pt assessment Flashcards
1
Q
GCS
A
Eye opening 4. spontaneously 3. to voice 2. to pain 1. no response Verbal Response 5. orientated 4. confused 3. inappropriate words 2. incomprehensible sounds 1. no response Motor Response 6. obeys verbal commands 5. localizes pain 4. withdraws 3. abnormal flexion 2. extension 1. no response
2
Q
stroke symptoms
A
Right brain: • Paralysis on left side of body • Vision problems • Quick, inquisitive behavioural style • Memory loss
Left brain • Paralysis on right side of body • Speech/language problems • Slow, cautious behavioral style • Memory loss
3
Q
TIA ABCD2 score
A
Age > 60 yrs 1
B/P systolic > 140mmHg and/or diastolic > 90 mmHg 1
Clinical Features (choose one)
Unilateral weakness 2
Speech disturbance without weakness 1
Duration of symptoms
➢ 60 minutes 2
➢ 10-59 minutes 1
➢ <10 minutes 0
Diabetes on treatment 1
4
Q
causes of unconsciousness
A
A Acidosis, Alcohol • E Epilepsy • I Infection • O Overdose • U Uraemia (kidney failure), Under-dose • T Trauma, Tumour, Toxin • I Insulin (Hypoglycaemia or DKA) • P Psychosis, Poison • S Stroke, seizure
5
Q
Handover
A
I identification of pt M moi or medical complaint I injuries or information regarding complaint S signs symptoms T treatment provided and trends A allergies M medications B background and prev med histoey O other relevant info
