What is a Coombs' Test? ✔️✔️Blood test done on pregnant women.
Negative result means the fetus is not presently in danger from problems related to Rh incompatibility.
An abnormal (positive) result means the mother has developed antibodies to the fetal RBC's and is
sensitive.
Level 1 Physical Assessment ✔️✔️VISUALS
-LOC/sensorium
-Color
-Chest movement
If there is an emergency noted from Level 1 assessment then ✔️✔️Manage the emergency
If no emergency from Level 1 Assessment then ✔️✔️Move to Level 2 assessment
Level 2 Physical Assessment ✔️✔️BEDSIDE
-Vital signs
-Percussion
-Auscultation
-Tracheal Deviation
Level 3 Physical Assessment ✔️✔️BASIC LABS
-CBC
,-Electrolytes
-ABG
-CXR
-EKG
Level 4 Physical Assessment ✔️✔️SPECIAL TESTS
used to confirm diagnosis, r/o differential diagnoses
-sweat chloride test for CF pt
-coombs' test
-etc.
Scoring of answers will be based on the following criteria: ✔️✔️1. Relevance
2. Risk
3. Time
4. Cost
**Remember this when selecting answers
Obstructive Pathologies ✔️✔️4/20 Simulations
CBABE
Emphysema
Chronic Bronchitis
Bronchiectasis
Sleep Disorders
Example: Pt c/o SOB, exacerbated by infection. Suspect... ✔️✔️emphysema or chronic bronchitis
, Example: Pt c/o snoring @ noc, daytime fatigue, headaches. Suspect... ✔️✔️sleep disorder (OSA, CSA)
Trauma Pathologies ✔️✔️3/20 Simulations
Chest Trauma/Flail Chest/Rib Fractures
Pneumothorax
Hemothorax
Thermal Injuries
ARDS
Neurologic/Neuromuscular Pathologies ✔️✔️2/20 Simulations
Myasthenia Gravis (NM)
Guillain-Barre Syndrome (NM)
Drug Overdose (N)
Stroke CVA/TIA (N)
Poliomyelitis/Tetanus/Muscular Dystrophy/ALS (NM)
For Neurological pathologies, be sure to evaluate ✔️✔️reflexes
neurological response
For Neuro-Muscular pathologies, be sure to evaluate ✔️✔️Vt, vital capacity, MIP/NIF
Cardiovascular Pathologies ✔️✔️3/20 Simulations
Chest Pain/MI
CHF/Pulmonary Edema