Brady Emergency Care 12th Edition Chapter 15

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Reassessment

procedure for detecting changes in a patient's condition

4 steps in reassessment

1. Repeating primary assessment 2. Repeating physical exam 3. Vital signs 4. Checking interventions

Crying is a sign of what in children?

adequate mental status

The mental status of an unresponsive child or infant can by checked by what?

shouting (verbal) or flicking the feet (painful)

Life threats should be what?

continually watched and managed immediately when discovered

Reason to document your reassessment is so you can see what?

trends

A patient _______ may change over time, especially with regard to its severity.

cheif complaint

Paradoximal Motion

part of the chest goes in as the patient inhales and goes out as the patient exhales

A sign in the abdomen from long transports?

distention

3 interventions during transport that need to be ensured?

adequacy of oxygen delivery and artificial ventilation; management of bleeding; adequacy of other interventions

what is trending?

changes in a patient's condition over time

Stable patient will be reassessed every _________ minutes.

15 minutes

Unstable patient will be reassessed every ____ minutes.

5 minutes

Reassessments you will repeat what?

the primary assessment

OPA's are not used on what type of patients?

conscious patients

Interventions you should check when reassessing your patients?

oxygen, bleeding, spine immobilization, and splints

Elements of reassessment includes:

primary assessment, vital signs, pertinent parts of the history and physical exam, and checking the interventions you performed for the patient

If you believe there may have been a change in patient's condition what should you do?

repeat at least primary assessment

Purpose of reassessment:

to repeat the primary and secondary assessment

Patient is snoring do what?

adjust the position of the patient

Patient is gurgling?

suction the patient

When checking capillary refill on an infant patient whose nail beds are too small, you should:

press on the back of his hand

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