Pt. Care unit 3- pt.assessment
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The radiographer must be able to?
- Identify the needs of the pt.
- set appropriate priorities
- provide pertinent information to the radiologist
Personal needs of pt.s
- Anxiety relief
- continuity of care
- physical comfort
- security of personal belongings
Physiological needs of pt.s
- elimination(assisting pts. to the bathroom, bedpans and urinals, urine collection bags, and colostomy care)
- sanitary supplies
Position in which the patient is laying down
Position in which patient is recumbent and on their back
Position in which the patient is recumbent on their stomach.
Lateral position in which the patient is laying on their right for left side.
Lateral recumbent/recovery position
Oblique position in which one left is up higher than the other
Sims position (enema tip insertion)
Position in which the patients feet are higher than their head
Position in which the patients head is higher than their feet.
Position that increases the flow of blood to the patients head.
Position in which the patient is in a supine position with their thighs abducted
Patients who experience difficulty breathing, nausea, abdominal pain, or lower back pain should be placed in what position?
Fowler's position with the knees flexed
What are the most common problems with geriatric patients?
- They don't respond we'll to being hurried
- loss of adipose and skin texture makes them more sensitive to the cold
- loss of sense of balance makes them more susceptible to falls
- circulation is compromised/more susceptible to decubitus ulcers
The total abuse rate is ______ cases per 1,000 children.
battered child syndrome/non accidental trauma:
- Neglect(most common)
- Physical abuse
- sexual abuse
- emotional abuse
What should be done when taking a history?
- Rationale(why are we doing this procedure?
- procedure(note any symptoms twinkle doing the procedure)
- precautions(look for things that should contradict the procedure-contrast, can the pt stand?, etc.)
- additional considerations(anything that you notice)
What are some techniques for better history taking?
- Open ended questions
- probing questions
What must be done to assess a patients physical status?
- Check the chart
- physical examination
- -physical signs
- -vital signs
- -temperature, pulse, and respirations
What is a lack of oxygen in the tissues?
What what does syncope refer to?
A diaphoretic patient experiences a ________.
Body temperature is ________ in the morning and ________ in the evening.
Normal oral temperatures range from _____ degrees to_____ degrees.
A rectal temperature should be _____ to _____ degrees _________ than oral.
An axillary temp. should be _____ to _____ degrees ________ than oral.
An increase in body metabolism, usually in response to an infectious process.
When should the oral method not be used?
- If the pt has had something to drink
- if the pt is receiving oxygen
- if the pt is under 6 years old
- if the pt is disorientated or confused
What method of taking temperature is the most accurate and faster?
What method of temperature taking is slower, but less invasive than the other methods?
What are some types of thermometers?
- Digital electronic (can be read in 1 minute of less)
The advancing pressure wave in an artery when the left ventricle contracts
What is the average pulse?
When doesn't tachycardia occur?
When a pts bpm is over 100
When can bradycardia occur?
When a patient has less than 60 bpm
How should the quality of the pulse be?
Strong and steady
What is the normal range of reseperations?
12-20 breaths per minute
What is dyspenia?
What is orthopnea?
Difficulty breathing in a supine position
What is tachypnea?
When does hyperventilation occur?
When too much oxygen has been inhaled
Abnormal breathing; less than 12 breaths per minute
A measure of the force exerted by blood on the arterial walls during contraction and relaxation.
The constant pressure that is still exerted on the arterial vessels by the blood even when the heart is relaxed.
The peak pressure that is present during contraction of the heart.
What is the normal range of systolic pressure?
95-119 mm Hg (old=130)
What is a normal range for diastolic pressure?
60-79 mm Hg (old=90
When is a patient considered to have prehypertension?
- When the systolic pressure is between 120 and 139 mm Hg
- the diastolic pressure is between 80 and 89 mm Hg
If a prehypertension pt is left untreated, the pt will increase the risk of ______ or _______.
What should the pulse pressure always be?
Diastolic pressure that is greater than 90 mm Hg.
Diastolic pressure that is less than 50/60 mm Hg.
What kinds of equipment is used to auscultate blood pressure?
The first sound of blood flow is the _______ pressure.
When is the diastolic pressure reached?
When the sound of blood flowing through the arm can no longer be heard
How should a blood pressure be recorded?
Should be recorded in mm Hg with the systolic measurement over the diastolic
What are some devices that monitor patients?
- Pulse oximeter
- ECG or EKG
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