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23 Cards in this Set
- Front
- Back
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General Patient Info
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Age
sex weight in kilograms chief complaint |
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Baseline Vital signs
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Breathing
pulse skin signs pupils BP Vital sign reassessment |
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Situations that alter pulse rate
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INCREASE
fever stress shock drugs DECREASE head injury cold or hypothermia |
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Pale skin indicate
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poor perfusion
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Cyanotic skin indicates
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poor oxygenation
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flushed skin indicates
(cherry red) |
heat exposure or CO exposure
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Jaundice skin indicates
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liver problems
(not filtrating toxins due to liver failure |
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Skin signs
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color
tempuature moisture Assess capilary refill |
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Capillary refill
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normal <2 seconds
abnormal >2 seconds |
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Pupil assessment
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P-pupil size
E- equal A- and R- reactive to L-light |
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2 methods of obtaining BP
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ascultation
palpation(will not have diastolic) |
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How old should a patient be to obtain BP?
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3years
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How often should vital signs be assessed and recorded for a stable/ instable patient?
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stable-every 15 min
instable- every 5 min |
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SAMPLE history
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Signs and symptoms
Allergies Medications Past pertenant history Last oral intake Events leading to injury or illness |
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Signs and symptoms
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Signs- any observed problem noted
Symptoms- any problem indentified by patient |
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Allergies
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medications
food environmental allergies Consider medical identification tag |
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Medications
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Precription
non-prescription look for medical alert bracelet |
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Past History
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medical diagnosis
surgical treatment consider medical identification tag |
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Last oral intake
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solid or liquid
time quantity |
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Events leading to...
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chest pain while exertion vs chest pain while at rest
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Serial recording of vital signs over time is called
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trending
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Assessment of skin color, temp, condition provides valuable insight into
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perfusion
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What acronym will help elicit additional info about a symptom or mediacl complaint?
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Onset
Provication Radiation Quality Severity Time |
