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22 Cards in this Set
- Front
- Back
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CHEST PAIN
-Assessment Questions- * GENERAL QUESTIONS |
* Location of pain?
* Provocation (what were you doing when the pain began?) * Quality (a description of the pain) * Radiation (does the pain go anywhere?) * Severity (how bad is the pain) * Time (when did the pain start or how long has it been going on) * Is the pain constant or intermittent? * Does anything make the pain better? Does anything make the pain worse? **this should include asking whether or not hte pain chanes with INSPIRATION or EXPIRATION! |
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CHEST PAIN
-Assessment Questions- * ASSOCIATED INFORMATION |
* Any trauma?
* Any soocited Shortness of Breath? * If so, Did it start before or after chest pain? * Any coughing up of blood? (HEMATEMISIS) * Any Nausea and Vomiting? |
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CHEST PAIN
-Assessment Questions- * HISTORY (Recent/Past) |
* Have you ever had this pain before?
* Inquire into pre-existing medical history * Recent colds, flu, visits to doctor, hospitalization, etc. |
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CHEST PAIN
-Assessment Questions- * Other |
* Any new or unusual stresses?
* Any substance use/abuse? * Is patient COMPLIANT WITH MEDICATIONS? |
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CHEST PAIN
-Assessment Observations- * MUSCULOSKELETAL |
* Pain provoked/increased with movement
* Palpating over area may reproduce pain |
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CHEST PAIN
-Assessment Observations * AORTIC ANEURYSM |
* Pain begins as "ripping" or tearng
* Pain can be stabbing afterwards * Hemiplegia (paralysis on one half of patient's body) may be present |
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CHEST PAIN
-Assessment Observations- * PULMONARY EMBOLISM |
* Hemoptysis (COUGHING UP OF BLOOD) may be present
* May have pleuritc chest pain * Pain is deep and chrushing |
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DYSPNEA
-Assessment Questions- * GENERAL QUESTIONS |
* Activity when dyspnea began?
* When did the dyspnea begin? * Does anything make it better? * Does anything make it worse? lying flat, exertion, etc * Has it gotten better or worse since calling for assistance? * Any interventions prior to medical attention? Such as: - medications take - home remedies - etc. * Does patient bring up sputum? - is amount more than usual? - color? * Has patient been coughing up blood? (HEMATEMISIS) * What medications are being taken? * Is patient COMPLIANT with MEDICATION INSTRUCTIONS (if applicable)? * Is patient fatigued? (Is there reason for this fatigue or is it ecause of the dyspnea?) |
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DYSPNEA
-Assessment Questions- * ASTHMA |
* Has patient been admittd to hospital before?
- When and for how long? - Was there ever an ICU admission? - Was the patient ever intubated because of the asthma? * Is patient a smoker? * Is patient dealing with psycholigcal stress? * Has patient had recurring asthma attacks? * Does patient manage asthma as instructed by physician? How is this episdoe compared to others in the past? * Has there been a change in medications? |
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DYSPNEA
-Assessment Questions- * ASSOCIATED CHEST PAIN |
* Any chest pain with dyspnea?
* Does the pain increase with INSPIRATION or EXPIRATION? * Evaluate pain using PQRST * review flashcards on CHEST PAIN |
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DYSPNEA
-Assessment Questions- * COPD |
* Is this normal breathing for you?
* Did oxygen flow rate change recently? * If so, did it help? * Is patient a smoker? * When was patients las bad attack? * How is this episode compared to others? * Has there been a change in medications? |
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DYSPNEA
-Assessment Questions- * FUMES/GASES |
* What type of fumes was the patient exposed to?
- Was there any color to the fumes? - Was there any smell to the fumes? - Were there flames associated with the fumes? * What was the concentration of the fumes (if known)? * How long did the exposure last for? * Were any chemcials mixed (such as cleaning supplies)? - What type? - Did any clouds form? * Was there an explosion? |
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DYSPNEA
-Assessment Questions- * HYPERVENTILATION |
* Has there been an increase in stressful events?
