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7 Cards in this Set
- Front
- Back
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ISOAP? |
Introduction pt status Subjective info what pt said Objective info what u saw found/measured Assessment what you think is wrong Plan what uv done are doing ? Request for question or instruction |
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Spinal column |
Top Cervical neck 7 Thoracic thorax ribs upper back 12 Lumbar lower back 5 Sacral back wall of pelvis 5 Coccyx tailbone 4 Bottem |
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CSM |
Circulation Sensory Movement |
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CHAMPSRN |
Cardiogenic Hypovolemic Anaphylactic Metabolic Psychological Sepsis Respiratory Neurogenic |
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Signs of shock |
Strange behavior Pale cool clamy skin Rapid heart rate (>100) Nausea Weakness Thirst Decreased urine output Weak distal pulse Altered mental status (late sign) Decreasing mental status Very weak absent distal pulses Decreasing heart rate and BP very late sign Cold cyanosis skin (very late sign) Pupils dilated and unresponsive very late sign |
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Stages of shock |
Compensated Decompensated Irreversible |
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Shock caused by poor circulation resulting from damaged heart (ami,chf,trauma) |
Cardiogenic shock |
