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31 Cards in this Set
- Front
- Back
- 3rd side (hint)
What are the areas to consider during a general survey?
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1. Physical Apperance
2. Body Structure 3. Mobility 4. Behavior |
PBMB
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What is the Nurisng Process
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Assess
Diagnose Outcome identification Plan Interpret Evaluate |
ADOPIE
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What part of the brain regulates body temperature?
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The Hypothalamus
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What is PQRST?
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Provoke
Quantity Radiate Severity Time |
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Differentiate use of diaphragm vs. bell.
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Diaphragm - High pitched sounds; heart and lungs.
Bell - low pitched sounds; blood vessels. |
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How do you select the right BP cuff?
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Rubber Bladder's:
Width = 40% circumference of patient's arm. Length = 80% circumfernce of patient's arm. |
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Four influences on body temp.
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Diurnal Cycle
Age Menstration Exercise |
DAME
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Physiologial BP Factors
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Cardiac Output
Vascular Resistance Blood Volume Viscocity (Thickness) Elasticity |
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Consideration for Aging Adults
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Posture
Apperance Mobility |
PAM
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Other factors that influence BP.
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Age
Race Weight Gender Stress/Emotional State |
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Differentiate Acute and Chronic Pain
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Acute - short term; self limiting; dissipates after healed; predictable trajectory
Chronic - >/ 6 months, continues after healed |
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Pulse Pressure
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= systolic minus diastolic pressure and reflects stroke volume
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Pulse Deficit
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= Apical minus Radial Rate
Performed by two people Indicates weak ventrical contraction |
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Objective Data
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What was observed and assessed.
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Subjective Data
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What patient reports.
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Steps in opening the interview process.
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1. Introductions
2. Purpose 3. Lead with open ended questions. |
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What is Doppler technique used for?
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1. Locate peripheral pulse
2. Identify Korotkoff sounds 3. Measure BP @ radial pulse |
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What are the four physical exam techniques?
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1. Inspection
2. Palpation 3. Percussion 4. Auscultation |
IPPA
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Inspection
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General Survey; begins the moment you first see patient.
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Palpation
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Use of touch to determine texture, size, consistency and location of body organs.
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Percussion
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Accessing the location, size and density of underlying structures.
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Auscultation
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Listening to sounds using a stethoscope.
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What are the four areas of a general survey?
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1. Physical Appearance
2. Body Structure 3. Mobility 4. Behavior |
PBMB
How you look How you stand How you move How you act |
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What information is obtained from assessing Physical Appearance?
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Age, Gender, Orientation x3, Skin Color, Facial Features
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What information is obtained from assessing Body Struture?
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Stature, Nutrition, Symmetry, Boby Build, Obvious Deformities.
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What information is obtained from assessing Mobility?
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Gait, Range of Mobility
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What information is obtained from assessing Behavior?
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Facial Expression, Mood/Affect, Speech, Personal Hygiene
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What are the four qualities of a PULSE?
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Rate
Rhythm Force Elasticity |
RRFE
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Common errors in measuring BP.
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Hypotension
Orthostatic Hypotension Variation from L to R |
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Sources of PAIN.
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Visceral- large organs
Deep Somatic - from pressure, trauma Cutaneous- superficial, sharp, burning skin Referred- felt at site but originates at a different location |
VDCP
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Pain Assessment: Structure and Function
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Neuroanatomic Pathway - central and/or peripheral nervous system
Nociception - how noxious stimuli are typically percieved as pain Neuropathic - abnormal processing of the pain |
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