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;
33 Cards in this Set
- Front
- Back
|
5 Parts of Patient Assessment Process |
1. Scene Size up (PENMAN) 2. Primary Assessment 3. History Taking 4. Secondary Assessment 5. Reassessment |
|
|
Symptom |
a subjective condition that the patient feels and tells you about |
|
|
Sign |
an objective condition that you can observe about the patient |
|
|
PENMAN |
P:patient, partner, personal safety E: environmental hazards N: number of patients M: mechanism of injury (MOI) A: additional resources N: need for spinal immobilization |
|
|
Incident Command System (ICS) |
system implemented to manage disasters and mass-casualty incidents in which section chiefs, [including finance, logistics, operations, and planning], report to the incident commander |
|
|
Triage |
process of sorting patients based on severity of injury and medical need to establish treatment and transportation priorities |
|
|
Primary Assessment |
begins with greeting the patient and goal is to identify and initiate treatment of immediate or potential life threats |
|
|
GILT |
general impressions/important life threats - immediate assessment including age, sex, race, level of distress, overall appearance |
|
|
Conscious Patient with Altered level of consciousness |
may be due to inadequate perfusion - may be caused by medications, drugs, alcohol, & poisoning |
|
|
Unconscious Patient |
assess for ABC (airway, breathing, circulation) - rapid transport/CPR |
|
|
Responsiveness |
AVPU: - alert - responds to verbal - responds to pain - unresponsive |
|
|
Glasgow Coma Scale (GCS) |
additional info on mental status changes of the patient |
|
|
Pupils for determining LOC |
P: pupils E: equal A: and R: round R: regular size L: light reactivity |
|
|
Signs of Airway Obstruction |
IN AN UNCONSCIOUS PERSON - obvious trauma, blood, or obstruction - noisy breathing (snoring, bubbling, gurgling) - extremely shallow or absent breathing |
|
|
Administer Oxygen if Needed |
- Respirations are too fast (more than 20 breaths/min) - Respirations are too shallow - Respirations are too slow (fewer than 12 breaths/min) |
|
|
Consider Use of an Airway Adjunct if... |
Use positive pressure ventilations w/ an airway adjunct when - respirations exceed 24 breaths/min - respirations are fewer than 8 breaths/min |
|
|
Normal Respiratory rate |
12-20 breaths/min |
|
|
Rales |
a moist crackling sound auscultated when assessing lung sounds |
|
|
Rhonchi |
a low pitched noisy sound heard at expiration |
|
|
Stridor |
brassy crowing sound heard at inspiration |
|
|
Tidal Volume |
Measure of the amount of air that is moved into and out of the lungs in one breath |
|
|
Tachycardia |
rate greater than 100 bpm in adults |
|
|
Bradycardia |
rate less than 60 bpm in adults |
|
|
SAMPLE |
S: signs and symptoms A: allergies M: medications P: pertinent past medical history L: last intake/out-take (eat, bowels, menstruation) E: events leading up to injury/illness |
|
|
OPQRST: for pain |
O: onset P: provocation/palliation Q: quality R: region/radiation S: severity T: timing/constancy |
|
|
DCAP BTLS |
INTEGRAL PART OF SECONDARY ASSESSMENT (evaluation) D: deformities C: contusions A: abrasions P: puctures/penetrations B: burns T: tenderness L: lacerations S: swelling |
|
|
Capnography |
noninvasive method providing info on ventilatory status, circulation, and metabolism - capnometry: digital reading of CO2 - capnography: waveform reading |
|
|
End tidal CO2 |
partial pressure or maximal concentration of CO2 at end of an exhaled breath - Colorimetric devices provide continuous monitoring of end tidal monitory |
|
|
Least likely to cause an altered level of consciousness |
acute anxiety |
|
|
Palpable Pulse is caused by |
pressure waves through the arteries caused by cardiac contraction |
|
|
After performing a head tilt chin lift to open airway on unresponsive patient, you should... |
suction as needed and insert an airway adjunct |
|
|
nasopharyngeal airway is most beneficial b/c... |
can maintain a patent airway in semiconscious patient w/ gag-reflex |
|
|
O2 cylinder should be taken out of service & refilled when pressure inside it is less than: |
500 psi |
