126 Assessment

Card Set Information

Author:
Anonymous
ID:
101324
Filename:
126 Assessment
Updated:
2011-09-12 20:51:12
Tags:
126 Assessment
Folders:

Description:
Assessment
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. ASSESSMENT POSITIONS
    Supine
    Dorsal Recumbent
    Sim's
    Prone
    Lithotomy
    Knee chest
    Standing
    • Supine- palpating abdomen
    • Dorsal Recumbent ­­– supine w/knees elevated
    • Sim’s- sideline w/leg flexed at knee, ie. enema
    • Prone- laying on stomach
    • Lithotomy- feet up in stir ups. Ie. pap smear
    • Knee chest- knees on bed. Ie. laboring
    • Standing- to check balance, movement, gait
  2. Four Techniques of Assessment:
    • 1. Inspection
    • 2. Palpation
    • 3. Percussion
    • 4. Auscultation
  3. Auscultation: Normal Sounds
    1.
    2.
    3.
    • 1. Bronchial sounds. Heard over trachea
    • harsh and loud
    • 2. Bronchovesicular. Heard over mainstem, middle
    • blowing sounds
    • 3. Vesicular. Heard over bases, during inspiration.
    • soft, low pitch
  4. Auscultation: Adventitious Sounds
    1.
    2.
    3.
    4
    • 1. Crackle Produced by air moving thru fluid in smaller air passages
    • fine or course (rhonchi)
    • 2. Wheeze Heard with stethoscopes upon insp/exp.
    • high pitched musical
    • 3. Sonorous Produced by air moving thru fluid in larger air passages.
    • deeper, snoring
    • 4. Pleural friction Produced when pleura is inflamed
    • and rubs chest wall
    • rubbing, grating
  5. Cardiovascular Auscultations
    S1
    S2
    • S1= Lub Mitral & Tricuspid
    • S2= Dub Aortic & Pulmonic
    • High pitched-use diaphragm.
    • Low pitched-use bell.
  6. Grading Scales
    1. Peripheral pulses/Edema/Reflexes
    2. LOC
    3. ROM
    4. Strength
    5. Pain
    • 1. Pulse/Edema/Reflex: 0+ to 4+ scale
    • 0 absent 2+ normal 4+ strong
    • 2. LOC: Glascow Coma Scale
    • 0-15, <7 is comitose
    • 3. ROM
    • percentage
    • 4. Strength
    • 1-5
    • 5. Pain
    • 0-10 scale.
  7. Assessing Mental Status
    1.
    2.
    3.
    4.
    5.
    • 1. Oriented to person, time, place, situation
    • 2. Level of Consciousness. Awake? Lethargic?
    • 3. Memory
    • 4. Reasoning. If this, then this.
    • 5. Language. Name items, follow commands.
  8. Erythema
    Redness of the skin.
  9. Cyanosis .
    Bluish coloring of the skin and mucous membranes
  10. Jaundice
    Yellow appearance of skin.
  11. Pallor
    Paleness of the skin.
  12. Ecchymosis
    Collection of blood in subcutaneous tissues that causes a purplish discoloration.
  13. Petechiae
    Small, purplish hemmorragic spots on the skin that do not blanch with applied pressure
  14. Lesion
    Any abnormal tissue on the skin.
  15. Wound
    • An injury, especially one in which the skin
    • or another external surface is torn, pierced, cut, or otherwise broken.
  16. Rash
    A change of the skin which affects its color, appearance or texture.
  17. Diaphoresis
    Excessive sweating commonly associated with shock or other medical conditions.
  18. Turgor
    Tension of the skin determined by its hydration.
  19. Edema
    Accumulation of fluid in extracellular spaces.
  20. Beau's Lines
    Deep grooved lines that run from side to side on the fingernail
  21. Paronychia
    • A nail disease in which often tender bacterial or fungi hand infection where the nail and skin meet at the
    • side or base of the nail.
  22. Clubbing
    Rounding and swelling of nail beds.
  23. Hirsutism
    Excessive hairiness.
  24. Mydriasis
    Dilation of pupil due to disease, use of drugs or trauma.
  25. Miosis
    Constriction of pupil of the eye resulting from normal response to an increase in light or caused by certain drugs or pathological conditions.
  26. Accommodation
    Ability to adjust the eye to see at various distances.
  27. Convergence
    Following an object as it nears your face. Becoming cross-eyed in the process
  28. Ptosis
    Drooping of upper or lower eyelid.
  29. Entropion
    Medical condition in which the eyelid (usually lower one) folds inward
  30. Ectropion
    Condition where lower eyelid folds outwards.
  31. Nares
    Nostril or nasal cavity.
  32. Lymphadenopathy
    Term meaning disease of the lymph nodes.
  33. Fremitus
    Vibration of the chest wall that can be palpated during physical assessment.
  34. Tympany
    • Heard when percussing a patient.
    • Hollow sounding.
  35. Stertorous
    Breathing Loud breathing.
  36. Stridor
    Harsh, high-pitched sound usually heard in inspiration when upper airways become narrowed.
  37. Bruit
    Unusual sound, usually abnormal, heard in auscultation.
  38. Phlebitis
    Inflammation of the vein
  39. Striae
    Irregular areas of skin that look like bands, stripes or lines.
  40. Aphasia
    Acquired language disorder in which there is an impairment of language use.

What would you like to do?

Home > Flashcards > Print Preview