Triage Flashcards

1
Q

Triage process

A
  1. Gathering of subjective data
  2. Obtain objective data (VS, necessary nursing assessment)
  3. Past med history
  4. Medication and allergies history
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2
Q

Types of POCT ordered at Triage

A

12 lead ecg

CBG

Urinalysis: UC10

Urine pregnancy test

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3
Q

Indications for 12 lead ecg

A
  1. chest discomfort or pain
  2. epigastric pain
  3. syncope or post fits
  4. giddiness
  5. hyperkalemia/hypokalemia
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4
Q

Indications for BGM

A
  1. Past med history of DM
  2. Complaint of giddiness
  3. AMS/AI
  4. Fits/post fits
  5. Lumps, bumps or abscess
  6. Chronic wounds or ulcers

Note: normal value: 4-8

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5
Q

Indications for urinalysis (UC10)

A
  1. urinary complaints
  2. loin or flank pain
  3. lower abdominal pain
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6
Q

Indications for urine pregnancy test

A
  1. Female of child bearing age with lower abdominal pain
  2. Females unsure of LMP and associated with symptoms vomiting, generalised vague abdominal discomfort
  3. Of child bearing age, unsure if pregnant, required to do xray
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7
Q

Triage qns

A
  1. Pt identifier
  2. Drug allergy
  3. Past medical history
  4. Presenting complaint
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8
Q

Triage qns

A
  1. Pt identifier
  2. Drug allergy
  3. Past medical history
  4. Presenting complaint
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9
Q
A
  1. HF
  2. Chest infection
  3. Myocarditis
  4. GERD
  5. Asthma
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