[Kettering]. / TMC. / Review. / -. / Patient. / Assessment
1. Patient./Assessment:./Pa- 1. Asthma./triggers
tient./Interview:./Environ- 2. Heating/cooling./systems
mental./Exposure 3. Work./related./(occupational)./exposure
4. Second./hand./smoke
2. Which./of./the./following./st B../Soft./palate,./uvula,./and./fauces./only
ructures./are./visualized./i
n./a./patient./with./a./Mal-
lampati./class./2?
A. Soft./palate,./uvula,./
fauces,./and./pillars
B. Soft./palate,./uvula,./and./
fauces./only
C. Soft./palate./and./base./of./
uvula./only
D. Hard./palate./only
3. Appropriate./patient./chart. / 1../Admission./Notes
review./(as./it./pertains./to./ -
the./patient./mentioned): Admitting./dx,./hx./of./present./illness,./chief./complaint,./past./medical./hx,./
current./medications.
2. Signs./and./symptoms
-Signs:./Objective./information,./things./you./can./see/measure
-Symptoms:./Subjective./information,./things./the./patient./tells./you
3. Occupation/employment ./ history/hobbies
-Example:./working./in./a./coal./mine./or./factory,./asbestos
4. Allergies./or./allergic./reactions
5. Prior./surgery,./illness,./or./injury
6. Vital./signs
-To./identify./trends./or./changes./of./past./assessments
7. Physical./examination
-Inspection,. / palpation,. / percussion,. / auscultation
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
8. Tobacco./use./(pack./years)
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
9. Advanced./directives
-DNI,./DNR,./Living./Will,./Durable./Power./of./Attorney
4. Vital./signs./pertaining./to./ Respiratory./rate,./tidal./volume,./chest./movement,./breath./sounds,./Pa
ventilation./in./patient./as- Co2,./EtCo2
sessment:
5. Vital./signs./pertaining./to./ Heart./rate,./color,./sensorium,./PaO2,./SpO2
oxygenation./in./patient./
assessment:
6. Vital./signs./pertaining./to./ Heart./rate./and./strength,./cardiac./output
circulation./in./patient./as-
sessment:
7. Set./of./instructions./docu- Advance./Directives
menting./what./the./patient
would./want./if./he/she./was. / Ex../DNI,./DNR,./Durable./Power./of./Attorney,./Living./Will
unable./to./make./medical./d
ecisions.
8. Normal. / urine. / output 40mL/hour./(1./liter/day)
Sensible./water./loss:./Urination/vomiting
./Insensible./water./loss:./Lungs/skin
9. Fluid. / balance. / and. / CVP Normal./CVP./=./2-6./mmHg
Decreased./CVP./(<2./mmHg)./=./Hypovolemia./(recommend./fluid./thera
-py)
Increased./CVP./(>6./mmHg)./=./Hypervolemia./(recommend./diuretics)
10. Patient./Interview:./Level./ Alert./and./responsive./=./Normal
of./Consciousness Lethargic,./somnolent,./sleepy./=./Consider./sleep./apnea./or./excessive./O2./th
erapy./in./COPD./patients
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
Stuporous,./confused./=./Responds./inappropriately,./drug./overdose,./intoxi
cation
Semicomatose./=./Responds./only./to./painful./stimuli
Obtunded./=./Drowsy./state../May./have./decreased./cough./or./gag./reflex../R
isk./of./aspiration
Coma./=./Does./not./respond./to./painful./stimuli
11. An./elevated./brain./natri- D../congestive./heart./failure
uretic./protein./(BNP)./level./
would./be./consistent./with./
a./diagnosis./of....
A. pulmonary. / embolism
B. myocardial./infarction
C. cerebral./edema
D. congestive./heart./fail-
ure
12. Patient./Interview:./Emo- Anxiety/nervousness./-
tional./State./Interpreta- ./Watching./every./movement,./respiratory./dis-tress,./hypoxemia
tion Depressed./-
./Quiet./or./denial./Anger/combative/irritable ./-
./Electrolyte./imbalance./Euphoria./-./Drug./overdose
Panic./-./Severe./hypoxemia,./tension./pneumothorax,./status./asthmaticus
13. Katz. / Scoring. / System Identifies./the./need./for./rehabilitation
14. While./monitoring./the./pr ing./indicates./that./the./tip
essure. / waveform. / dur-
ing./insertion./of./a
Swanz-
Ganz./catheter,./the./RT./not
es./the./presence./of./a./dicro
tic./notch../This./find-
1. Patient./Assessment:./Pa- 1. Asthma./triggers
tient./Interview:./Environ- 2. Heating/cooling./systems
mental./Exposure 3. Work./related./(occupational)./exposure
4. Second./hand./smoke
2. Which./of./the./following./st B../Soft./palate,./uvula,./and./fauces./only
ructures./are./visualized./i
n./a./patient./with./a./Mal-
lampati./class./2?
