain to current
17
Q

Rapid Trauma Assessment

A

Specialized asses between initial and focused physical exam of the trauma patient. Usually performed on a patient with significant MOI, assessing specific parts of the entire body

18
Q

Scene Assessment

A

fire wire gas glass drugs thugs and bodily fluids