Clinical assessment 0.0 / 5 ? NursingClinical assessment of nursingUniversityNone Created by: katie76512Created on: 20-04-20 23:37 Why do we undertake clinical assessments on admission? To give health professionals a baseline of 'norm' for the patient 1 of 33 In acute care settings, how often are observations taken? A minimum of every 12 hours 2 of 33 What does NEWS2 stand for? National Early Warning Score 2 3 of 33 What does PEWS stand for? Pediatric Early Warning Score 4 of 33 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 5 of 33 What is blood pressure? The force or pressure the blood exerts on the walls of the blood vessels 6 of 33 What 3 main factors control blood pressure? Heart rate (HR), stroke volume (SV), peripheral resistance (PR) 7 of 33 What is systolic pressure? Pressure within the arterial system from blood being forced from left ventricle into the aorta 8 of 33 What is diastolic pressure? Pressure in the arteries that is lower as blood not being pumped through the aorta 9 of 33 What is the normal systolic pressure range for adults? 100 - 140mmHg 10 of 33 What is the normal diastolic pressure range for adults? 60 - 90mmHg 11 of 33 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 12 of 33 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) 13 of 33 What is the normal resting pulse for an adult? Between 60-100 beats per minute (bpm) 14 of 33 More than 100 bpm is termed as what? Tachycardia 15 of 33 Less than 60 bpm is termed as what? Bradycardia 16 of 33 What does apyrexial/ normothermic mean? A normal temperature of 36 - 37 degrees C 17 of 33 What does pyrexia mean? A high temperature of 37.5 – 39.9 degrees C or higher 18 of 33 What does hyperpyrexia mean? A very high temperature over 40 degrees C or higher 19 of 33 What does hypothermia mean? A low temperature of 35 degrees C 20 of 33 What does severe hypothermia mean? Core temperature below 33 degrees C 21 of 33 What do oxygen saturations (SpO2) measure? The percentage of haemoglobin (Hb) saturated with oxygen in the bloodstream 22 of 33 What are the normal oxygen saturation values in a healthy adult? Above 94% 23 of 33 An SaO2 (arterial oxygen saturation) value below 90% is termed what? Hypoxaemia 24 of 33 What do we observe in respiration observation? Rate, depth, effort, rhythm, sputum production, sounds, symmetrical chest movement 25 of 33 What's the normal respiration rate for an infant under 1 year? 25-50 26 of 33 What's the normal respiration rate for a child 18 months - 7 years? 20-30 27 of 33 What's the normal respiration rate for a child 8-11 years? 15-30 28 of 33 What's the normal respiration rate for a child over 12 years? 12-24 29 of 33 What's the normal respiration rate for an adult? 12 -18 30 of 33 What is meant by tachypnoea? Rapid breathing 31 of 33 What is meant by bradypnoea? Decreased breathing 32 of 33 What are common risk assessments within clinical areas? Falls risk, skin integrity risk, continence assessments, moving and handling assessments 33 of 33
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