Patient Monitoring Technology
Pulse oximetry measures this
Hemoglobin saturation
This is a measurement of the maximum force exerted against the arteries when the ventricles contract
Systolic blood pressure
What pneumonic can be used to dig deeper into the patient's chief complaint
OPQRST
The goal of the primary assessment is to
This assesses skin elasticity, hydration, and moisture
turgor
A four lead in nondiagnostic for this
STEMIs
HR x Stroke Volume
"Can you describe the pain" inquires about the patient's __________ of pain
quality
Vital signs should be taken at what point?
After your primary assessment.
What is the 80/20 rule?
Diagnosis is 80% history and 20% assessment.
This vital sign provides an immediate evaluation of metabolism, circulation, and ventilation.
ETCO2
The resistance in the vessels that the heart must overcome to eject blood
afterload
What are the three elements of nonverbal communication
Your patient has an isolated wrist fracture. After you have completed your primary assessment, you will perform
a focused exam (modified secondary assessment)
DAILY DOUBLE
You have a 130lb patient who requires Dopamine. You have a 250cc bag of NS and a 10mL vial containing 400mg of Dopamine. You decide to start with 4mcg/kg/min. How many gtt/min do you need?
9gtt
130/2.2 = 60kg
4mcg x 60kg = 240mcg/kg
240mcg/1600mcg = .15mcg
.15mcg x 60 = 9
Name three things a four lead can tell you
S2 sounds are created when these valves close
Tricuspid and pulmonic
The book discusses several ways to build patient rapport. Name three.
introduce yourself
use the patient's name
address the patient properly
modulate your voice
use a professional compassionate voice
explain what you are doing and why
use clam kind facial expressionsuse appropriate style of communication
Your patient is a 37 YOM who fell off the second story roof while hanging Christmas lights. RP states the patient is unconscious. After performing a primary assessment, you will move on to
complete secondary assessment (detailed exam)
By making an H in the air with your finger and instructing your patient to follow with their eyes, you are assessing which cranial nerves?
3, 4, and 5
ocular, trochlear, and abducens
List the order in which you should fill blood tubes when doing a blood draw
You are assessing your patients pulse and determine right away something is odd. You watch your patient and notice the quality of the pulse diminishes when the patient breathes in and increases when the patient exhales. You know this is called
Pulsus paradoxus
Describe the three step process of communication. Include those involved and their roles.
Step 1: sender encodes message
Step 2: receiver decodes message
Step 3: receiver provides feedback
Name three interventions performed in the primary assessment for each of the following:
Airway
Breathing
Circulation
Airway: manual, OPA, NPA, Suction, occlusive dressing
Breathing: NRB, NC, CPAP, intubation, KLT
Circulation: tourniquet, CPR, cardioversion
Name three mechanisms that the National Trauma Triage lists as high index of suspicion. Be specific.