Vitals/Assessment/COLDSPA/Intro etc

Question 1

COLDSPA example questions for each one?

Answer 1

C - What does the pain feel like
O - When did it start
L - Where is the pain located does it radiate?
D -Any specific time of the day - how long does it last
S - 0-10
P What makes it better/worse, is it sore when moving or improvedon rest
A - What do the pt think is wrong, how it affects day to day or ADLs

Question 2

How would you take temp

Answer 2

Place cover over probe
Inspect ear cannal for any occlusion
Position the ear
Insert, read temp then dispose of cover

Question 3

How would you take radial pulse + resps

Answer 3

Palpate the pulse
Coutn for 30 secs if reg then x2.
Describe rate and rhythm - strong, regular and #
Normal - 60-100bpm

RR
The same, count and times by two if reg.

Question 4

How would you check pulse oximetry

Answer 4

Instruct pt to breathe normally and mininise movement
Check CRT
Then add pulse oximetry machine on and read reading

Question 5

When would you communicate vital signs findings?

Answer 5

AT THE END OF AX.

Question 6

How would you take BP

Answer 6

Gather equip, clean earpieces
Position arm at level of heart
Locate brachial pulse
Position blood pressure cuff properly
Palpate radial pulse till it dissapears
Put earpieces on, inflate further 30mm
Deflate slowly
Compare findings normal 120-80
Advise difference between systolic/dystolic
- sys - measures pressure in arteries when the heart beats
- dia - measures pressure on arteries between beats.

Question 7

What are the 10 associated factors to ask during COLDSPA

Answer 7

Allergies
Medications / prescribed, otc, supplements
Past health - surgical/medical/family hx
Smoking
Alcohol
Recreational drugs
Nutrition
Physical activity
Occupation
Stress relieving activities