Brady Chapter 9: Vital Signs And Sample History

Front 1

Ch. 9 Skills One: Demonstrate the skills involved in assessment of breathing.

Back 1

Demonstrate.

Front 2

Ch. 9 Skills Two: Demonstrate the skills associated with obtaining a pulse.

Back 2

Demonstrate.

Front 3

Ch. 9 Skills Three: Demonstrate the skills associated with assessing the skin color, temperature, condition, and capillary refill in infants and children.

Back 3

Demonstrate.

Front 4

Ch. 9 Skills Four: Demonstrate the skills associated with assessing the pupils.

Back 4

Demonstrate.

Front 5

Ch. 9 Skills Five: Demonstrate the skills associated with obtaining blood pressure.

Back 5

Demonstrate.

Front 6

Ch. 9 Skills Six: Demonstrate the skills that should be used to obtain information from the patient, family, or bystanders at the scene.

Back 6

Demonstrate.

Front 7

Ch. 9 Core Concepts One: How to obtain vital signs, including pulse, respirations, blood pressure, skin, and pupils.

Back 7

Discuss/Demonstrate.

Front 8

Ch. 9 Core Concepts Two: How to obtain an accurate SAMPLE history.

Back 8

Discuss/Demonstrate.

Front 9

Ch 9 Core Concepts Three: How to document vital signs on a Prehospital Care Report.

Back 9

Discuss/Demonstrate.

Front 10

Ch. 9 Knowledge and Attitude One: Identify the components of vital signs.

Back 10

p. 212.

Front 11

Ch. 9 Knowledge and Attitude Two: Describe the methods used to obtain a breathing rate.

Back 11

p. 215.

Front 12

Ch. 9 Knowledge and Attitude Three: Identify the attributes that should be obtained when assessing breathing.

Back 12

pp. 215-16.

Front 13

Ch. 9 Knowledge and Attitude Four: Differentiate between shallow, labored, and noisy breathing.

Back 13

p. 216.

Front 14

Ch. 9 Knowledge and Attitude Five: Describe the methods to obtain a pulse rate.

Back 14

p. 213.

Front 15

Ch. 9 Knowledge and Attitude Six: Identify the information obtained when assessing a Pt's pulse.

Back 15

pp. 213-15.

Front 16

Ch. 9 Knowledge and Attitude Seven: Differentiate between a strong, weak, regular, and irregular pulse.

Back 16

pp. 213-14.

Front 17

Ch. 9 Knowledge and Attitude Eight: Describe the methods used to assess the skin color, temperature, and condition (capillary refill in infants and children).

Back 17

pp. 216-218.

Front 18

Ch. 9 Knowledge and Attitude Nine: Identify the normal and abnormal skin colors.

Back 18

pp. 216-217.

Front 19

Ch. 9 Knowledge and Attitude Ten: Differentiate between pale, blue, red, and yellow skin color.

Back 19

pp. 216-17.

Front 20

Ch. 9 Knowledge and Attitude Eleven: Identify the normal and abnormal skin temperature.

Back 20

p. 217.

Front 21

Ch. 9 Knowledge and Attitude Twelve: Differentiate between hot, cool, and cold skin temperature.

Back 21

p. 217.

Front 22

Ch. 9 Knowledge and Attitude Thirteen: Identify normal and abnormal skin conditions.

Back 22

pp. 217-18.

Front 23

Ch. 9 Knowledge and Attitude Fourteen: Identify normal and abnormal capillary refill in infants and children.

Back 23

p. 218.

Front 24

Ch. 9 Knowledge and Attitude Fifteen: Describe the methods used to assess the pupils.

Back 24

pp. 218, 219.

Front 25

Ch. 9 Knowledge and Attitude Sixteen: Identify normal and abnormal pupil size.

Back 25

p. 218, 219.

Front 26

Ch. 9 Knowledge and Attitude Seventeen: Differentiate between dilated (big) and constricted (small) pupil size.

Back 26

pp. 218, 219.

Front 27

Ch. 9 Knowledge and Attitude Eighteen: Differentiate between reactive and nonreactive pupils and equal and unequal pupils.

Back 27

pp. 218, 219.

Front 28

Ch. 9 Knowledge and Attitude Ninteen: Describe the methods used to assess blood pressure.

Back 28

pp. 220-21.

Front 29

Ch. 9 Knowledge and Attitude Twenty: Define systolic pressure.

