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;
27 Cards in this Set
- Front
- Back
|
When palpating what are the different parts of the hand used for
|
Fingertips= Fine tactile discrimination (texture, swelling, pulsation, lumps)
Fingers + thumb= Detects position, shape, and consistancy of an organ or mass Dorsa of hands + fingers= temperature Base of fingers/ ulnar surface of hand= vibration |
|
|
Purpose of percussion
|
Tapping clients skin directly or indirectly to assess underlying structures
Used to map out organ locations + size, density, detect abnormal masses, pain, and deep tendon reflexes |
|
|
Resonance
|
medium-loud, low pitched, clear sound from percussion
normal over lung tissue |
|
|
Hyperresonance
|
Louder, low pitch, Booming sound from percussion
normal over childs lung |
|
|
Tympany
|
Loud, high pitch, musical sounds from percussion
Normal over air filled areas such as stomach or intestine |
|
|
Dullness
|
Soft, high pitch, muffled thud from percussion
Normal over liver |
|
|
Flatness
|
Very soft, high pitched, dead stop of sound from percussion
Normal over areas where no air is present such as bone |
|
|
The 4 components of a general survery are...
|
Physical appearance= Age, sex, LOC, skin color, facial features
Body structure= Stature, nutrition, symmetry, posture, position, build Mobility= Gait, ROM Behaviour= Facial expression, mood + affect, speech, dress, hygiene |
|
|
Oral temps. after...
Smoking.... Eating/drinking chewing gum |
wait for
2 mins 20 mins 5 mins |
|
|
Rectal temps
|
Use if other routes are not practical.. patient is:
comatose, confused, in shock, unable to close or open mouth Temp will be slightly higher through rectal methods |
|
|
Pulse
|
Assess rate, ryhthm, force, + elasticity
Normal HR btwn 60-100 |
|
|
Do not do BP on an arm that...
|
Is on the side of a CVL
Mastectomy side Casts Dressings Lymphedema Affected by CVA |
|
|
Why do you inflate BP cuff 30 mmHG higher then when the pulse disappears
|
To avoid ausultatory gap
|
|
|
What are the 8 critical characteristics of pain
|
Where is pain, when did it start, what does it feel like, how much is there (scale), what makes it better or worse, does it limit your fxn, how do you behave when in pain, what do you think caused your pain
|
|
|
Solid organs
|
Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus
|
|
|
Hollow organs
|
Stomach, gallbladder, small intestine, colon, bladder
|
|
|
RUQ contents
|
Liver, duodenum, gallbladder, head of pancreas, R. kidney, hepatic flexure of colon, part of ascending + transverse colon
|
|
|
LUQ contents
|
Stomach, spleen, Left lobe of liver, body of pancreas, L. Kidney, splenic flexure of colon, part of transverse + descending colon
|
|
|
RLQ contents
|
Cecum, appendix, right ovary and tube, right ureter, right spermatic cord
|
|
|
LLQ contents
|
Part of descending colon, sigmoid colol, L. ovary + tube, L. ureter, L. spermatic cord
|
|
|
Abdominal contents at midline
|
Aorta, uterus, bladder
|
|
|
4 classifications of stomach contour
|
flat, rounded, scaphoid, protuberant
|
|
|
Normal bowel sounds per minute?
How long do you listen before determining there is no bowel sounds |
5-30/min
listen 5 mins before determining bowel sounds absent |
|
|
Normal liver span?
|
6-12 cm
|
|
|
Area of splenic dullness not normally....
|
wider then 7cm
|
|
|
Blumberg's sign
|
rebound tenderness
|
|
|
Murphy's sign
|
inspiratory arrest:
Hold fingers under border of liver + ask person to take deep breath.. pain may be inflammation of the gallbladder |
