23439903
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Flashcards by Tafe Teachers SB, updated more than 1 year ago
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| Question | Answer |
| What are the steps to a primary survey? | Airway Breathing Circulation Disability Exposure |
| A patient is vomiting, and can't seem to clear her airway. What part of the primary survey is relevant? | Airway The patient's airway is potentially occluded by the vomitus |
| The patient is hemorrhaging. What part of the primary survey is relevant? | Circulation The patient is loosing blood volume. BP will decline. |
| The patient is shallow breathing. RR is 6 rpm What part of the primary survey is relevant? | Breathing The breathing is shallow and therefore is ineffective. Pt is profoundly bradypnoeic. |
| The patient is unresponsive to touch and voice. What part of the primary survey is relevant? | Disability. The patient is experiencing a decline in neurological function. |
| The patient's HR is 133, and is irregular. What part of the primary survey is relevant? | Circulation. Alterations in HR impacts on the patient's ability to maintain good circulation/perfusion. This is because a high HR can lead to a significant drop in BP. |
| The RR is 36, shallow, and irregular. What part of the primary survey is relevant? | Breathing. The breathing is shallow and is therefore ineffective. Oxygenation likely to be poor. Pt is tachypnoeic. Meets MET criteria. |
| You expose the patient and notice that her leg is shortened, and internally rotated. What part of the primary survey is relevant? | Exposure. Remove clothing and sheets to perform a head to toe assessment. Likely # NOF, and cause of patient's deterioration. |
| Patient has an audible wheeze. He is sitting upright, and is able to talk to you clearly. Appears to have an increased WOB | Breathing. As the patient is able to communicate, we can assume his airway is clear. Increased WOB resulting from bronchoconstriction and possible hypoxaemia. |
| Patient is clutching at their throat. Evidence of central cyanosis. You can hear a stridor. | Airway. Patient appears to have and acute and significant occlusion to their upper airway. |
| The patient is alert and orientated. RR 20, regular with good depth. BP is 120/88. HR 89 regular. Appears well perfused (pink). | ABCD is intact. |
| The patient has fallen, is lying on the ground, and appears to be pale. HR 110 weak and thready. BP 89/40. | Circulation. Tachycardia, hypotension, and pale appearance indicates potential bleed, given the 'fall' history. Check for internal or external bleeding. |
| Patient is acutely confused and disorientated. | Disability. Confusion and disorientation indicates alterations in neurological functions. |
| The patient is experiencing periods of apnoea for up to 15 seconds. | Breathing. Cessation of breathing for prolonged periods of time. MET call. |
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