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;
31 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
What are the areas to consider during a general survey?
|
1. Physical Apperance
2. Body Structure 3. Mobility 4. Behavior |
PBMB
|
|
|
What is the Nurisng Process
|
Assess
Diagnose Outcome identification Plan Interpret Evaluate |
ADOPIE
|
|
|
What part of the brain regulates body temperature?
|
The Hypothalamus
|
|
|
|
What is PQRST?
|
Provoke
Quantity Radiate Severity Time |
|
|
|
Differentiate use of diaphragm vs. bell.
|
Diaphragm - High pitched sounds; heart and lungs.
Bell - low pitched sounds; blood vessels. |
|
|
|
How do you select the right BP cuff?
|
Rubber Bladder's:
Width = 40% circumference of patient's arm. Length = 80% circumfernce of patient's arm. |
|
|
|
Four influences on body temp.
|
Diurnal Cycle
Age Menstration Exercise |
DAME
|
|
|
Physiologial BP Factors
|
Cardiac Output
Vascular Resistance Blood Volume Viscocity (Thickness) Elasticity |
|
|
|
Consideration for Aging Adults
|
Posture
Apperance Mobility |
PAM
|
|
|
Other factors that influence BP.
|
Age
Race Weight Gender Stress/Emotional State |
|
|
|
Differentiate Acute and Chronic Pain
|
Acute - short term; self limiting; dissipates after healed; predictable trajectory
Chronic - >/ 6 months, continues after healed |
|
|
|
Pulse Pressure
|
= systolic minus diastolic pressure and reflects stroke volume
|
|
|
|
Pulse Deficit
|
= Apical minus Radial Rate
Performed by two people Indicates weak ventrical contraction |
|
|
|
Objective Data
|
What was observed and assessed.
|
|
|
|
Subjective Data
|
What patient reports.
|
|
|
|
Steps in opening the interview process.
|
1. Introductions
2. Purpose 3. Lead with open ended questions. |
|
|
|
What is Doppler technique used for?
|
1. Locate peripheral pulse
2. Identify Korotkoff sounds 3. Measure BP @ radial pulse |
|
|
|
What are the four physical exam techniques?
|
1. Inspection
2. Palpation 3. Percussion 4. Auscultation |
IPPA
|
|
|
Inspection
|
General Survey; begins the moment you first see patient.
|
|
|
|
Palpation
|
Use of touch to determine texture, size, consistency and location of body organs.
|
|
|
|
Percussion
|
Accessing the location, size and density of underlying structures.
|
|
|
|
Auscultation
|
Listening to sounds using a stethoscope.
|
|
|
|
What are the four areas of a general survey?
|
1. Physical Appearance
2. Body Structure 3. Mobility 4. Behavior |
PBMB
How you look How you stand How you move How you act |
|
|
What information is obtained from assessing Physical Appearance?
|
Age, Gender, Orientation x3, Skin Color, Facial Features
|
|
|
|
What information is obtained from assessing Body Struture?
|
Stature, Nutrition, Symmetry, Boby Build, Obvious Deformities.
|
|
|
|
What information is obtained from assessing Mobility?
|
Gait, Range of Mobility
|
|
|
|
What information is obtained from assessing Behavior?
|
Facial Expression, Mood/Affect, Speech, Personal Hygiene
|
|
|
|
What are the four qualities of a PULSE?
|
Rate
Rhythm Force Elasticity |
RRFE
|
|
|
Common errors in measuring BP.
|
Hypotension
Orthostatic Hypotension Variation from L to R |
|
|
|
Sources of PAIN.
|
Visceral- large organs
Deep Somatic - from pressure, trauma Cutaneous- superficial, sharp, burning skin Referred- felt at site but originates at a different location |
VDCP
|
|
|
Pain Assessment: Structure and Function
|
Neuroanatomic Pathway - central and/or peripheral nervous system
Nociception - how noxious stimuli are typically percieved as pain Neuropathic - abnormal processing of the pain |
|
