Primary assessment & Vital Signs Flashcards
List the GCS scale ?
Scene survey
Before you reach the patient
Driving up
Safety is the key
Looking for things like (chemicals, environment, number of patients hazards)
What are the eight things in scene surveys include (8) ?
PPE
Hazards
Scene time
Environment
Number of patients
Mechanism of injury
Bystander information
Resources
General impression of patient
Where are you? Have arrived at the scene but not her begin to assist the patient.
General impression includes (4) ? + what very important decision?
Distress ( breathing, crying, sweating JVD)
Tracking ( eyes/aware )
Life threats
Position
C-spine decision !!!!!!
Level of consciousness (AVPU)/ (A&0)
A=Alert (x1-4)
V=verbal
P= pain (trap squeeze)
U= unresponsive ( check pulse)
A&O
Place person time event
ABCDDD
Airway
Breathing
Circulation
Deadly my check
Decision
Delegate
Questions to ask about airway ?
Is it open and Clear
Do I need intervention?
Questions to ask about breathing
Rate rhythm, quality
Do I need an intervention?
Questions to ask about circulation
Rate , Rhythm , quality
Skin check inside of lip
What to look for on a deadly wet check?
Do I head to toe looking for blood and any hollow spaces?
Decision
Unstable versus stable
Delegate
Vital
Moving
Treatment
What is blood pressure measured in?
What unit is blood pressure measured in ?
Measured in sphygmomanometer
Measured in millimetres of mercury mmgh
Three ways to measure blood pressure
Auscultated
Palpated ( only systolic blood pressure)
Or machine
Systolic blood pressure
Measures the pressure when the heart is contracting
Diastolic
Measures from the heart is at rest
Map =
What is the definition of Map ?
Mean, arterial pressure
Average pressure during one cardiac cycle
Normal blood pressure ranges and map ranges ?
120/80
Map of 65 at least
70- 100 is normal.
Map formula
Systolic +2 times the diastolic divided by three equals map
Hypertension, systolic and dystonic amounts?
Systolic is over 140
Diastolic is over 100
Hypotension in systolic and dystonic blood pressure
Systolic is under 100
Diastolic is under 60
What is a pulse?
Waves of pressure felt as the heart contracts
Blood leaving the left ventricle and following through the arteries
Where do we palpate a Pulse?
Where an artery pass is close to a bone
4 places to check a pulse
Carotid neck
Radial wrist
Femoral groin
Pedal feet
Normal pulse range in an adult
60 to 100
Bradycardia equals
Slow heart rate under 60
Tachycardia equals
Fast heart rate over 100
Respirations are?
Exchange of gases between a person and the environment
Where does gas exchange happen in respiration?
In the aveoli of the lungs
Normal respiration rate
Bradypena
Tachypena
12 to 20
Under 12
Over 20
SPO2 definition, and what is the displayed as
Measures the amount of haemoglobin that is saturated in the tissue capillaries
And it’s displayed as a percent
How does SPO2 work?
Uses infrared light, and calculate how much light is absorbed by the Haemoglobin
Oxygenated, hemoglobin, absorbs more or less light than deoxygenated hemoglobin?
More
Normal SPO2 rates
95 to 99
Hypoxemia definition and range?
Not enough oxygen getting to the blood
Less than 95%
Normal temperature ranges
Hyperthermia
Hypothermia
Normal ranges are 36 to 37.5 Celsius.
Hypothermia is under 36
Hyperthermia is over 37.5
BGL definition in normal ranges
The blood glue close level measures the amount of the coast, and Echo pillory blood in a glucometer
Normal ranges is 4-8 feeling great
What is BGL measured in? MMOL/l
1000th of a mole per litre
What is normal body ph and what does a correspond with?
7.35 to 7.45
it corresponds with your etc02
What can make errors in SPO2?
Carbon dioxide
Fingernail polish
Too long nails
Hands are cold
Bright light
Too low of BP
Bleeding
Blood disorders
