patient assessment
method of collecting pertinent information about a patient's status or condition to determine his/her need for care
communication, inspection, palpation, auscultation, percussion
What are the 5 skills of a physical exam?
communication
-active listening
-the patient will tell you how to manage his/her treatment
palpation
the act of touching or feeling; using pressure of the hand or fingers on the surface of the body to complete a physical examination
auscultation
the act of listening to sounds arising within organs as an aid to diagnosis and treatment
percussion
use of tapping motion of finger to determine whether a compartment is filled with air, fluid, or solid material
pulse
wave of blood created by the contraction of the left ventricle
brachial pulse
measured through palpating artery
apical pulse
measured through ausculatation at apex of heart
60-100
normal pulse for adults?
bradycardia
slower than normal pulse
tachycardia
faster than normal pulse
brachial
Which artery is used to check infant pulse during cpr
systolic pressure
-pressure at which you can hear first hear the pulse
-arterial pressure during heart contraction
-1st korotkoff sound
diastolic pressure
-the last pressure at which you can still hear the pulse
-arterial pressure while heart is at rest
-5th korotkoff sound
120/80
what is normal bp?
stage 1 hypertension
130-139/80-89
stage 2 hypertension
140/90
pain
___________ is a subjective measurement
electrolyte balance, kidney function, diabetes/infection
components of chem-7 panel
chem-7 + calcium
components of chem-8 panel
<5.7%
normal HbA1c=
6.5% or higher
diabetic HbA1c=
less than 7%
HbA1c goal for diabetics
point of care testing
tests performed at the patient's bedside or work of area, using a portable instrument
10ml
how many mL are most commonly in a vial?
3ml
how many ml are in a pen?
100
how many units in a ml?
<100mg/dL
normal blood glucose =
100-125 mg/dL
pre-diabetic blood glucose levels =
comprehensive medication management
assessment of each medication to identify potential and actual medication therapy problems (MTPs)
goal of CMM
optimize medication use and improve quality of healthcare