EMT Complete Basic Worktext - Chapert 10 Vital Signs and Medical History
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
What is a Symptom | Something that is experienced and described by the patient as it pertains to his cheif complaint
🗑
|
||||
What is a Sign | Something that the EMT can see or observe or has a value that can be recorded
🗑
|
||||
Examples of Symptoms include... | Fatigue, Nausea, Pain, Headache, Double Vision, Lightheadedness, and Thirst
🗑
|
||||
Examples of Signs include... | Skin Color, temperature and moisture. Pulse Rate, strength, and regularity. Vomiting. Blood Pressure. Bruise. Deformity. Swelling
🗑
|
||||
Baseline vital Signs | The very first set of vital signs obtained on the patient during a call
🗑
|
||||
Trending | The comparing of multiple sets of vital signs over a period of time in order to reveal a trend in the patients condition.
🗑
|
||||
Normal respirator rates (breaths per minute at rest) Adult | 12 to 20; above 24 serious; Below 10 Serious
🗑
|
||||
Normal respirator rates (breaths per minute at rest) Adolescent 11-14 years | 12 to 20
🗑
|
||||
Normal respirator rates (breaths per minute at rest) School Age 6 to 10 | 15 to 30
🗑
|
||||
Normal respirator rates (breaths per minute at rest) Preschool 3 to 5 years | 20 to 30
🗑
|
||||
Normal respirator rates (breaths per minute at rest) Newborn | 30 to 50
🗑
|
||||
Snoring Sounds | Airway blocked / Open patients airway prompt transport
🗑
|
||||
Wheezing | Medical problem such as asthma assist patient in taking perscribed medications; prompt transport
🗑
|
||||
Gurgling | Fluids in airway/ suction airway prompt transport
🗑
|
||||
Crowing (harsh sound when inhaling) | medical problem that cannot be treated on the scene ; prompt transport
🗑
|
||||
What are the charachteristics of respirations | Rate, Depth, Ease, Sound
🗑
|
||||
Tidal Volume | the amount of air moved in and out with each breath.
🗑
|
||||
Ease of resperation is described in one of the following ways | Unlabored; Labored (mild, moderate, severe)
🗑
|
||||
wheezing | this is a high pitched sound that is indicative of lower airway constriction. this can be heard during both inhalation and exhalaton.
🗑
|
||||
Stridor | This harshe high pitched sound can occur dring inhilation or exhalation and is indicative of partial upper airway obstruction
🗑
|
||||
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
🗑
|
||||
Cartoid Pulse | The pulse point located on either side of the anterior neck lateral to the trachea
🗑
|
||||
Brachael Pulse | Pulse point felt in two locations on the inside of the upper arm and over the medial aspect of the anterior elbow
🗑
|
||||
Radial Pulse | pulse point located over the lateral aspect of the anterior wrist
🗑
|
||||
Femoral pulse | pulse point located deep in the groin between the hip and the inside of the upper thight
🗑
|
||||
popliteal pulse | pulse point located over the posterior aspect of the knee
🗑
|
||||
dorsal pedis (pedal) pulse | pulse point located over the anterior foot.
🗑
|
||||
Posterior tibial pulse | pulse point located over the medial ankle just posterior to the ankle bones
🗑
|
||||
Pulse rates (Beats per minute) Aadult | 60 to 100
🗑
|
||||
Pulse rates (Beats per minute) Children 11 to 14 | 60 to 105
🗑
|
||||
Pulse rates (Beats per minute) School age 6 to 10 | 70 to 110
🗑
|
||||
Pulse rates (Beats per minute) Newborn | 120 to 160
🗑
|
||||
Pulse Quality rapid and regular | Exertion, fright, fever, high bloodpressure, first stage of blood loss
🗑
|
||||
Pulse Quality Rapid and regular Slow | Shock, later stages of blood loss
🗑
|
||||
Pulse Quality Slow | Head Injury, drugs, some poisons, some heart problems, lack of oxygen in children
🗑
|
||||
Pulse Quality irregular | Possible abnormal electrical heart activity (Arrthmia)
🗑
|
||||
Pulse Quality No pulse | Cardiac arrest (clinical death)
🗑
|
||||
Blood Pressure adult male | 100 plus age in years to 40 for systolic and 60 to 90 for the diastolic
🗑
|
||||
Blood Pressure adult female | 90 plus age in years to age 40 for systolic and 60 to 90 for diastolic
🗑
|
||||
Adolescent | 90 or lower systolic and 2/3 of the systolic pressure
🗑
|
||||
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
🗑
|
||||
palpation | the act of examining by feeling with the hands. Also a technique used for obtaining a blood pressure reading
🗑
|
||||
Systolic | the pressure created when the left ventricle contracts and forces blood out into the areteries
🗑
|
||||
Diastolic | the pressure remaining int he arteries when the left ventricle of the heart is relaxed and refilling
🗑
|
||||
a patients skin should be assessed for the following conditions | Color temperature and moisture
🗑
|
||||
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)
🗑
|
||||
Pale | A whiteish skin condtion indicative of poor perfusion
🗑
|
||||
Cyanotic | a bluish skin color indicative of poor oxygenation
🗑
|
||||
flushed | a reddish skin clor commonly seen when someone is embarrassed or is suffering a heat related emergency
🗑
|
||||
jaundice | a yellowish color of the kin and whites of the eyes indicative of poor liver function
🗑
|
||||
diaphoretic | perspiring, sweaty, moist. A chartachterization of skin condition
🗑
|
||||
Cool clammy skin is | a sign of shock, or anxiety
🗑
|
||||
cold moist skin is | an indication that the body is losing heat
🗑
|
||||
cold dry skin is | exposure to cold
🗑
|
||||
hot dry skin is | high fever heat exposure
🗑
|
||||
Hot moist skin is | high fever, heat exposure
🗑
|
||||
Goos pimples accompanied by shivering, chattering teeth, blue lips, and place skin | Chills, communicable disease, exposure to cold, pain or fear.
🗑
|
||||
Capalarie refill test | a test used to assess perfusion status in the extemities
🗑
|
||||
As you observe a patients eyes, you will be observing for the following charachteristics | pupil size/shape; equality of pupil size; reactivity to light
🗑
|
||||
dialated pupils | pupils that are larger than normal
🗑
|
||||
Constricted pupils | pupils that are smaller than normal
🗑
|
||||
PERRL | a mneumonic used to evaluate a patients puple. the letters stand for Pupils Equal and Round Reactive to Light
🗑
|
||||
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
🗑
|
||||
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
🗑
|
||||
General Impression | the element of a patient assessment that includes assessing approxamate age, gender and level of distress
🗑
|
||||
Cheif complaint | the patients perception of the problem in his own words. It is not what the EMT percieves is to be the problem
🗑
|
||||
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
🗑
|
||||
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
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
superjacent
Popular Paramedic/EMT sets