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Chapter 5

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Question
Answer
Auscultation   A method of listening to sounds within an organ with a stethoscope.  
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AVPU Scale   A method of assessing level of consciousness by determining whether the patient is awake and alert, responsive to verbal stimuli or pain, or unresponsive; used principally early in the assessment.  
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Blood Pressure (BP)   The pressure of circulation blood against the walls of the arteries.  
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Bradycardia   Slow heart rate, less than 60 beats/min.  
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Capillary refill   The ability of the circulatory system to restore blood to the capillary system; evaluated by using a simple test.  
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Chief Complaint   The reason a patient called for help, Also, the patient's response to questions such as "What's wrong?" or "What happened?"  
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Conjunctiva   The delicate membrane lining the eyelids and covering the exposed surface of the eye.  
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Cyanosis   A bluish-gray skin color that is caused by reduced levels of oxygen in the blood.  
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Diaphoretic   Characterized by profuse sweating.  
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Diastolic pressure   The pressure that remains in the arteries during the relaxing phase of the heart's cycle (diastole) when the left ventricle is at rest.  
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Hypertension   Blood pressure that is higher than the normal range.  
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Hypotension   Blood pressure that is lower than the normal range.  
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Jaundice   A yellow skin or sclera color that is caused by liver disease or dysfunction.  
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Labored breathing   Breathing that requires visibly increased effort; characterized by grunting, stridor, and use of accessory muscles.  
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OPQRST   An abbreviation for key terms used in evaluating a patient's signs and symptoms; onset, provocation or palliation, quality, region/radiation, severity, and timing of pain.  
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Perfusion   Circulation of blood within an organ or tissue.  
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Pulse   The pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries.  
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Pulse oximetry   An assessment tool that measure oxygen saturation of hemoglobin in the capillary beds.  
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SAMPLE history   A brief history of a patient's condition to determine signs and symptoms, allergies, medications, pertinent past history, last oral intake, and events leading to the injury or illness.  
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Sclera   The white portion of the eye.  
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Signs   Objective findings that can be seen, heard, felt, smelled, or measured.  
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Sniffing position   An unusually upright position in which the patient's head and chin are thrust slightly forward.  
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Spontaneous respirations   Breathing in a patient that occurs with no assistance.  
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Stridor   A harsh, high-pitched, crowing inspiratory sound, such as the sound often heard in cute laryngeal (upper airway) obstruction.  
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Symptoms   Subjective findings that the patient feels but that can be identified only by the patient.  
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systolic pressure   The increased pressure along an artery with each contraction (systole) of the ventricles.  
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Tachycardia   Rapid heart rhythm, more than 100 beats/min.  
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Tidal volume   The amount of air that is exchanged with each breath.  
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Tripod position   An upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward.  
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Vasoconstriction   narrowing of a blood vessel  
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Vital Signs   The key signs that are used to evaluate the patient's overall condition, including respirations, pulse, blood pressure, level of consciousness, and skin characteristics.  
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