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Patient Assessment
Emergency Care and Transportation of the Sick and Injured
77
Other
Undergraduate 1
02/19/2014

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Cards

Term
accessory muscles
Definition
The secondary muscles of respiration. The include the neck muscles (sternocleidomastoids), the chest pectoralis major muscles, and the abdominal muscles.
Term
auscultate
Definition
To listen to sounds within an organ with a stethoscope
Term
AVPU Scale
Definition

A method of assessing the level of consciousness by determining whether the patient is

1. awake and alert

2. Responsive to Verbal Stimuli

3. Responsive to Pain

4. Unresponsive

Term
blood pressure
Definition
The pressure of circulating blood against the walls of the arteries
Term
bradycardia
Definition
A slow heart rate, less than 60 beats/min
Term
breath sounds
Definition
An indication of air movement in the lungs, usually assessed with a stethoscope
Term
capillary refill
Definition

A test that evaluates distal circulatory system function by squeezin (blanching) blood from an area such as a nail bed and watching the speed of its return after releasing the pressure.

(No More Than 2 Seconds)

Term
Capnography
Definition
A noninvasive methof that can quickly and efficiently provide information on a parient's ventilatory status, circulation, and metabolism
Term
capnometry
Definition
The use of a capnometer, a device that measures the amount of expired carbon dioxide.
Term
cadbon dioxide
Definition
Carbon Dioxide is a component of air and typically makes up 0.3% of air at sea level. Is is also a waste product exhaled during expiration by the respiratory system.
Term
chief complaint
Definition
The reason a patient called for help; also, the patients response to questions suck as "What's Wrong?" or " What Happened?"
Term
Coagulate
Definition
To form a clot to plug an opening in an injured blood vessel and stop bleeding
Term
colorimetric devices
Definition
Capnometer or end-tidal carbon dioxide detectors are devices that use a chemical reaction to detect the amount of carbon dioxide present in expired gases by changing colors (qualitative measurement rather than quantative)
Term
conjunctiva
Definition
The delicate membrane that lines the eyelids and covers the exposed surface of the eye
Term
crepitus
Definition
A grating sensation caused by fractured bone end or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling
Term
cyanosis
Definition
a bluish gray skin color that is caused by a reduced level of oxygen in the blood
Term
DCAP-BTLS
Definition

1. Deformities

2. Contusions

3. Abbrasions

4. Puntures/Penetrations

5. Burns

6. Tenderness

7. Lacerations

8. Swelling

Term
diaphoretic
Definition
Profuse Sweating
Term
Diastolic Pressure
Definition
The pressure that remains in the arteries during the relaxing phase of the heart's cycle (diastole) when the left ventricle is at rest
Term
End- Tidal CO2
Definition
the amount of carbon dioxide present in exhaled breath
Term
focused assessment
Definition
a type of physical assessment that is typically performed on patients who have sustained non-signicant mechanism of injury or on responsive medical patients. This type of examination is based on the chief complaint and focuses on one body system or part
Term
frostbite
Definition
Damaged to tissues as the result of exposure to cold; frozen or partially frozen body parts are frostbitten
Term
full-body scan
Definition
a systematic heat-to-toe examination that is performed during the secondary assessment on a patient who has sustained a signicant mechanism of injury, is unconscious, or is in critical condition
Term
general impression
Definition
The overall initial impression that determines the priority for patient care; based on the patient's surroundings, the mechanism of injury, signs and symptoms and the chief complaint
Term
Golden Period
Definition
The time from injury to definitive care, during which treatment of shock and traumatic injuries should occur because survival potential is best
Term
guarding
Definition
Involuntary muscle contractions (spasms) of abdominal wall in an effort to protect an inflamed abdomen; a sign of peritonitis
Term
History Taking
Definition
A step within the patient assessment process that provides detail about the patient's chief complaint and an account of the patient's signs and symptoms
Term
hypertension
Definition
Blood pressure that is higher than the normal range
Term
hypotension
Definition
Blood pressure that is lower than the normal range
Term
hypothermia
Definition
A condition in which the internal body temperatures falls below 95°F (35°C) after exposure to a cold environment
Term
incident command system (ICS)
Definition

A system implemented to manage disasters and mass- and multiple- casualty incidents in which section chiefs, including finance, logistics, operations and planning, report to the incident commander. 

Incident Management System

Term
jaundice
Definition
Yellow skin or sclera that is cause by liver disease or dysfunction
Term
labored breathing
Definition
breathing that requires visibly increased effort; characterized by grunting, stridor, and use of accessory muscles
Term
Mechanism of Injury (MOI)
Definition
The way in which traumatic injuries occur; the forces that act on the body to cause damage
Term
blunt trauma
Definition
the force of the injury occurs over a broad area, and the skin is usually not broken
Term
penetrating trauma
Definition
the force of the injury occurs at a small point of contact between the skin and object.
Term
nasal flaring
Definition
flaring out of the nostrils, indicating that there is an airway obstruction
Term
Nature of Illness (NOI)
Definition
The general type of illness a patient is experiencing
Term
OPQRST
Definition

