Secondary Assessment Flashcards

1
Q

What are the two sets of acronyms you use during the secondary assessment?

A

SAMPLE & OPQRST

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2
Q

What does the S stand for in SAMPLE?

A

Signs/symptoms: what is causing you discomfort?

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3
Q

What does the A stand for in SAMPLE?

A

Allergies: are you allergic to anything? Exposed?

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4
Q

What does the M stand for in SAMPLE?

A

Medications: take any medications? Wrong dose? New meds?

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5
Q

What does the P stand for in SAMPLE?

A

Past medical history: past conditions, or incidents? Example diabetes

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6
Q

What does the L stand for in SAMPLE?

A

Last oral intake: what & when last eat/drink

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7
Q

What does the E stand for in SAMPLE?

A

Events leading up: what were you doing when it started?

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8
Q

What does O stand for in OPQRST?

A

Onset: did this happen suddenly? Or gradually?

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9
Q

What does P stand for in OPQRST?

A

Provokes: what makes the pain better or worse?

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10
Q

What does Q stand for in OPQRST?

A

Quality: type of pain? Squeezing, sharp, dull, throbbing?

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11
Q

What does the R stand for in OPQRST?

A

Radiating: is the pain “moving at all” to other areas?

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12
Q

What does the S stand for in OPQRST?

A

Severity: how severe on a scale of 1-10?

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13
Q

What does the T stand for in OPQRST?

A

Timing: when did it start? Constant or come and go?

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14
Q

What should you be asking during Signs and Symptoms of SAMPLE?

A

What is causing you discomfort?

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15
Q

What should you be asking during Allergies of SAMPLE?

A

Are you allergic to anything?
Have you been exposed?

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16
Q

What should you be asking during Medications of SAMPLE?

A

Take any medications?
Wrong dose?
New medications?

17
Q

What should you be asking during Past Medical History of SAMPLE?

A

Past conditions?
Or incidents like this?
Example diabetes

18
Q

What should you be asking during Last Oral intake of SAMPLE?

A

When did you last eat or drink?
What did you last eat or drink?

19
Q

What should you be asking during events leading up to in SAMPLE?

A

What were you doing when it started?

20
Q

What should you be asking during Onset of OPQRST?

A

Did this happen suddenly or gradually?

21
Q

What should you be asking during Provokes of OPQRST?

A

What makes the pain better or worse?

22
Q

What should you be asking during Quality in OPQRST?

A

Type of pain?
Squeezing, sharp, dull, throbbing?

23
Q

What should you be asking during Radiating in OPQRST?

A

Is the pain moving at all to other areas?

24
Q

What should you be asking during Severity in OPQRST?

A

How severe on a scale of 1-10?

25
Q

What should you be asking during Timing in OPQRST?

A

When did it start?
Constant or come and go?

26
Q

What is the next step after patient interview during secondary assessment?

A

Vital Signs

27
Q

What are the 6 vitals you check during secondary assessment?

A

Level of consciousness
Blood pressure
Respiration
Pulse
SP02
Pupils

28
Q

What measures SP02?

A

Pulse oximeter

29
Q

What do you want the pupils to look like?

A

P: pupils
E: equal
A: and
R: reactive to
L: light

30
Q

What does PEARL stand for?

A

Pupils equal and reactive to light

31
Q

What are you checking for when you check respiration and pulse?

A

Rate
Rhythm
Character

32
Q

What is the 3rd step in secondary survey?

A

Head to Toe examination

33
Q

What are the three things you’re checking for during head to toe examination?

A

Skin
Palpate (slowly feeling for injuries)
Distal extremities

34
Q

What are you checking for during skin on head to toe examination?

A

Color
Feel
Moisture
Temperature (use a thermometer when core temp relevant)

35
Q

What are you checking for during Palpate in head to toe examination?

A

Slowly, thoroughly and methodically feel for injuries

36
Q

What are you checking for in distal extremities of head to toe examination?

A

Compare pulses to other side
Compare capillary refill to other side
Check for motor deficits (wiggle your toes)
Check for sensory deficits (do u feel that)

37
Q

What are the three steps of the secondary surgery?

A

Patient interview
Vital signs
Head to toe examination

38
Q

What are the 4 catagories of the patient assessment model?

A

Scene assessment
Primary assessment
Second assessment
Ongoing assessment

39
Q

What are the 4 catagories of the patient assessment model?

A

Scene assessment
Primary assessment
Second assessment
Ongoing assessment