Doclaura

Risk factors cardiovascular disease (5) - ANS HTN, hyperlipidemia, smoking, obesity, family history What conditions would you see in an abnormal fundoscopic exam? Name 4 - ANS HTN, diabetes, increased ICP Describe carotid pulse/auscultation findings - ANS Vigorous upstroke, level of pulsations not changed by position or respiration Describe internal jugular pulse/auscultation findings - ANS Rarely palpable, soft, 2 elevations per heart bea...

What is included in subjective information? - ANS CC, HPI, PMH, SH, FH, ROS objective data includes: - ANS Heard, felt, seen, or smelled. Obtained by observation or physical examination ROS includes - ANS Patient reported-not physical component -constitutional (weight loss, fever, etc.) -skin -HEENT (head, ears, nose, throat) -cardiovascular -respiratory -gastrointestinal -genitourinary -hematologic -immunologic/ allergic -musculoskeletal -neurologi...

Comprehensive health history - ANS Creates a foundation for future assessments and helps establish clinician-patient relationship. A more complete basis for assessing concerns and answering patient questions. Focused health history/exam - ANS Methods relevant to target a specific problem and complete a thorough assessment. Appropriate for established patients or during urgent care visits. Subjective Data - ANS Symptoms that the patient tells you - pain and pai...

For which of the following patients would a comprehensive health history be appropriate? A new patient with the chief complaint of "I sprained my ankle" An established patient with the chief complaint of "I have an upper respiratory infection" A new patient with the chief complaint of "I am here to establish care" A new patient with the chief complaint of "I cut my hand" - ANS A new patient with the chief complaint of "I am here to establish care" This patien...

The following information belongs in which section of the Comprehensive Health History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint - ANS D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History C. Sexual Histor...

1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He notes that when he woke up, his eyelids were "stuck together". Physical exam findings: sclera is injected, vision is normal, and EOM are intact, purulent discharge is noted. What is the most likely diagnosis? A. Chemical exposure B. Bacterial Conjunctivitis C. Erythema nodosum D. Trauma - ANS B. Bacterial Conjunctivitis 2. An 18-year-old female presents to the ER with a 1-day history ...

Patients with a GCS of less than ___ usually require intubation. - ANS 8 The "A" in ABCD stands for _______. - ANS Airway maintenance with CERVICAL SPINE PROTECTION You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? - ANS Cervical spine injury Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation. - ANS ...

Oxygen flow rate for Bag Valve Mask (BVM)? - ANS 15 L/min (at least 10) drug Intubation - ANS -give meds if time -pre-oxygenate with high flow oxygen (if can't then need surgical airway) -suction available -size 8 ETT tube with working cuff -laryngoscope and GEB ready -visualize cords, inflate cuff -check position with breath sounds, co2 monitor, -secure tube and ventilate - CXR Circothyroidotomy - ANS -sterile prep and 2% lidocaine -6mm ET tube ...

What is the primary goal of treating TBI? How is this done? - ANS prevents secondary brain injury. This is done by maintaining blood pressure and providing adequate perfusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? - ANS mass lesion that requires surgical evacuation is critical! This is done with CT. NOTE: obtaining a CT should not delay patient transfer to a trauma center. Which brain lobes do the following hold: 1. anterior...

Definitive control of the airway is achieved by ____________ - ANS Endotracheal intubation How do you treat hypothermia in the ED? - ANS crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) - ANS 1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? - ANS Size and length of catheter Minimum flow rate of oxygen rese...