A. Soft./palate,./uvula,./
fauces,./and./pillars
B. Soft./palate,./uvula,./and./
fauces./only
C. Soft./palate./and./base./of./
uvula./only
D. Hard./palate./only
3. Appropriate./patient./chart. / 1../Admission./Notes
review./(as./it./pertains./to./ -
the./patient./mentioned): Admitting./dx,./hx./of./present./illness,./chief./complaint,./past./medical./hx,./
current./medications.
2. Signs./and./symptoms
-Signs:./Objective./information,./things./you./can./see/measure
-Symptoms:./Subjective./information,./things./the./patient./tells./you
3. Occupation/employment ./ history/hobbies
-Example:./working./in./a./coal./mine./or./factory,./asbestos
4. Allergies./or./allergic./reactions
5. Prior./surgery,./illness,./or./injury
6. Vital./signs
-To./identify./trends./or./changes./of./past./assessments
7. Physical./examination
-Inspection,. / palpation,. / percussion,. / auscultation
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
8. Tobacco./use./(pack./years)
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
9. Advanced./directives
-DNI,./DNR,./Living./Will,./Durable./Power./of./Attorney
4. Vital./signs./pertaining./to./ Respiratory./rate,./tidal./volume,./chest./movement,./breath./sounds,./Pa
ventilation./in./patient./as- Co2,./EtCo2
sessment:
5. Vital./signs./pertaining./to./ Heart./rate,./color,./sensorium,./PaO2,./SpO2
oxygenation./in./patient./
assessment:
6. Vital./signs./pertaining./to./ Heart./rate./and./strength,./cardiac./output
circulation./in./patient./as-
sessment:
7. Set./of./instructions./docu- Advance./Directives
menting./what./the./patient
would./want./if./he/she./was. / Ex../DNI,./DNR,./Durable./Power./of./Attorney,./Living./Will
unable./to./make./medical./d
ecisions.
8. Normal. / urine. / output 40mL/hour./(1./liter/day)
Sensible./water./loss:./Urination/vomiting
./Insensible./water./loss:./Lungs/skin
9. Fluid. / balance. / and. / CVP Normal./CVP./=./2-6./mmHg
Decreased./CVP./(<2./mmHg)./=./Hypovolemia./(recommend./fluid./thera
-py)
Increased./CVP./(>6./mmHg)./=./Hypervolemia./(recommend./diuretics)
10. Patient./Interview:./Level./ Alert./and./responsive./=./Normal
of./Consciousness Lethargic,./somnolent,./sleepy./=./Consider./sleep./apnea./or./excessive./O2./th
erapy./in./COPD./patients
, [Kettering]. / TMC. / Review. / -. / Patient. / Assessment
Stuporous,./confused./=./Responds./inappropriately,./drug./overdose,./intoxi
cation
Semicomatose./=./Responds./only./to./painful./stimuli
Obtunded./=./Drowsy./state../May./have./decreased./cough./or./gag./reflex../R
isk./of./aspiration
Coma./=./Does./not./respond./to./painful./stimuli
11. An./elevated./brain./natri- D../congestive./heart./failure
uretic./protein./(BNP)./level./
would./be./consistent./with./
a./diagnosis./of....
A. pulmonary. / embolism
B. myocardial./infarction
C. cerebral./edema
D. congestive./heart./fail-
ure
12. Patient./Interview:./Emo- Anxiety/nervousness./-
tional./State./Interpreta- ./Watching./every./movement,./respiratory./dis-tress,./hypoxemia
tion Depressed./-
./Quiet./or./denial./Anger/combative/irritable ./-
./Electrolyte./imbalance./Euphoria./-./Drug./overdose
Panic./-./Severe./hypoxemia,./tension./pneumothorax,./status./asthmaticus
13. Katz. / Scoring. / System Identifies./the./need./for./rehabilitation
14. While./monitoring./the./pr ing./indicates./that./the./tip
essure. / waveform. / dur-
ing./insertion./of./a
Swanz-
Ganz./catheter,./the./RT./not
es./the./presence./of./a./dicro
tic./notch../This./find-
