carotid arteries assessment (how)
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inspect for abnormally strong or uneven pulsations
palpate for equal pulsations (not at same time)
auscultate each side with bell of stethoscope to identify bruit sound (hold
breath so tracheal artery doesn't interfere)
,Best way to assess pain
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Pain is what the patient says it is
Numeric Pain Scale
0 - 10
Pressure Ulcer Unstageable
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- can't see how deep the the wound is
- eschar present (dead black necrotic tissue)
- debridement is necessary
Pitting Edema Documentation
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1 + : 2mm
2 + : 4mm
3 + : 6mm
4 + : 8mm
(palpation, measuring depth, and how long it lasts)
indications for detailed mental status examination
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chronic health conditions
multiple or severe symptoms
chronic pain
stress
low self-rating of health
substance abuse
manifestations of hypervolemia
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-too much fluid
-weight gain
-breath sounds with crackles
-bounding pulse
Illusions
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misinterpretations of external stimuli that are present
- something there and interpreting it incorrectly
Fontanel assessment
Give this one a try later!
Give this one a try later!
inspect for abnormally strong or uneven pulsations
palpate for equal pulsations (not at same time)
auscultate each side with bell of stethoscope to identify bruit sound (hold
breath so tracheal artery doesn't interfere)
,Best way to assess pain
Give this one a try later!
Pain is what the patient says it is
Numeric Pain Scale
0 - 10
Pressure Ulcer Unstageable
Give this one a try later!
- can't see how deep the the wound is
- eschar present (dead black necrotic tissue)
- debridement is necessary
Pitting Edema Documentation
Give this one a try later!
1 + : 2mm
2 + : 4mm
3 + : 6mm
4 + : 8mm
(palpation, measuring depth, and how long it lasts)
indications for detailed mental status examination
, Give this one a try later!
chronic health conditions
multiple or severe symptoms
chronic pain
stress
low self-rating of health
substance abuse
manifestations of hypervolemia
Give this one a try later!
-too much fluid
-weight gain
-breath sounds with crackles
-bounding pulse
Illusions
Give this one a try later!
misinterpretations of external stimuli that are present
- something there and interpreting it incorrectly
Fontanel assessment
Give this one a try later!
