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22 terms

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