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Flashcards in Patient Assesment Deck (131)
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What are the four steps of medical patient assessments?

Scene size up
Initial assessment
Focused history/physical exam Ongoing assessment

1

What are five steps of patient assessment for trauma patients?

Scene size up
Initial assessment
Focused history/physical exam
Detailed physical exam
Ongoing assessment

2

What are five objectives of scene size up?

BSI/Scene Safety
Mechanism of injury/nature of illness
Number of patients
Request additional assistance
Consider C-spine immobilization

3

What are three factors to evaluate the mechanism of injury of the patient?

The amount of force applied to the body
The length of time the force was applied
The area of the body involved

4

What are four objectives of initial assessments?

Form a general impression of the patient
Assess mental status
Assess ABCs
Identify priority patients

5

What does obtunded mean?

The patient does not perceive the environment fully and responds to stimuli appropriately but slowly

6

What does stuporous mean?

The patient is aroused by intense stimuli only. Motor response and reflex reactions are usually intact unless the patient is paralyzed

7

For alert patients, what four things do you check to assess the patient's orientation?

Memory of:
Person (who they are)
Place (where they are)
Time (day,month,year)
Event (what happened)

8

What three things do you check for when assessing circulation?

Pulse
Bleeding
Skin condition (temp, moisture, color)

9

What is the lining of the eyelid called?

Conjunctiva

10

What are the three steps in a focused history/physical exam for trauma patients with a significant mechanism of injury?

Rapid trauma assessment
Baseline vitals/SAMPLE
Transport

11

What are the three steps of focused history/physical exam for patients with no significant mechanism of injury?

Focused assessment based on chief complaint
Baseline vitals/SAMPLE
Transport

12

What are three goals of focused history/physical exam?

Identify the patient's chief complaint
Understand the specific circumstances surrounding the chief complaint
Direct further physical examination

13

What are occult injuries?

Injuries you can't see with your eyes

14

What does DCAP-BTLS stand for?

Deformities
Contusions
Abrasions
Puncture/penetration
Burns
Tenderness
Laceration
Swelling

15

What is subcutaneous emphysema?

Air under the skin

16

What are retractions?

When the skin pulls around the ribs during inspiration

17

What is paradoxical motion?

When one section of the chest falls on inspiration while the remainder of the chest rises

18

What is paradoxical motion associated with?

Flail chest

19

What causes Rales (crackles)?

Oxygen passing through moisture in the bronchoalveolar system or from closed alveoli opening abruptly

FLUID IN SMALLER AIRWAYS

20

What two things are Rales associated with?

Congestive heart failure
Bronchitis

21

What is Rhonchi?

Continuous sounds with a lower pitch and a rattling quality

22

What four things is Rhonchi associated with?

Congestive heart failure
Pulmonary edema
Bronchitis
Pneumonia

FLUID IN LARGER AIRWAYS

23

When is Rhonchi usually heard?

During exhalation

24

What four things cause stridor?

Bacterial epiglottitis
Viral croup
Swelling from upper airway burns
Partial foreign body airway obstruction

25

What is wheezing?

A high-pitched whistling noise that is usually more prominent during exhalation

26

What three things is wheezing associated with?

Asthma
Bronchitis
Other processes that cause constriction of the bronchioles (bronchospasm)

27

When is mild wheezing typically heard?

Expiration

28

When is moderate wheezing typically heard?

Inspiration and expiration

29

What is severe wheezing?

Wheezing that is often faint or difficult to hear indicating severe bronchospasm