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Respiratory Therapy Patient Assessment
Patient Assessment (Kettering Section A)
44
Health Care
Graduate
05/13/2015

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Cards

Term
Level of Consciousness: Normal
Definition
Alert & Responsive
Term
Level of Consciousness: Lethargic, somnolent, and sleepy
Definition
Consider sleep apnea or excessive O2 therapy in patients with COPDS
Term
Level of Consciousness: Stuporous and confused
Definition
Responds inappropriately, drug overdose, intoxication
Term
Level of Consciousness: Semicomatose
Definition
Responds only to painful stimuli
Term
Level of Consciousness: Obtunded
Definition
Drowsy state, may have decreased cough or gag reflex
Term
Level of Consciousness: Coma
Definition
Doesn't respond to painful stimuli
Term
#1 Life function: Ventilation
Definition
Moving air in and out of lungs.
Term
Vital signs (measurement) of Ventilation #1 Life Function
Definition
Respiratory rate, tidal volume, chest movement, breath sounds, PaCO2, and EtCO2
Term
#2 Life Function: Oxygenation
Definition
Getting O2 into the blood
Term
Vital Signs (measurement) of Oxygenation #2 Life Function
Definition
Heart rate, color, sensorium, PaO2, and SpO2
Term
#3 Life function: Circulation
Definition
Moving the blood through the body
Term
Vital signs (measurement) of Circulation #3 Life Function
Definition
Heart rate and strength, and cardiac output
Term
#4 Life function: Perfusion
Definition
Getting O2 into the tissue
Term
Vital signs (measurement) of Perfusion #4 Life Function
Definition
Blood pressure, sensorium, temperature, urine ouput, and hemodynamics
Term
Signs
Definition
Objective info: Things you can see or measure on the patient Ex: pulse, color, edema
Term
Symptoms
Definition
Subjective info: Things only the patient must tell you. Ex: pain, nausea, muscle weakness)
Term
Pack Years
Definition
# of packs/day x # of years smoked
Ex: 4 packs/day x 10 years = 40 pack years
Term
DNR (Do not resuscitate order)
Definition
Patient doesn't wish to have cardiopulmonary resuscitation performed
Term
DNI (No not intubate order)
Definition
Patient doesn't wish to be intubated. NO TUBES INSIDE MOUTH OR NOSE
Term
Living Will
Definition
* Describes tx patient would want if he became terminally ill.
*No one else can make medical decisions.
Term
Durable Power of Attorney for Health Care
Definition
*Legal document that names a health care proxy (agent, person) responsible for making health care decisions for the patient, when patient can't make decisions for themselves
Term
Normal Urine Ouput
Definition
Minimal 40 mL/hr (approx. 1 Liter/day
Term
Sensible water loss
Definition
Urine, and vomiting
Term
Insensible water loss
Definition
Lungs and skin
Term
Intake exceeds output =
Definition
Weight gain, electroly imbalance, increased hemodynamic pressures, and decreased lung compliance.
Term
Normal range for CVP
Definition
2 - 6 mmHg
Term
Decreased CVP <2 means
Definition
Hypovolemia (Recommend Fluid Therapy)
Term
Increased CVP >6 means
Definition
Hypervolemia (Recommend Diuretic)
Term
Inabilities to cooperate may be caused by:
Definition
Language difficulties, influence of medications, hearing loss, fear, apprehension, depression, etc.
Term
Emotional State: Anxiety, nervousness =
Definition
watching every movement, respiratory distress, or hypoxemia
Term
Emotional State: Depressed =
Definition
Quiet or denial
Term
Emotional State: Anger, Combatice, Irritable =
Definition
electrolyte imbalance
Term
Emotional State: Euphoria =
Definition
Drug overdose
Term
Emotional State: Panic =
Definition
Severe hypoxemia, tension pneumothorax, status asthmaticus
Term
ADL (Activities of Daily Living) is evaluated using:
Definition
The Katz Scoring System
Term
Orthopnea means
Definition
difficulty breathing except in the upright position (CHF)
Term
General Malaise means
Definition
run down feeling, nausea, weakness, fatifue, headache (Electrolyte imbalance)
Term
Dyspnea means
Definition
Feeling of shortness of breath or difficulty in breathing
Term
Grade I Dyspnea
Definition
Dyspnea occurs after unusual exertion
Term
Grade II Dyspnea
Definition
Breathless after going up hills or stairs
Term
Grade III Dyspnea
Definition
Dyspnea while walking at normal speed
Term
Grade IV Dyspnea
Definition
Dyspnea slowly walking short distances
Term
Grade V Dyspnea
Definition
Dyspnea at rest, shaving, dressing, etc.
Term
Pain means
Definition
A reaction of specific nervous tissue. May increase blood pressure and heart rate.
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