This uniquely functional instruction manual of flowcharts and succinct medical details is a time-saving reduction to the short and exact review of 2 hundred universal signs. symptoms are prepared alphabetically, and every one is gifted on an easy-to-scan, two-page unfold. at the left-hand web page is concise, bulleted information regarding attainable diagnoses, remedy, and sufferer counseling. at the right-hand web page is a flowchart that leads the nurse during the overview approach, concentrating on key findings and diagnostic assessments and narrowing diagnostic chances. Icons indicate specific findings, exams, and follow-up for kids and older adults.
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Extra info for Rapid Assessment: A Flowchart Guide to Evaluating Signs & Symptoms
Review the patient’s medical history for neurologic, cerebrovascular, and neoplastic disease; atherosclerosis; and infection. ● Obtain a drug history, including prescription and over-thecounter drugs, herbal remedies, and recreational drugs. Also, ask the patient about alcohol intake. ● Ask the patient about recent headaches or dizziness. PHYSICAL ASSESSMENT ● Take the patient’s vital signs. ● Assess level of consciousness, keeping alert for evidence of aphasia or dysarthria. ● Test motor function, observing for weakness and tremors.
If possible, observe the patient’s gait and posture, and assess his balance and coordination. ● Evaluate muscle tone and strength in all extremities. ● Thoroughly check pain sensitivity, vibration sense, and temperature sensation over all dermatomes. 20 A N A LG E S I A Focus your care on preventing further injury to the patient because analgesia can mask injury or developing complications. P E D I AT R I C POINTERS Because a child may have difficulty describing analgesia, carefully observe the patient during your assessment for nonverbal clues to pain, such as facial expressions, crying, and retraction from stimuli.
Note the source and character of nasal discharge. ● Palpate the sinus areas for tenderness and contour. SPECIAL CONSIDERATIONS Although permanent anosmia usually doesn’t respond to treatment, vitamin A given orally or by injection occasionally provides improvement. P E D I AT R I C POINTERS Anosmia in children usually results from nasal obstruction by a foreign body or enlarged adenoids. PATIENT COUNSELING If anosmia results from nasal congestion, instruct the patient to use a local decongestant or antihistamine, along with a vaporizer or humidifier.
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