Neuro
Asking the patient their name, the date, and their location is to assess
Orientation
Diastolic Blood Pressure
Vital sign measured by observing chest wall movement
Respiratory rate
Documentation of a heart rate of 120 in a 40 year old patient
Tachycardia
We begin the head to toe assessment with this system
Neuro
Skin color, temperature, pulses and pain are part of this assessment
Neurovascular
5th Intercostal space at the left midclavicular line is this cardiac auscultation location
Apex/Apical/PMI/Mitral
Location in the lungs (either left or right) where we begin auscultation
Apex
Pulse site assessed in an emergency
Carotid
Collecting data about physical features
Inspection
A score lower than 3 on this scale indicates severe brain injury
Glasgow Coma Scale
With good perfusion, this should be less than 3 seconds
Capillary refill
Wet popping sounds
Crackles
Proper grade of a pulse that is full and bounding
4+
"Blood pressure 140/70" or "skin warm, dry and pink" are examples of this type of data
Objective
PERRLA
Pupils Equal Round Reactive to Light and Accomodate
Systolic blood pressure is noted to be when this occurs
the first sound is heard
Ominous high pitched crowing sound indicative of upper airway obstruction/swelling
Stridor
The difference between apical heart rate and radial pulse rate
Pulse defecit
Fear or pain could cause this alteration to blood pressure
Hypertension
Hypothalamus
A regular size cuff on an obese patient will result in a blood pressure reading that is
falsely elevated
A find of the skin that requires emergency intervention to breathing
Cyanosis
Pulse site located behind the knee
Popliteal
When applying pressure to a tender area, a sharp increase in pain on release of pressure would be documented as
Rebound Tenderness