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EMT Complete Basic Worktext - Chapert 10 Vital Signs and Medical History

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Question
Answer
What is a Symptom   Something that is experienced and described by the patient as it pertains to his cheif complaint  
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What is a Sign   Something that the EMT can see or observe or has a value that can be recorded  
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Examples of Symptoms include...   Fatigue, Nausea, Pain, Headache, Double Vision, Lightheadedness, and Thirst  
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Examples of Signs include...   Skin Color, temperature and moisture. Pulse Rate, strength, and regularity. Vomiting. Blood Pressure. Bruise. Deformity. Swelling  
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Baseline vital Signs   The very first set of vital signs obtained on the patient during a call  
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Trending   The comparing of multiple sets of vital signs over a period of time in order to reveal a trend in the patients condition.  
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Normal respirator rates (breaths per minute at rest) Adult   12 to 20; above 24 serious; Below 10 Serious  
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Normal respirator rates (breaths per minute at rest) Adolescent 11-14 years   12 to 20  
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Normal respirator rates (breaths per minute at rest) School Age 6 to 10   15 to 30  
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Normal respirator rates (breaths per minute at rest) Preschool 3 to 5 years   20 to 30  
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Normal respirator rates (breaths per minute at rest) Newborn   30 to 50  
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Snoring Sounds   Airway blocked / Open patients airway prompt transport  
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Wheezing   Medical problem such as asthma assist patient in taking perscribed medications; prompt transport  
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Gurgling   Fluids in airway/ suction airway prompt transport  
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Crowing (harsh sound when inhaling)   medical problem that cannot be treated on the scene ; prompt transport  
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What are the charachteristics of respirations   Rate, Depth, Ease, Sound  
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Tidal Volume   the amount of air moved in and out with each breath.  
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Ease of resperation is described in one of the following ways   Unlabored; Labored (mild, moderate, severe)  
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wheezing   this is a high pitched sound that is indicative of lower airway constriction. this can be heard during both inhalation and exhalaton.  
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Stridor   This harshe high pitched sound can occur dring inhilation or exhalation and is indicative of partial upper airway obstruction  
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Crackles   Thes are find cracling sounds that can be heard with a stethoscope during inhalation as aire is forced through fluid or mucus i the lower airways  
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Cartoid Pulse   The pulse point located on either side of the anterior neck lateral to the trachea  
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Brachael Pulse   Pulse point felt in two locations on the inside of the upper arm and over the medial aspect of the anterior elbow  
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Radial Pulse   pulse point located over the lateral aspect of the anterior wrist  
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Femoral pulse   pulse point located deep in the groin between the hip and the inside of the upper thight  
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popliteal pulse   pulse point located over the posterior aspect of the knee  
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dorsal pedis (pedal) pulse   pulse point located over the anterior foot.  
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Posterior tibial pulse   pulse point located over the medial ankle just posterior to the ankle bones  
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Pulse rates (Beats per minute) Aadult   60 to 100  
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Pulse rates (Beats per minute) Children 11 to 14   60 to 105  
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Pulse rates (Beats per minute) School age 6 to 10   70 to 110  
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Pulse rates (Beats per minute) Newborn   120 to 160  
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Pulse Quality rapid and regular   Exertion, fright, fever, high bloodpressure, first stage of blood loss  
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Pulse Quality Rapid and regular Slow   Shock, later stages of blood loss  
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Pulse Quality Slow   Head Injury, drugs, some poisons, some heart problems, lack of oxygen in children  
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Pulse Quality irregular   Possible abnormal electrical heart activity (Arrthmia)  
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Pulse Quality No pulse   Cardiac arrest (clinical death)  
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Blood Pressure adult male   100 plus age in years to 40 for systolic and 60 to 90 for the diastolic  
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Blood Pressure adult female   90 plus age in years to age 40 for systolic and 60 to 90 for diastolic  
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Adolescent   90 or lower systolic and 2/3 of the systolic pressure  
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AUSCULTATION   THE ACT OF LISTENING FOR SOUNDS MADE BY INTERNAL ORGANS SUCH AS THE LUNGS AND THE HEART. aLSO THE TECHNIQUE USED TO LISTEN FOR PULSE SOUNDS WHEN OBTAINING BLOOD PRESSURE  
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palpation   the act of examining by feeling with the hands. Also a technique used for obtaining a blood pressure reading  
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Systolic   the pressure created when the left ventricle contracts and forces blood out into the areteries  
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Diastolic   the pressure remaining int he arteries when the left ventricle of the heart is relaxed and refilling  
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a patients skin should be assessed for the following conditions   Color temperature and moisture  
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Skin color can be assesed from the following areas for evidence of good perfusion   Face, Nail beds, Oral mucosa(inside the lower lip), conjunctivia (inside the lower eyelid)  
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Pale   A whiteish skin condtion indicative of poor perfusion  
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Cyanotic   a bluish skin color indicative of poor oxygenation  
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flushed   a reddish skin clor commonly seen when someone is embarrassed or is suffering a heat related emergency  
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jaundice   a yellowish color of the kin and whites of the eyes indicative of poor liver function  
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diaphoretic   perspiring, sweaty, moist. A chartachterization of skin condition  
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Cool clammy skin is   a sign of shock, or anxiety  
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cold moist skin is   an indication that the body is losing heat  
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cold dry skin is   exposure to cold  
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hot dry skin is   high fever heat exposure  
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Hot moist skin is   high fever, heat exposure  
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Goos pimples accompanied by shivering, chattering teeth, blue lips, and place skin   Chills, communicable disease, exposure to cold, pain or fear.  
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Capalarie refill test   a test used to assess perfusion status in the extemities  
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As you observe a patients eyes, you will be observing for the following charachteristics   pupil size/shape; equality of pupil size; reactivity to light  
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dialated pupils   pupils that are larger than normal  
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Constricted pupils   pupils that are smaller than normal  
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PERRL   a mneumonic used to evaluate a patients puple. the letters stand for Pupils Equal and Round Reactive to Light  
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orthostatic vital signs   a test in which vital signs are measured before and after a patient moves from a supine to a sitting position, or a sitting position to a standing position  
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there are several situtations where a pulse oximiter will not work for measuring oxygen levels   Patients who are in shock or hypothermic; cases of carbon monoxide poisioning; Excessive movement; nail polish beneath the probe  
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General Impression   the element of a patient assessment that includes assessing approxamate age, gender and level of distress  
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Cheif complaint   the patients perception of the problem in his own words. It is not what the EMT percieves is to be the problem  
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SAMPLE   a nmeumonic used in btaining a patient history. the letters stand for signs and symptons, allergies, medications, past pertanant medical history Last oral intake, and Events leading to the injury or illness  
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OPQRST   a mneumonic for the questions asked to get a description of the present illness. The letters stand for Onset, Provocation, Quality, Region, and Radiate, Severity and Time  
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