Clinical assessment

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Why do we undertake clinical assessments on admission?
To give health professionals a baseline of 'norm' for the patient
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In acute care settings, how often are observations taken?
A minimum of every 12 hours
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What does NEWS2 stand for?
National Early Warning Score 2
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What does PEWS stand for?
Pediatric Early Warning Score
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What happens to NEWS in mental health settings?
It's seen as less important than in physical health settings, as other aspects of care are more important to mental health patients
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What is blood pressure?
The force or pressure the blood exerts on the walls of the blood vessels
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What 3 main factors control blood pressure?
Heart rate (HR), stroke volume (SV), peripheral resistance (PR)
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What is systolic pressure?
Pressure within the arterial system from blood being forced from left ventricle into the aorta
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What is diastolic pressure?
Pressure in the arteries that is lower as blood not being pumped through the aorta
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What is the normal systolic pressure range for adults?
100 - 140mmHg
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What is the normal diastolic pressure range for adults?
60 - 90mmHg
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What is different about children's blood pressure in observations?
Blood pressure ranges depend on the centile chart for growth, and the only important number is the systolic pressure
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What are we measuring in pulse rate?
The number of pulses felt in 60 seconds, if the rhythm is regular, how strong it was (amplitude)
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What is the normal resting pulse for an adult?
Between 60-100 beats per minute (bpm)
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More than 100 bpm is termed as what?
Tachycardia
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Less than 60 bpm is termed as what?
Bradycardia
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What does apyrexial/ normothermic mean?
A normal temperature of 36 - 37 degrees C
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What does pyrexia mean?
A high temperature of 37.5 – 39.9 degrees C or higher
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What does hyperpyrexia mean?
A very high temperature over 40 degrees C or higher
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What does hypothermia mean?
A low temperature of 35 degrees C
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What does severe hypothermia mean?
Core temperature below 33 degrees C
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What do oxygen saturations (SpO2) measure?
The percentage of haemoglobin (Hb) saturated with oxygen in the bloodstream
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What are the normal oxygen saturation values in a healthy adult?
Above 94%
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An SaO2 (arterial oxygen saturation) value below 90% is termed what?
Hypoxaemia
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What do we observe in respiration observation?
Rate, depth, effort, rhythm, sputum production, sounds, symmetrical chest movement
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What's the normal respiration rate for an infant under 1 year?
25-50
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What's the normal respiration rate for a child 18 months - 7 years?
20-30
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What's the normal respiration rate for a child 8-11 years?
15-30
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What's the normal respiration rate for a child over 12 years?
12-24
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What's the normal respiration rate for an adult?
12 -18
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What is meant by tachypnoea?
Rapid breathing
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What is meant by bradypnoea?
Decreased breathing
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What are common risk assessments within clinical areas?
Falls risk, skin integrity risk, continence assessments, moving and handling assessments
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Other cards in this set

Card 2

Front

In acute care settings, how often are observations taken?

Back

A minimum of every 12 hours

Card 3

Front

What does NEWS2 stand for?

Back

Preview of the front of card 3

Card 4

Front

What does PEWS stand for?

Back

Preview of the front of card 4

Card 5

Front

What happens to NEWS in mental health settings?

Back

Preview of the front of card 5
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