(13)Patient Assessment

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Author:
readyreg29
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237912
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(13)Patient Assessment
Updated:
2013-10-14 10:38:22
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MEDIC 2013
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Patient Assessment CHP 13
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  1. Abnormal breath sounds such as wheezes, rhonchi, rales, stridor, and pleural fiction rubs
    Adventitious breath sounds
  2. The impairment of language that affects the production or understanding of speech and the ability to read or write
    Aphasia
  3. Assess Breathing information
    • Too fast: greater than 24 breaths/min
    • Too slow: 8 breaths/min
    • Assess for chest rise & fall
    • Assess for breath sounds
    • Assess for air movement
  4. Normal pulse rate for an adult
    60 - 100 beats/min
  5. Pulse rate Bradycardia
    Less than 60 beats/min
  6. Pulse rate Tachycardia
    Higher than 100 beats/min
  7. Abnormal accumulation of fluid in the peritoneal cavity
    Ascites
  8. RPM
    • Respirations: > 30
    • Pulses: Tachycardia
    • Mental Status: Altered
  9. Change in mental status that is marked by the inability to focus, think logically, and maintain attention
    Delirium
  10. The slow onset of progressive disorientation, shortened attention span, and loss of cognitive function
    Dementia
  11. Excessive sweating; it is often associated with shock
    Diaphoresis
  12. Protrusion of any organ through an opening into a body cavity where it does not belong
    Hernia
  13. Rattling, bubbling, or crackling lung sounds indicative of fluid in the small airways; also known as crackles
    Rales
  14. Lungs sounds that resemble snoring
    Rhonchi
  15. Redness; one of the classic signs of inflammation
    Rubor
  16. Sideways curvature of the spine
    Scoliosis
  17. DIPHENHYDRAMINE HCl
    (dye fen hye dra meen)
    • GENERIC NAME: DIPHENHYDRAMINE HCl
    • BRAND NAME: Benadryl
    • CLASS: Antihistamine; anticholinergic
  18. DOPAMINE
    • GENERIC NAME: DOPAMINE
    • BRAND NAME: Intropin
    • CLASS: Sympathomimetic
  19. EPINEPHRINE HCl
    • GENERIC NAME: EPINEPHRINE HCl
    • CLASS: Sympathomimetic
  20. ETOMIDATE
    (e-TOM-i-date)
    • GENERIC NAME: ETOMIDATE
    • CLASS: Sedative/hypnotic agent
  21. High Priority Patients
    • Hyperfusion/Shock
    • Complicated childbirth
    • Chest Pain (BP Systolic <100 mm Hg)
    • Uncontrolled bleeding
    • Severe Pain
    • Poor general impression
    • Unresponsive
    • Difficulty breathing
    • Responsive but Doesn't/can't follow command
  22. Primary Assessment information
    • General Impression
    • LOC
    • Chief complaint
    • A-Airway
    • B-Breathing (+4,-4)
    • C-Circulation
    • Priority
  23. Jugular venous distention is most often present in which medical condition?
    1) Pulmonary hypotension
    2) Pulmonary hypertension
    3) Right-sided heart failure
    4) Left-sided heart failure
    3) Right-sided heart failure
  24. Which of the following breath sounds indicates an upper airway obstruction?
    1) Rales
    2) Rhonchi
    3) Stridor
    4) Wheezing
    3) Stridor
  25. An important assessment skill is determining whether the patient is sick or not is based on:
    • The chief complaint
    • Respirations
    • Pulse
    • Mental status
    • Skin signs & color
  26. You should be able to identify threats to the ABCs within?
    60-90 seconds
  27. NOI
    Nature of Illnes
  28. Minute volume formula
    The respiratory rate multipled by the tidal volume inspired with each breath
  29. The result of residual pressure in the circulatory system while the left ventricle is relaxing (diastole)
    Diastolic pressure
  30. A harsh, high-pitched, crowing inspiratory sound, such as the sound often heard in acute laryngeal obstruction
    Stridor
  31. The use of a capnometer, a device that measures the amount of expired carbon dioxide
    Capnometry
  32. The combination of a narrowed pulse pressure, muffled heart tones, and jugular venous distention associated with cardiac tamponade; usually resulting from penetrating chest trauma
    Beck triad
  33. If multiple patients are present and have similar symptoms or complaints, consider:
    • Carbon monoxide poisoning 
    • Contact with some other noxious agent
    • Food poisoning
  34. The #1 way to prevent the transmission of disease
    Hand washing
  35. Conditions that cause sudden death
    • Airway obstructions
    • Respiratory arrest
    • Severe bleeding
  36. To perform a neurologic evaluation you will:
    • Have the patient move all extremities
    • Assess for motor strength and weakness
    • Assess grip strength
    • Assess for loss of sensation
  37. Concept formation is the process of:
    Gathering information that you see, hear, smell, or feel.
  38. What is your treatment plan guided by?
    Patient care protocols
  39. The process of reahing conclusions based on comparing the patients presentations with information from your training, education, and past experiences
    Data interpretation
  40. Beyond documenting any medications given, what else is imperative to document? 
     The effects, if any, of the medications given
  41. What is thinking while doing known as?
    Reflection in action
  42. Uncertainty regarding the specific cause of the patient’s condition;
    Vague or unclear aspects of medicine
    Medical Ambiguity
  43. What are the “Six Rs” of critical thinking, in order?
    • Read scene
    • Read patient
    • React
    • Reevaluate
    • Revise plan
    • Review your performance
  44. If you have NOT been able to establish a working diagnosis, what is your next step?
    Provide care based on presenting signs and symptoms.
  45. The first cornerstone of effective paramedic practice is your ability to:
    • Gather
    • Evaluate
    • Synthesize information
  46. The patient’s emotional state reflected in physical behavior is known as:
    The “patient’s affect”
  47. What is the tilt test used for?
    1) To assess balance
    2) To assess cardiovascular status
    3) To evaluate altered blood pressures
    4) To assess volume depletion
    4) To assess volume depletion

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