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9 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Neuro Assessment
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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 |
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Respiratory Assessment
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P
O R D R A |
P- Position
O- O2 sat R- Rate D- Depth R- Rhythm A- Auscultation left to right |
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Peripheral Vascular Assessment
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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 |
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Abdominal assessment
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V
P I L P M |
V- Void
P- Position I- Inspect L - Listen P- Palpate M- mesaure (if asked) |
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Skin Assessment
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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 |
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Comfort Management
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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 |
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Pain management
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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 |
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Oxygen Management
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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 |
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P
O R D Pordra gas tb cis R A G A S T B C I S |
Respiratory Management
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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) |
