AVPU

What does it stand for?

A- Alertness

V- Verbals

P- Pain

U- unresponsiveness

Pulse

Rate?

Rhythm?

Quality?

Location?

Rate:

 Rhythm:

• regular or irreegular?

Quality:

• Normal - easily felt and strong
• Weak - pulse is barely felt, sometimes described as thready
• Bounding - very strong felt pulse

Location:

• central vs. peripheral

Respirations

Normal?

Abnormal?

Pediatrics?

Normal - 12-20 breaths per min

Abnormal - > 34-36 breaths per min

            < 10 breaths per min

Pediatrics - < 60 breaths per min   

Blood Pressure

Techniques?

Techniques:

1. Auscultation - listen 
2. Palpation - feel

Skin

What colors mean?

Texture?

Color:

• Pink - Normal
• Pale/White/Grey - Shock
• Flushed/Red - CO, ↑ BP, fever
• Blue - Hypoxia (↓O₂)
• Yellow/Jaundice - Liver injury/failure, hepatitis, cirrhosis

Texture:

• Wet vs. Dry
• temp - warm, cold, hot

~* use back of hand to check*~

Pupils and Eyes

 PERRL?

Abnormalities?

PERRL

• Pupils Equal Round Reactive to Light

Abnormal:

• Nystagmus - extra ocular oscillations
• Disconjugate - eye to one side

DCAP-BTLS

What does it stand for?

D - deformities

C - contusions

A - abrasions

P - puncture or penetration

B - bleeding

T - tenderness

L - lacerations

S - swelling

OPQRST

What does it stand for?

Onset - when did it start

Provocation - what makes it better or worse

Quality - how it feels

Region/Radiation - does pain radiate somewhere else

Severity - on a scale of 1-10

Time - how long has it been going on?