* Is there any numbness and/or tingling to extremities? * Was there an overdose (intentional/unintentional) of ASA or products containing salicylates * Was there ingestions (intentional/unintentional) of methanol, ethylene glycol etc? * Any recent trauma? * Any changes in normal routines (dietary, physical, etc.) |
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DIABETES
-Assessment Questions- * GENERAL QUESTIONS * THE KNOWN DIABETIC |
* When was the patient's last meal or snack?
* Is the patient hungry now? * Any recent illnesses? * How is diabetes managed? - diet - oral medications - insulin * Is patient complaint to prescribed management? * Any previous episdoes lke this one? When? * Any interventions prior to getting medical assistance? * Any changes in activity? * Any alchol consumption? * When was last visit to Doctor? * Any recent changes inmedications? * Gather remainder of SAMPLE INFORMATION * If patient keeps track of blood sugar results, obtain this information. |
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DIABETES
-Assessment Questions- * HYPOGLYCEMIA |
* Any increae in activity, exercise, etc?
* Was insulin (or other medications)taken on time? * Did patient eat on time? * Any rapid personality or behavior changes? * Were any sweet products given prior tomedical attention? * Any loss of consciousness? |
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DIABETES
-Assessment Questions- * HYPERGLYCEMIA |
* Any decrease in activity, exercise, etc?
* Any rcent flu's, cold's, etc.? * Any nausea or vomiting? Any abodominal pain? * Any diarrhea? * Any change influid intake/ouput? * If patient is taking insulin, ask specifically if insulin has been withheld and why. |
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OBSTETRICS
-Assessment Questions- * ASSOCIATED HISTORY |
* Any problems withprevious pregnancies? (if multi gravida)
* Any breech deliveries? * Any hypertension with this pregnancy? * Any sudden weight gain? * Any sudden swelling? * Any sudden selling of hands/feet/ etc? * Any sudden/recent weight gain? * Any nausea or vomiting? * Is patient sensitve to light? * Any unusual irritability? * Any pain (headaches, ABD pain, etc.)? |
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OBSTETRICS
-Assessment Questions- * INITIAL HISTORY |
* Due date (try to obtain a specific date)
* Contractions - When did it start? - How far apart are they? - How long do they last? - Where are they the strongest? * Any chance of having twins (or more)? * Any bleeding? - Is it bright red, water or clotted blood? - Amount (best to ask in standard measures?) - When did blededing start? * Is the amniotic memrane intact or ruptured? - Was it clear, meconium stained, bloody, etc? * Any other pains or discomfort? * Prenatal care: - Is patient participating? - Any problems with pregnancy so far? * How many times has patient been pregnant? * How many children has pateint had? * Any trauma? |
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OBSTETRICS
-Assessment Questions- * IF HYPERTENSIVE ON SCENE (TOXEMIA?) |
* Any sudden swelling of hadn/sfee/ etc?
* Any sudden/recent weight gain? * Any nausea or vomiting? * Is patient sensitive to light? * Any unusual irritability? * any pain (headaches, ABD pain, etc)? |
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OBSTETRICS
-Assessment Questions- * IF HYPOTENSIVE (CONSIDER:) |
* Any abdominal pain with bleeding?
* Any bleeding without abdominal pain (may be PLACENTA PREVIA) |
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OBSTETRICS
-Assessment Questions- * ECTOPIC PREGNANCY |
* Any nausea or vomiting
* Use of IUD for contraceptive? * Abdominal Pain (sudden and severe) * LMP? |
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OBSTETRICS
-Assessment Questions- * ESTIMATING BLOOD LOSS |
* When asking patient about amount of bleeding:
- Use household measures (tablespoons, cup, etc) - How many pads were SOAKED (normal menstrual cycle produces 4 tablespoons) |
