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Egan's Ch. 15

Bedside Assessment of the Patient

angina spasmodic cramp like choking feeling
barrel chest abnormal increase in the a/p diameter of the chest caused by hyperinflation of the lungs
bradycardia abnormally decreased heart pain
bradypnea abnormal decrease in breathing rate
clubbing bulbous swelling of the terminal phalanges of the fingers and toes, often associated with certain chronic lung diseases
cough forceful expiratory effort designed to expel mucus and other foreign material from the upper airway
crackles discontinuous type of adventitious lung sound
cyanosis abnormal bluish discoloration of the skin or mucus membranes
diaphoresis secretion of sweat, especially profuse secretion associated with an elevated body temp, physical exertion, exposure to heat, and mental or emotional stress
diastolic pressure baseline blood pressure in the arteries during ventricular relaxation
dyspnea difficult of labored breathing
febrile to have a fever
fever abnormal elevation of body temp owning to disease
hemoptysis blood in sputum
hepatomegaly abnormal enlargement of the liver; usually a sign of disease
hypertension persistently high blood pressure
hypothermia abnormal and dangerous condition in which the temp of the body is less than 32 C, usually caused by long exposure to cold
jugular venous distension abnormal distension of the jugular veins, most often caused by heart failure
kussmaul breathing hyperpnea associated with diabetic ketoacidosis
mucoid resembling mucus
murmers abnormal heart sound created by turbulent blood flow through a narrowed or incompetent heart valve
orthopnea labored breathing in the reclining position
pedal edema swelling of the ankles usually secondary to heart failure
phlegm mucus from the tracheobronchial tree
platypnea opposite of orthopnea; an abnormal condition characterized by difficult breathing in the standing position, which is relieved in the lying or recumbent position
pulse pressure difference between systolic blood pressure and diastolic blood pressure
pulsus paradoxus abnormal decrease in pulse pressure with each inspiratory effort
purulent consisting of or pertaining to pus
retractions sinking inward of the skin around the chest cage with each inspiratory effort
sensorium general term referring to the relative state of a patients consciousness or alertness
sputum mucus from the respiratory tract that has passed through the mouth
stridor high-pitched, continuous type of adventitious lung sound heard from the upper airway
subcutaneous emphysema accumulation of air in the subcutaneous tissues owing to leakage from the lungs
syncope temporary unconsciousness; fainting
systolic pressure peak blood pressure occurring in the arteries during ventricular contraction
tachycardia abnormally elevated heart rate
tachypnea abnormal elevation in breathing rate
tripodding breathing technique most often used by patients with COPD in which they lean forward and place their elbows on a table or arms of a chair to support breathing with the accessory muscles
wheezes high pitched, continuous type of adventitious lung sound
what provides the basis for decisions regarding when to initiate, change, or discontinue therapy? an accurate clinical assessment
who is responsible for decisions regarding therapy? the physiscian
how do RT's participate in the the clinical decision making process? by gathering and interpreting relevant bedside patient data
what is bedside assessment? the process of interviewing and examining a patient for signs and symptoms of disease as well as the effect of treatment
what does bedside assessment provide? initial evidence the something is wrong and its severity
does beside assessment cause risk to the patient? no
what are the two key sources of patient data? medical history and medical examination
what helps identify the need for diagnostic tests? interview and physical examination
why are assessment procedures repeated? to determine the effectiveness of treatment
why is the initial assessment performed and who does this? to identify the correct diagnosis; the physician
the three purposes of a an interview are? 1: establish rapport. 2: obtain essential diagnostic info. 3: monitor changes in the patients symptoms and response to therapy
interviewing is a crucial aspect of patient assessment. T or F true
interviewing is a way of ____ with the patient. connecting
meaningful human contact lessens the patients sense of _____. isolation
what are the factors that effect communication between the RT and the patient? sensory/emotional, environmental, verbal/non-verbal, cultural/values/beliefs/feelings/habits/preoccupations of both people
an interview in which the patient feels secure and free to talk is ____. ideal
how should an interview begin? with the RT introducing themselves, in the social space, and stating the purpose of the visit
what is social space? 4-12 ft from the patient
what is personal space? 2-4 ft from the patient?
where should the interview take place? personal space
how should you be positioned for a patient interview? in personal space, at eye level with the patient
Created by: sarah72388