1. Onset

2.Provocation or Palliation

3. Quality

4. Region/Radiation/ Reoccurance

5. Severity

6. Time

Term
orientation
Definition
The mental status of patient as measured by memory of person (name), place (current location), time (current year, month, approximate date), and event (what happened)
Term
palpate
Definition
to examine by touch
Term
paradoxical motion
Definition

The motion of the chest wall section that is detached in a flail chest; the motion is exactly the opposite of normal motion during breathing 

(i.e. in during inhalation, out during exhalation)

Term
perfusion
Definition
Circulation of blood within an organ or tissue
Term
Personal Protective Equipment (PPE)
Definition
clothing or specialized equipment that provides protection to the wearer
Term
pertinent negatives
Definition
Negative findings that warrant no care or intervention
Term
Primary Assessment
Definition
A step within the patient assessment process that identifies and initiates treatment of immediate and potential life threats
Term
pulse
Definition
the pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries
Term
pulse oximetry
Definition
An assessment tool that measure oxygen saturation of hemoglobin in the capillary beds
Term
rales
Definition
a crackling, rattling breath sound that signals fluid in the air spaces of the lungs; crackles
Term
Reassessment
Definition

A step with the patient assessment process that is performed at regular intervals during the assesment process. Its purpose is to identify and treat changes in a patient's condition.

Unstable condition- every 5 minutes

Stable condition- Every 15 minutes

Term
responsiveness
Definition
The way in which a patient responds to external stimuli, including verbal stimuli (sound), tactile stimuli (touch), and painful stimuli
Term
retractions
Definition
movements in which the skin pulls in around the ribs during inspiration
Term
Ronchi
Definition
Coarse, low pitched breath sounds heard in patients with chronic mucus in the upper airways
Term
SAMPLE History
Definition

1.Signs and Symptoms

2. Allergies to Medications

3. Medication

4. Pertinent Past History

5. Last Oral Intake

6. Events Leading To Injury or Illness

Term
Scene Size-Up
Definition
A step within the patient assessment process that involves a quick assessment of the scene and the surroundings to provide information about scene safety and the mechanism of injury or nature of illness before you enter and begin patient care
Term
sclera
Definition
The white portion of the eye; the tough outer coat that gives protection to the delicate, light- sensitive inner layer
Term
Secondary Assessment
Definition
A step within the patient assessment process in which a systematic physical examination of the patient is performed. The examination may be a systematic full-body scan or a systematic assessment that focuses on a certain area or region of the body, often determined through the chief complaint
Term
shallow respirations
Definition
respirations that are characterized by little movement of the chest wall (reduce tidal volume) or poor chest excursion
Term
sign
Definition
objective findings that can be seen, heard, felt, smelled, or measured
Term
sniffing position
Definition
an upright position in which the patient's head and chin are thrust slightly forward to keep the airway open
Term
spontaneuos respirations
Definition
breathing that occurs with no assistance
Term
standard precautions
Definition
Protective measures that have traditionally been developed by the Centers for Disease Control and Prevention for use in dealing with objects, blood, body fluids, and other potential exposure risks of communicable disease
Term
stridor
Definition
A harsh, high pitched, crowing inspiratory sound, such as the sound often heard in acut laryngeal (upper airway) obstruction; may sound like crowing and be audible without a stethoscope
Term
subcutaneous emphysema
Definition
The presence of air in soft tissue, cause a characteristic crackling senstation on palpation
Term
symptom
Definition
subjective findings that the patient feels but that can be identified only by the patient
Term
systolic pressure
Definition
the increased pressure in an artery with each contraction of the ventricles (systole)
Term
tachycardia
Definition
a rapid heart rate, more than 100 beats/min
Term
tidal volume
Definition
the amount of air (in milliliters)that is moved in or out of the lungs during one breath
Term
triage
Definition
the process of establishing treatment and transportation priorities according to severity of injury and medical need
Term
tripod position
Definition
an upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward
Term
two- to- three-word dyspnea
Definition
a severe breathing problem in which a patient can speak only two to three words at a time without pausing to take a breath
Term
vasoconstriction
Definition
narrowing of a blood vessel
Term
vital signs
Definition

1. Respirations

2. Pulse

3. Blood Pressure

4. Skins

5. Capillary Refill

6. Lung Sounds

7. Pupils

Term
PEARRL
Definition

1. Pupils

2. Equal

3. And

4. Round

5. Regular in Size

6. React to Light

Term
Normal Ranges for Respirations
Definition

Adults and Adolescents- 12 to 20 breaths/min

Children (1-12) - 15 to 30 breaths/min

Infants- 25 to 50 breaths/min

Term
Normal Ranges for Pulse Rate
Definition

Infant: 1 Month to 1 years- 100 to 150 beats/min

Toddler: 1 to 3 years- 90 to 150 beats/min

Preschool: 3 to 6 years- 80 to 140 beats/min

School Age: 6 to 12 years- 70 to 120 beats/min

Adolescent: 12 to 18 years- 60 to 100 beats/min

Adult- 60 to 100 beats/min

Term
Normal Ranges for Blood Pressure
Definition

Adults- 90 to 140 (systolic)

Children (1 to 8 years)- 80 to 110 (systolic)

Infants (newborn to 1 year)- 50 to 95 (systolic)

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