ACCS - Patient Assessment Part 1
The most sensitive parameter we have for oxygenation
Heart Rate
What does reduced urine output indicate?
Not enough perfusing of the kidneys
List the four critical life functions in the order of priority
Ventilation, Oxygenation, Circulation, Perfusion
The most common problem of the four critical life functions?
Oxygenation
A patient arrived at the ER w/ respiratory distress, dyspnea and moderate stridor. What is the first drug
you would give to the patient?
Oxygen
What is the equation for smoking history/Pack Years?
Pack years = # of packs/day X # of years smoked
What is the dype of advance directives that may use non-invasive ventilation if necessary?
Do Not Intubate
What is the normal urine output for adults per hour?
40-80 mL/hr
What is the minimum normal urine output in an hour?
40 mL/hr
What could happen if intake exceeds output?
Weight gain
Electrolyte Imbalance
Increased hemodynamic pressures
Decreased lung compliance
Which of the critical life functions are affected if hemodynamic pressures increase?
Circulation and perfusion
Which of the critical life functions are affected if lung compliance decreases?
Ventilation and oxygenation
What does decreased CVP indicate in fluid balance?
Hypovolemia
What does increased CVP indicate in fluid balance?
Hypervolemia
What is the treatment for hypovolemia?
Fluid challenge
What is the treatment for hypervolemia?
Diuretics
What does stuporous or confused indicate in level of consciousness?
Drug overdose
Intoxication
What does obtunded indicate in level of consciousness?
Possible decreased cough or gag reflex
Per Glasgow Coma Scale, if a patient has eyes open spontaneously, oriented and obeys commands has
a score of ______________?
15
, Per Glasgow Coma Scale, if a patient opens eyes to verbal stimuli, inappropriate verbal responses, and
flexes to pain has a score of ______________?
9
What are the circumstances that a patient may not cooperate to your assessment?
Language difficulties
Influence of medications
Hearing loss
Fear, apprehension, depression, etc
What does euphoria may indicate?
Drug overdose
What is the terminology describing difficulty breathing except in the upright position?
Orthopnea
Which diseases is orthopnea associated?
CHF, heart problem
Which disease is general malaise associated?
Electrolyte imbalance
Terminology: temporary loss of consciousness
Syncopy
Name two types of syncope
Vasovagal syncope
Orthostatic hypotension
Which syncope caused by loss of peripheral venous tone?
Vasovagal syncope
What are the circumstances of vasovagal syncope?
Decreased heart rate and blood pressure
Terminology: Excessive drop in blood pressure when assuming a standing position
Orthostatic hypotension
What is the most common cause of fever?
Infection
What is the normal heart rate in adults?
60-100 beats per minute
What is the normal respiratory rate in adults?
12-20 breaths per minute
What is the normal blood pressure in adults?
120/80 mmHg
Fill in the blank: ____________ pressure can change quite a bit especially under stress but
_________________ pressure should never go above 100 mmHg
Systolic
Diastolic
What could hemiparesis indicate?
Brain injury
Terminology: Hemiparesis
A condition characterized by weakness on one side of the body
Describe examples of decorticate posturing
Arms flexed
Hands clenched
Legs extended
What does peripheral edema indicate?
Presence of excessive fluid in the tissue
The most sensitive parameter we have for oxygenation
Heart Rate
What does reduced urine output indicate?
Not enough perfusing of the kidneys
List the four critical life functions in the order of priority
Ventilation, Oxygenation, Circulation, Perfusion
The most common problem of the four critical life functions?
Oxygenation
A patient arrived at the ER w/ respiratory distress, dyspnea and moderate stridor. What is the first drug
you would give to the patient?
Oxygen
What is the equation for smoking history/Pack Years?
Pack years = # of packs/day X # of years smoked
What is the dype of advance directives that may use non-invasive ventilation if necessary?
Do Not Intubate
What is the normal urine output for adults per hour?
40-80 mL/hr
What is the minimum normal urine output in an hour?
40 mL/hr
What could happen if intake exceeds output?
Weight gain
Electrolyte Imbalance
Increased hemodynamic pressures
Decreased lung compliance
Which of the critical life functions are affected if hemodynamic pressures increase?
Circulation and perfusion
Which of the critical life functions are affected if lung compliance decreases?
Ventilation and oxygenation
What does decreased CVP indicate in fluid balance?
Hypovolemia
What does increased CVP indicate in fluid balance?
Hypervolemia
What is the treatment for hypovolemia?
Fluid challenge
What is the treatment for hypervolemia?
Diuretics
What does stuporous or confused indicate in level of consciousness?
Drug overdose
Intoxication
What does obtunded indicate in level of consciousness?
Possible decreased cough or gag reflex
Per Glasgow Coma Scale, if a patient has eyes open spontaneously, oriented and obeys commands has
a score of ______________?
15
, Per Glasgow Coma Scale, if a patient opens eyes to verbal stimuli, inappropriate verbal responses, and
flexes to pain has a score of ______________?
9
What are the circumstances that a patient may not cooperate to your assessment?
Language difficulties
Influence of medications
Hearing loss
Fear, apprehension, depression, etc
What does euphoria may indicate?
Drug overdose
What is the terminology describing difficulty breathing except in the upright position?
Orthopnea
Which diseases is orthopnea associated?
CHF, heart problem
Which disease is general malaise associated?
Electrolyte imbalance
Terminology: temporary loss of consciousness
Syncopy
Name two types of syncope
Vasovagal syncope
Orthostatic hypotension
Which syncope caused by loss of peripheral venous tone?
Vasovagal syncope
What are the circumstances of vasovagal syncope?
Decreased heart rate and blood pressure
Terminology: Excessive drop in blood pressure when assuming a standing position
Orthostatic hypotension
What is the most common cause of fever?
Infection
What is the normal heart rate in adults?
60-100 beats per minute
What is the normal respiratory rate in adults?
12-20 breaths per minute
What is the normal blood pressure in adults?
120/80 mmHg
Fill in the blank: ____________ pressure can change quite a bit especially under stress but
_________________ pressure should never go above 100 mmHg
Systolic
Diastolic
What could hemiparesis indicate?
Brain injury
Terminology: Hemiparesis
A condition characterized by weakness on one side of the body
Describe examples of decorticate posturing
Arms flexed
Hands clenched
Legs extended
What does peripheral edema indicate?
Presence of excessive fluid in the tissue
