HSCI 201 Lecture Notes - Lecture 4: Hypotension, Visual Analogue Scale, Pain Management
26 Mar 2017
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Chapter 4: beginning the physical exam (general survey, vitals, & pain) Health history: fatigue, weakness (demonstrable loos of muscle power, fever chills, night sweats. Meds that mask fever?? (aspirin, acetaminophen: weight changes. Gain: input doesn"t equal output, abnormal body fluids. Health promotion & counseling: optimal weight, nutrition, diet. Restrict salt intake to tsp per day: exercise: 30 min moderate activity (2 miles in 30 min) Anxiety/depression (cold, moist palms, flat affect, psychomotor slowing, fidgety movements) Dress/personal hygiene (body piercing/tattoo, hair, nails, cosmetics) Odors of body & breath (alcohol, acetone, uremia, liver failure) sweet smell = diabetes. Posture, gait, motor activity (copd, heart failure, when sit up) Height/weight: short stature in turners syndrome, long arms in marfan"s syndrome, loss of height in osteoporosis. Overweight puts you at risk for diabetes, heart disease, stroke, Oral: 98. 6 f rectal: 99. 3-99. 5 f used for unresponsive patients that might bite down tympanic membrane axillary.
