Study Patient Assessment Flash Cards

 
Pile Management Card
Patient Assessment

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Those that are completed by shading boxes to record data and then scanned for easy data storage and evaluation?
COMPUTERIZED REPORTS
The record that you produce during a call is called a?
PREHOSPITAL CARE REPORT
Changes in a patient's condition over time, such as slowing respirations or rising pulse rate, that may show improvement or deterioration, and that can be shown by documenting repeated assessments.
TRENDING
A procedure for detecting changes in a patient's condition. It involves four steps: repeating the initial assessment, repeating and recording vital signs, repeating the focused assessment, and checking interventions.
ONGOING ASSESSMENT
What do you consider if you come across a palpating mass on a patients abdomen?
AN ENLARGED AORTA
When palpating the abdomen. How far down should you press?
ABOUT 1 INCH
What is the first step of the focused history and physical exam for any trauma patient?
RECONSIDER THE MECHANISM OF INJURY.
The focused history and physical exam are sometimes referred to as the?
SECONDARY ASSESSMENT OR SECONDARY SURVEY
Persistent erection of the penis that may result from spinal injury and some medical problems.
PRIAPISM
Similar to an ileostomy, a surgical opening in the wall of the abdomen with a bag in place to collect excretions from the digestive system.
COLOSTOMY
A condition of being stretched, inflated, or larger than normal.
DISTENTION
Movement of a part of the chest in the opposite direction to the rest of the chest during respiration.
PARADOXICAL MOTION
A surgical incision held open by a metal or plastic tube.
TRACHEOSTOMY
A permanent surgical opening in the neck through which the patient breaths.
STOMA
Bulging of the neck veins.
JUGULAR VEIN DISTENTION
The granting sound or feeling of broken bones rubbing together.
CREPITATION
The granting sound or feeling of broken bones rubbing together?
CREPITATION
A rapid assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury?
RAPID TRAUMA ASSESSMENT.
The step of patient assessment that follows the initial assessment?
FOCUSED HISTORY AND PHYSICAL EXAM
A patient suffering from one or more physical injuries?
TRAUMA PATIENT
What are you observing when assessing the chest?
-DCAP BTLS
-BREATH SOUNDS
-EXPANSION
What do you look for when assessing the neck?
-DCAP BTLS & CREPITATION
-TRACHEAL DEVIATION
-JVD
-APPLY A C COLLAR
What do you check for when you assess the head?
DCAP BTLS

FLUIDS
What is your next decision after assessing ABC's?
IDENTIFY PRIORITY
LOAD AND GO/STAY AND PLAY
What does the initial assessment consist of?
-GENERAL IMPRESSION
-LEVEL OF CONSCIOUSNESS
-AIRWAY
-BREATHING
-CIRCULATION
What do you do to assess a level of consciousness?
AVPU

A&Ox3
PERSON/PLACE/TIME
What does your General Impression consist of?
-ANY LIFE THREATS
-AGE
-SEX
What do you start after you have determine the number of patients?
INITIAL ASSESSMENT
What are the first steps of patient assessment?
-BSI
-SCENE SIZE UP
-DETERMINE MECHANISM OF INJURY/
NATURE OF ILLNESS
-DETERMINE NUMBER OF PATIENTS
What should you do if you have more patients than you can handle?
ACTIVATE THE MCI PLAN.
If the scene is unsafe what actions should you take?
TAKE THE NECESSARY PRECAUTIONS TO MAKE IT SAFE.

ALWAYS HAVE AN EXIT PLAN
Before arriving on scene, what is the very first thing you do?
BSI & SCENE SIZE UP
The pulse felt along the large carotid artery on either side of the neck?
CAROTID PULSE
The pulse felt in the upper arm?
BRACHIAL PULSE
The pulse felt on the wrist?
RADIAL PULSE
A slow pulse is known as?
BRADYCARDIA
A rapid pulse is known as?
TACHYCARDIA
What is considered a normal pulse rate for a newborn?
120-160 BPM
What is considered a normal pulse rate for an infant 0-5 months?
90-140 BPM
What is considered a normal pulse rate for an infant 6-12 months?
80-140 BPM
What is considered a normal pulse rate for a toddler 1-3 years?
80-130 BPM
What is considered a normal pulse rate for a preschooler 3-5 years?
80-120 BPM
What is considered a normal pulse rate for school age 6-10 years?
70-110 BPM
What is considered a normal pulse rate for an adult?
60-100 BPM
The number of pulse beats per minute?
PULSE RATE
What two factors are considered when taking a patient's pulse?
RATE & QUALITY
Outward signs of what is going on inside the body?
VITAL SIGNS
What is the most important part of patient assessment?
THE CHIEF COMPLAINT
What are some examples of high priority patient's?
-POOR GENERAL IMPRESSION
'UNRESPONSIVE
-RESPONSIVE, BUT NOT FOLLOWING COMMANDS
-DIFFICULTY BREATHING
-SHOCK
-COMPLICATED CHILDBIRTH
-CHEST PAIN WITH SYSTOLIC BLOOD PRESSURE LESS THAN 100
-UNCONTROLLED BLEEDING
-SEVERE PAIN ANYWHERE
What do you check while assessing circulation?
CTC (COLOR/TEMP/CIRCULATION)
What actions do you take when a patient is not alert and breathing rate is slower than 8 breathes per minute?
PROVIDE POSITIVE PRESSURE VENTILATIONS WITH 100% OXYGEN.
When looking for life threatening problems what should you also be checking in the process?
ABC's
If a patient's level of responsiveness is lower than alert what actions should you take?
PROVIDE HIGH-CONCENTRATIONS OXYGEN BY NRB MASK AND CONSIDER THE PATIENT A HIGH PRIORITY TRANSPORT.
Most EMS systems document orientation to?
PERSON/PLACE/TIME
A memory aid for classifying a patients level of responsiveness, or mental status?
AVPU

ALERT/VERBAL RESPONSE, PAINFUL RESPONSE/UNRESPONSIVE
After getting practice assessing and managing patients, you may develop a?
SIXTH SENSE

CLINICAL JUDGEMENT
How do you form a general impression?
BY LOOKING, LISTENING, AND SMELLING.
The reason EMS was called, usually in the patient's own words?
CHIEF COMPLAINT
Impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint, and appearance?
GENERAL IMPRESSION
Actions taken to correct a patient's problems?
INTERVENTIONS
The first element in assessment of a patient?

Steps taken for the purpose of dealing with any life threatening problems?
INITIAL ASSESSMENT
If a Trauma or Medical patient is unconscious, who can you interview for more information?
FAMILY OR BYSTANDERS.
What is medically wrong with a patient?
NATURE OF THE ILLNESS
Awareness that there may be injuries regardless of the mechanism of injury?
INDEX OF SUSPICION
Injury caused by an object that passes through the skin or other body tissues?
PENETRATING TRAUMA
Injury caused by a blow that does not penetrate the skin or other body tissues?
BLUNT-FORCE TRAUMA
Injury caused by an object that passes through the skin or other body tissues?
PENETRATING TRAUMA
What is considered a severe fall?
THREE TIMES THE HEIGHT OF THE PATIENT.
What should you do after you have ensured that the scene is safe and taken the appropriate BSI precautions?
DETERMINE THE NATURE OF THE CALL BY IDENTIFYING THE MECHANISM OF INJURY.
A force or forces that may have caused injury?
MECHANISM OF INJURY
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