Week 4- PT Assessment Flashcards
Vital signs are…
measurement of basic human body functions:
- HR
- BP
- Pupils
- Temp
- Resp Rate
- GCS
- Skin
How do you find and report Heart Rate?
Find pulse with 2 fingers, NOT thumb.
Use watch to count the # of beats per 15 secs
Take # and X4 ( 15 X 4 = 60 bpm)
Regular/irregular?
Weak/full?
HR 60 bpm reg and full
Respiratory Rate
Put hand on pt chest or abdo
Count # of breaths in 15 secs
Multiply # by 4 ( 4 X 4 = 12 breaths/min)
Regular/irregular?
Weak/full?
Shallow/ineffective?
12 breaths per minute, reg and full
What is blood pressure?
Amount of force your blood uses to get through your arteries!
Systolic
1st # - measures the pressure in your arteries when your heart beats
Diastolic
2nd # - measures the pressure in your arteries when your heart rests between beats
GCS
Normal = 15
Eye opening response:
Spontaneous: 4
Verbal: 3
Pain: 2
None: 1
Verbal response:
Oriented: 5
Confused: 4
Inappropriate words: 3
Incomphrensible sounds: 2
Silent: 1
Motor response:
Obeys commands: 6
Localizes pain: 5
Withdraws from pain: 4
Abnormal Flexion (decorticate): 3
Abnormal Extension (deceberate): 2
No movement: 1
Pupil assessment
Pupils Equally And Reactive to Light
Perform on the following pt’s:
- face/head trauma pt’s (especially direct head injury, concussions etc.)
- Stroke pt’s
- Headaches
- VSA pt’s
Skin Assessment
3 observations
- Colour: pink, pale, cyanotic
- Condition: dry, clammy, diaphoretic
- Temperature: warm, cold or hot
Normal HR- Adults
60- 100 BPM
Bradycardia
HR: < 60 bpm
Tachycardia
HR: >100 bpm
Normal Resp Rate- Adults
12- 28 bpm
Bradypnea
< 12 bpm
Tachypnea
> 28 bpm
