Patient assessment

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  1. what are the four life functions?
    What are their priority order?
    1.Ventilation: moving air in and out of the lungs.

    2.Oxygenation: getting oxygen in to the blood.

    3.Circulation: moving the blood through the body.

    4.Perfusion: getting oxygen into the tissues
  2. how do you measure ventilation?
    • RR (12-20bpm)
    • Tidal volume
    • Chest movement
    • Breath sound
    • Paco2
    • Etco2
  3. How would you measure oxygenation?
    • HR
    • color
    • Sensorium
    • Pao2
    • Spo2
  4. How would you measure Circulation?
    • HR and strength
    • CO
  5. How would you measure Perfusion?
    • BP
    • sensorium
    • Temp
    • Urine Output
    • HEMODYNAMICS
  6. What is part of Admission Notes?
    • admitting dx
    • history of present illness
    • chief complain
    • past medical history
    • current medication
  7. Tobacco use?
    • a. Pack Years: # of packs/day X # of years smoked.
    • b. type of tobacco use: pipe, cigar, chewing, etc.
    • c. Always recommend Nicotine replacement therapy
  8. Patient chart review consist of ?
    • admission notes
    • s/s
    • occupation, employment hx, hobbies
    • allergies
    • surgical hx, illness or injury
    • Physical examination
  9. Respiratory Care Orders consist of?
    • type of tx
    • frequency
    • medication dosage and route of administration
    • physician signature
  10. Intake Output
    • 1. Normal Urine output is 40 ml/ hr
    • 2. Sensible water loss- urine, vomiting
    • 3. Insensible water loss- lungs and skin.
    • 4. if intake exceeds output this could result in:
    •    a. weight gain
    •    b. electrolyte imbalance
    •    c. increased hemodynamic pressure
    •    d. decrease lung compliance
  11. Fluid balance: Changes in CVP can indicate changes in fluid balance
    what is normal cvp?
    decrease CVP tx?
    increased CVP tx?
    • Normal CVP: 2-6 mm HG
    • Decreased CVP: hypovolemia= Fluid Therapy
    • Increased CVP: hypervolemia= Diuretics
  12. LOC:Alert and responsive
    Normal
  13. LOC: Lethargic/ somnolent/sleepy
    may be due to sleep apnea or excessive 0s therapy in patient with COPD.
  14. LOC: Stuporous/ Confused
    • Responds inappropriately, may be due to:
    • drug overdose
    • intoxication
  15. LOC: semicomatose
    responds only to painful stimuli
  16. LOC: Obtunded
    • Drowsy state
    • MAY HAVE A DECREASED COUGH OR GAG REFLEX
  17. LOC: Coma
    Does not respond to a painful stimuli.

Card Set Information

Author:
3rikita
ID:
333282
Filename:
Patient assessment
Updated:
2017-08-08 20:32:18
Tags:
KNS
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Description:
KNS
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