chpt 8

accessory muscles

the secondary muscles of repiration

AVPU

a method of assesing a patients level of conciousness by determining whether a patient is awake and alert, resposive to verbal stimulus or pain, or unresponsive, used principally in the intial assessment

BSI

an infection control concept and practice that ssumes that all body fluids are potetially infectious.

breath sounds

an indication of air movement in the lungs usually assessed with a stetoscope

capillary refill

a test that evaluates distal circulatory system function by squeezing blood from an area such as a nail bed and watching the speed of its return after releasing the pressure

chief complaint

the reason a patient called for help, also the patients response to general questions such as whats wrong, or what happend

coagulate

to form a clot to plug an opening in an injured blood vessel and stop bleeding

conjuntiva

the delicate membrane that lines the eyelids and covers the exposed surface of the eye

crepitus

a grating or grinding sensation caused by fractured bone ens or joints rubbing together, also air bubbles under the skin that produce a crackling sound or crinkly feeling

cyanosis

bluish-gray skin color that is caused by reduced oxygen levels in the blood

DCAP-BTLS

a mmenemonic for assesment in which each area of the body is evaluated for deformities, contusions, abbrasions, puntures, burns, tenderness, lacerations and swelling

detailed physical exam

the part of the assesment process in which a detailed area by area exam is performed on patients whose problems cannot be readily identified or when more specfic info is needed about problems indetified in the focused history and physical exam

focused history and physical exam

the part of the assessment process in which the patients major complaint or problems that are immediatley evident are further and more specifically evaluated

frostbite

damage to tissue as the result of exposure to cold frozen or partiallyfrozen body parts

general impression

the overall intial impression tha determines the priority for patient care, based on the patients surrounding the mechanesm of injury, signs and symptoms, and the chief complaint

golden hour

the time from injury to definitive care, during which treatment of shock or truamatic injuries should occur because survival potential is best

guarding

involuntary muscles contractions of the abdominal wall in an effort to protect the inflamed abdomen, a sign of peritonitis

hypothemia

a condition in which the internal body temp falls below 95 after exposure to a cold enviroment

intial assesment

the part of the assessment process that helps you to identify any immediatley or potenate life threating conditions so that you can initate lifesaving care

jaundice

a yellow skin color that is seen in patients with live desease or dysfunction

mechnism of injury MOI

the way in which traumatic injuries occur, the forces that act on the body to cause damage

nasal flaring

flaring ou of the nostrils indicationg that there is an airway obstruction

nature of illness NOI

the general type of illness a patient is experiencing

ongoing assessment

the part of the assessment process in which problems are reevaluated and responses to treatment are assessed

orientation

the mental status of a patient as measured by memory of person, place. time, and event

OPQRST

the six pain questions, onset, provoking, quilaty, radiation, severity, touch

palpate

examine by touch

paradoxial motion

the motion of the chest wall section that is detached in a flail chest, the motion is exactly th opposite of norman motion during breathing

rales

crackling, rattling, breath sound that signals fluid in the air spaces of the lungs also called crackles

resopnsiveness

the way in which a patient responds to external stimuli, including verbal stimuli, tactile stimuli and painful stimuli

retractions

movements in which the skin pulls in around the ribs during inspiration