X hits on this document

415 views

0 shares

0 downloads

0 comments

54 / 127

Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

      • a.

        Labored breathing may or may not be present

    • 2.

      Circulation

      • a.

        Peripheral pulses

        • (1)

          Quality

        • (2)

          Rhythm

      • b.

        Changes in skin

        • (1)

          Color

        • (2)

          Temperature

        • (3)

          Moisture

  • D.

    Focused history

    • 1.

      Chief complaint

      • a.

        Progressive or acute SOB

      • b.

        Progressive accumulation of edema

      • c.

        Weight gain over short period of time

      • d.

        Episodes of paroxysmal nocturnal dyspnea

      • e.

        Medication history

        • (1)

          Prescribed

          • (a)

            Compliance

          • (b)

            Non-compliance

        • (2)

          Borrowed

        • (3)

          Over-the-counter

      • f.

        Home oxygen use

  • E.

    Detailed physical exam

    • 1.

      Level of consciousness

      • a.

        Unconscious

      • b.

        Altered levels of consciousness

    • 2.

      Airway/ breathing

      • a.

        Dyspnea

      • b.

        Productive cough

      • c.

        Labored breathing

        • (1)

          Most common, often with activity

        • (2)

          Paroxysmal nocturnal dyspnea (PND)

        • (3)

          Tripod position

        • (4)

          Adventitious sounds

        • (5)

          Retraction

    • 3.

      Circulation

      • a.

        Heart rate/ rhythm

        • (1)

          Any tachycardia with ectopy

        • (2)

          Any bradycardia with ectopy

        • (3)

          Atrial arrhythmias

      • b.

        Changes in skin

        • (1)

          Color

        • (2)

          Temperature

        • (3)

          Moisture

      • c.

        Peripheral pulses

        • (1)

          Quality

        • (2)

          Rhythm

      • d.

        Edema

───────────

─────────────────────────────────────────────────────────────────────────

────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

26

Document info
Document views415
Page views415
Page last viewedSat Jan 21 02:39:06 UTC 2017
Pages127
Paragraphs9956
Words30108

Comments