ch02a - Chapter 2, Part 1 Physical Exam Techniques

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Chapter 2, Part 1 Physical Exam Techniques
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Topics Techniques of Inspection, Palpation, Auscultation, and Percussion Evaluation of Mental Status Examination of the Body Regions Special Considerations
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Introduction Although patient assessment formally starts with the history, the physical examination actually begins when you first set eyes on your patient. The purpose of the physical exam is to investigate areas that you suspect are involved in your patient’s primary problem.
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Examination Techniques Inspection Palpation Auscultation Percussion These 4 techniques are the foundation of the physical exam.
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Inspection
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Palpation
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Auscultation
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Percussion
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Listen to each sound and evaluate its meaning.
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Measurement of Vital Signs Pulse Respiration Blood pressure Body temperature Pulse oximetry
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Measure vital signs early in the physical examination and, in the emergency situation, repeat them often and look for trends.
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Pulse Rate The number of pulses felt in one minute
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Pulse Rhythm The pattern and equality of intervals between beats
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Pulse Quality The strength, which can be weak, thready, strong, or bounding
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Bradycardia Pulse rate lower than 60
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Tachycardia Pulse rate higher than 100
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Know each pulse position.
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Respiratory Rate The number of times a patient breathes in one minute
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Respiratory Effort How hard a patient works to breathe
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Quality of Respiration The depth and pattern of breathing
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Bradypnea Slow breathing
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Tachypnea Rapid breathing
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Breathing Patterns Associated with Specific Diseases
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Blood Pressure The force of blood against arteries’ walls as the heart contracts and relaxes Systolic—force of blood against the arteries when ventricles contract Diastolic—force of blood against arteries when ventricles relax Also a measure of vascular constriction
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This note was uploaded on 03/25/2010 for the course PAR 100 taught by Professor Alan during the Spring '10 term at Miramar College.

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ch02a - Chapter 2, Part 1 Physical Exam Techniques

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