RRT- Clin Sims- Lindsey Jones Rated 100% Correct!!

General Assessment : Visual Assessment (Stage I) - Any assessment that you can do quickly by just glancing at the patient, a monitor, or the patient's record should be done first. Visual assessment items include: General appearance Color Medical history Heart rate (exception to the rule) General Assessment : Bedside (Patient contact) assessment (Stage II) - This includes all things that relate to the respiratory status of the patient and can be done quickly and usually without cost or too much effort from the patient. Bedside assessment items include: Breath sounds Palpation of the chest or trachea Examination of the upper airway Blood pressure Vital capacity measurement General Assessment : Laboratory assessments (Stage III) - This involves any test requiring laboratory analysis and/or interpretation. Or, it may require special equipment or technicians to perform. Laboratory assessments usually have a cost associated with them. These assessment items must relate to the respiratory status of the patient. Examples of laboratory assessments include: Arterial blood gas analysis Chest X-ray CBC UrinalysisPulmonary function screening (FEV1, pre and post bronchodilator studies) Serum electrolytes ECG Bilirubin level General Assessment : Special tests and assessments (Stage IV) - Special tests are done when you suspect specific problems or diseases. They are often costly and/or require significant time for interpretation. Or, it may be a special test because it relates only to one thing. Very often, this test is used for diagnosis. Picking incorrect special assessments will usually result in significant negative points. Special tests and assessment should only be done if it relates! Examples of special tests and assessments include: CAT scan of the head, Complete pulmonary function testing (DLCO, Nitrogen washout), Tensilon test, Bronchogram, Sweat chloride test, Mantoux test, Pulmonary angiogram, Lung perfusion scan, Tracheal Palpation Amniocentesis, Acid-fast sputum stain Ventilator: Initial Adult Settings : There are five areas that must be addressed when initially placing a patient on a ventilator. In order of importance and priority, they are: - Rate, Tidal Volume, Oxygen, PEEP, & Mode