Secondary Assesstment Flashcards
What are your vital signs for basic body function?
- Level of Consciousness (LOC)
- Respiratory Rate & Effort (RR)
- Hear Rate (HR)
- Blood Pressure (BP)
- Skin Color Temperature Moisture (SCTM)
- Pupils size, reactiveness to light, and ability to track and object smoothly (PERRLA)
The mnemonic used to gather a patients medical history.
- (S) - Signs/Symptoms
- A - Allergies
- M - Medications
- P - Past Medical History
- L - Last in / Last out
- E - Events leading up to
This scale/mnemonic is used to determine a patients LOR.
- A - Alert & Aware | Person, Place, Time
- V - Verbal / Voice | Responds to verbal stimulus
- P - Pain | Does not respond to verbal stimulus but responds/reacts to pain
- U - Unresponsive
Which organ is generally in which quadrant of the abdomen?
Spleen
Gall Bladder
Appendix
- Spleen - LUQ (Left Upper Quadrant)
- Gall bladder - RUQ (Right Upper Quadrant)
- Appendix - RLQ (Right Lower Quadrant)
The mnemonic used to gather information on the HPI.
- O - Onset (When did the pain begin)
- P - Provocation (What makes it hurt more, what makes it hurt less)
- Q - Quality (What does the pain feel like? Sharp? Dull Ache?)
- R - Radiant (Does the pain radiate or refer to elsewhere in the body?)
- S - Severity (On a scale of 1-10?)
- T - Time (What is the frequency? Constant? How long does it last?)
This document used to record a patients assessment.
- S - Subjective Information (Age, Sex, MOI, C/C, HPI)
- O - Objective Information (Vital Signs, (S)AMPLE History)
- A - Assessment (Where your D/D is listed, what you think is wrong)
- P - Plan (Patient care plan & evacuation plan if necessary)
- notes
Parts to check during an exam of a patients head.
- Scalp
- Face (cheekbones)
- Eyes (orbital area)
- Nose
- Mouth
- Jaw (mandible)
- Ears (battle signs / CSF)
Parts to check during an exam of a patients neck.
Spine, trachea (deviation)
Parts to check during an exam of a patients chest.
Clavicles (collar bones), shoulders, ribs
Parts to check during an exam of a patients abdomen.
Compress/Palpate all four quadrants
How do you examine a patients pelvis?
Pressing IN ONLY on the Iliac Crests