Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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 |