Back 29

pp. 218-19.

Front 30

Ch. 9 Knowledge and Attitude Twenty-One: Define diastolic pressure.

Back 30

p. 219.

Front 31

Ch. 9 Knowledge and Attitude Twenty-Two: Explain the difference between auscultation and palpation for obtaining a blood pressure.

Back 31

pp. 220-21.

Front 32

Ch. 9 Knowledge and Attitude Twenty-Three: Identify the components of a SAMPLE history.

Back 32

p. 224.

Front 33

Ch. 9 Knowledge and Attitude Twenty-Four: Differentiate between a sign and a symptom.

Back 33

p. 224.

Front 34

Ch. 9 Knowledge and Attitude Twenty-Five: State the importance of accurately reporting and recording the baseline vital signs.

Back 34

p. 213.

Front 35

Ch. 9 Knowledge and Attitude Twenty-Six: Discuss the need to search for additional medical identification.

Back 35

p. 224.

Front 36

Ch. 9 Knowledge and Attitude Twenty-Seven: Explain the value of performing the baseline vital signs.

Back 36

p. 213.

Front 37

Ch. 9 Knowledge and Attitude Twenty-Eight: Recognize and respond to the feelings Pt's experience during assessment.

Back 37

p. 225.

Front 38

Ch. 9 Knowledge and Attitude Twenty-Nine: Defend the need for obtaining and recording an accurate set of vital signs.

Back 38

p. 213.

Front 39

Ch. 9 Knowledge and Attitude Thirty: Explain the rationale of recording additional sets of vital signs.

Back 39

p. 212, 213, 221.

Front 40

Ch. 9 Knowledge and Attitude Thirty-One: Explain the importance of obtaining a SAMPLE history.

Back 40

pp. 224-25.

Front 41

Vital Signs: Mneumonic

Back 41

"Bobby Bobby Paula Paula Stinkpot"
BBPPS - Blood Pressure, Breathing, Pulse, Pupils, Skin. (Mental Status)

Front 42

Vital Signs: Kinetic Pathway Memory Jog

Back 42

Pulse: at wrist
Skin: with back of hand, against forearm
Blood Pressure: at elbow
Pupils: up at eyes
(Mental Status)
Breath: back down for breath rate/ sounds.

Front 43

Vital Signs: Pulse

Back 43

1. Surging blood from the heart's beating action, causing the artery to expand.
2. Taken via a fingertip held over an artery where it lies close to the body's surface and crosses over a bone.
3. Concerned with:Rate and Quality.

Front 44

Vital Signs: Skin

Back 44

1. Color
2. Temperature
3. Condition

Front 45

Vital Signs: Pulse Rate

Back 45

1. # of Beats Per Minute
2. Normal, Rapid, or Slow
3. Normal: 60-100 bpm for adult at rest.
4. Rapid: Tachycardia: above 100 bpm.
5. Slow: Bradycardia: below 60 bpm.
6. Relative Pulse: i.e., relative bradycardia in an athlete (slow compared to curve, but normal for athlete).
7. In emergency, not unusual for rate temporarily to be between 100-140 bpm.
8. LOAD AND GO:
A. >150 bpm, one-time;
B. Sustained pulse over 120 bpm.
C. Sustained pulse under 50 bpm.

Front 46

Vital Signs: Pupils

Back 46

Found in the eyeballs.

Front 47

Vital Signs: Breathing/Respiration

Back 47

B/R

Front 48

Vital Signs: Definition

Back 48

Outward signs of what is going on inside the body, including respiration; pulse; skin color; temperature, and condition (plus capillary refill in infants and children); pupils; and blood pressure.

Front 49

Vital Signs/Sample History: place in assessment sequence

Back 49

1. Directly following the initial assessment and control of any immediate life threats, as part of focused history and physical exam.
2. Directly following any interventions.
3. Repeated often as part of ongoing assessment, since they reflect both the Pt's current condition, and changes and trends in the Pt's condition.
* ESSENTIAL to RECORD all vital signs AND TIME you took them, each time!

Front 50

Vital Signs: Blood Pressure

Back 50

BP

Front 51

Vital Signs: Pulse Quality

Back 51

1. Made up of Rhythm and Force.
2. Pulse Rhythm is measure of regularity.
A. Regular is constant intervals.
B. Irregular is nonconstant intervals.
3. Pulse Rate is