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48 Cards in this Set

  • Front
  • Back
The _______________ actually begins when you first set eyes on the pt.
Physical examination
P 565
4 physical exam techniques
Inspection
Palpation
Percussion
Auscultation
P 566
A simple, Noninvassive technique that clinicians often take for granted, also one of the most valuable tools in appraising pt condition.
Inspection
P 566
Effective inspection depends on good _______, adequate ________ and the __________ for looking beyond the obvious.
Lighting
Time
Curiosity
P566
Since ______________ may elicit tenderness or disrupt tissue or fluid, you should always perform ______________ first.
Deep Palpation
Light Palpation
P 567
To asses visceral organs such as those found in the abd, use ______________.
Deep palpation
P 567
The impact causes vibrations that produce sound waves from __ to __ cm deep in the underlying body tissue.
4 to 6 cm
P 567
The hyperressonant sound of air trappped in the chest may indicate a ______________ or _____________.
Pneumothorax
Emphysema
P 568
The dull sound of blood in the chest may indicate a _______________.
Hemothorax
P568
When reporting and recording lung sounds, always note these 3 things.
Abnormal sounds
Their locations
and their timing during the respiratory cycle.
P 569
In the abd you should _________ before _________ and __________.
Ausculate
Palpation and Percussion
P 569
A medic should be proficent in auscultating these 5 things
Blood Pressure
Lung sounds
Heart sounds
Bowel sounds
Arterial bruits
P 569
What are the 4 basic vital signs and of those 4 which 3 are the most important.
4. Pulse, Respiration, Blood Pressure and Temp.

3. Pulse, Respiration, Blood Pressure
P 569
A falling blood pressure and an increasing pules rate may indicate ________.
Shock
P 569
In a serious head injury, watch for your pt's systolic blood pressure to _______, their pulse pressure to __________ and their pulse rate to ________.
Rise
Widen
Fall
P 569
Your Pt's pulse rate, rhythm and quality indicate their _____________ status.
Hemodynamic (circulatory)
P 569
Pattern and equality of intervals between beats.
Pulse rhythm
P 569
Strenght, which can be weak, thready, strong or bounding.
Pulse quailty
P 569
___________ may indicate an increase in parasympathetic nervous system stimulation.
Bradycardia
P 570
____________ usually indicates an increase in the sympathetic nervous system stimulation.
Tachycardia
Treat ___________ only if it compromises your Pt's cardiac output and general circulatory status.
Bradycardia
P 570
The pulse's rhythm may present in 4 ways.
Regular
Regularly irregular
irregularly irregular
grossly chaotic
P 570
A weak and thready pulse indicate a ____________________.
decreased circulatory status (shock).
P 570
Strong and bounding pulses may indicate?
High blood pressure
Heat stroke
increasing ICP
P 570
Because _________ and ____________ exchange is essential to sustain life, ____________ must occur continuously and must be effective.
Oxygen
Carbon dioxide
P 570
Rapid breathing, ___________ can be the result of hypoxia, shock, head injury or anxiety.
Tachypnea
P 571
Slow breathing, ___________ can be caused by drug overdose, severe hypoxia, or central nervous system insult.
Bradypnea
P 571
Diseases such as asthma and emphysema may obstuct ___________ which then becomes an ________________.
Exhalation
Active process
P 571
The normal depth of a respiration for a health adult at rest is __________.
500ml
P 571
You should never use ________________ as the single indicator of your pt's condition. Always correlate it with their other clinical signs of end organ perfusion such as ___________, the __________ and ____________.
Blood pressure
Level of responce
Skin {color, temp and condition)
Peripheral pulses
P 571
A normal pulse pressure is generally ___ to ____ mmHg.
30 to 40 mmHg
P 572
____________ in an adult is defined as a pressure higher than ___/__.
Hypertention
140/90
P 572
___/___ may be considered as _____________.
90/60
Hypotention
P 572
The __________ is positve if either their pulse rate increases __ to __ beats per minute or if their _________ blood pressure drops __ to __ mmHg.
Tilt test
10 to 20 beats
Systolic
10 to 20 mmHg.
P 572
Temperatures above _____, brain cells die and may cause _________.
105 degrees F (41 C)
Seizures
P 573
At ______ normal body warming mechanisms begin to fail.
93 F (34 C)
P 573
At ______, shivering stops, heart sounds diminish and cardiac irritability increases.
90 F (32 C)
P 573
Temperatures below _____, your pt will present with a death like apperance and, possibly, irreversible asystole.
70 F (21 C)
P 573
A blood pressure measuring devise comprising of a bulb, a cuff and a manometer.
Sphygmomanometer
P 574
A __________ is a pressure gauge with a scale calibrated in _______.
Manometer
mmHg
P 574
The lines on a manometer represents _________ and the heavy lines are ________ apart.
2 mmHg
10 mmHg
P 574
The ________ manometer displays the scale on a circular dial.
Aneroid
P 574
The ________________ is the first part of a Comprehensive examination and begins with noting your Pt's ____________. It also includes ___________ and ______________________.
General Survey
Appearance
Vital signs
Additional assessment techniques.
P 576
Vital statistics
Height and Weight
P 577
Additional assessment techniques include what?
Pulse Oximetry
Capnograrhy
Cardiac monitoring
Blood glucose
P 579
Anatomical body regions
Skin, HEENT, Neck, Chest, Abd, Extrimities, Posterior body and Neurologic
P 585
Reddish-purple spots, Diameter less than 0.5cm
Petechiae
P 586
Any disruption of normal tissue.
Lesion
P 586