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9 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Neuro Assessment
L
A
M
P
P
L- LOC Person, place and time
A- Anterior Fontanel under 1 yr. Flat, bulging, depressed
M- Motor grasp
P- Plantar and dorsiflexion against resistance.
P- PERL
Respiratory Assessment
P
O
R
D
R
A
P- Position
O- O2 sat
R- Rate
D- Depth
R- Rhythm
A- Auscultation left to right
Peripheral Vascular Assessment
T
P
P
S
M
L
T- Temperature / Touch
P- Perfusion -3 or +3
P- Pulses (radial, brachial, axillary, pedal, posterior tibial, popliteal and femoral)Use most distal first, then work your way up.
S- Sensation (use most distal first)
M- Movement
L- Lower
Abdominal assessment
V
P
I
L
P
M
V- Void
P- Position
I- Inspect
L - Listen
P- Palpate
M- mesaure (if asked)
Skin Assessment
F
S
H
O
T
T
I
M
E
C
F- Folds
S- sacrum and coccyx
H- heels
O- occiput
T- trochanter
T- Temperature
I- Integrity
M- Moisture
E- Edema
C- Color
Comfort Management
A
S
R
OD
C
H
B
M
W
B
A- Ask about comfort level
S- State Make a statement about comfort behavior
R- Reposition
OD - offer distraction
C- Cold
H- Hot
B- Backrub
M- Medicate as ordered
W- washcloth
B- bed change linens or make a new bed
Pain management
L
M
R
R
R
L- Level
M- medicate
R- Report to primary nurse pt's need for medication
R- relieve at least one measure to relieve pt's pain
R- Response within 30 minutes
Oxygen Management
FI-
K
S
N
P
A
H

Fiks-n-pah
FI- Flow in
K- Kinks
S- Skin
N- Nails
P- Position
A- Activity
H- Hazards
P
O
R
D
Pordra gas tb cis
R
A
G
A
S
T
B
C
I
S
Respiratory Management
P- Position
O- O2 Sat
R- rate
D- depth
R- Rhythm
A- Auscultation
G- Gloves
A- Abdominal
S- Splint
T- Tissue
B- Basin
C- Cough and deep breathe
I- Incentive Spirometry
S- Suction ( Catheter or bulb syringe)