University:
University of Wolverhampton
Course:
4PY019 | Pharmacy
Academic year:

2024
Views:

435

Pages:

3
Author:

Sara

What is the anatomical position? - Standing erect with palms and feet facing forward - Palms face anteriorly with thumbs away from body Look at diagram on ppt - Prone - Supine - Right Lateral Recumbent - Fowler's - Left Lateral Recumbent - Trendelenburg What are the 6 types of positioning? Look at diagram on ppt Look at anatomical reference points on ppt Explain the following terms: - unilateral - Ipsilateral - Bilateral - Contralateral - Pertaining to one side - On the same side as reference points - Pertaining to both sides - On opposite side of reference point Give examples of motions - flexion - extension - abduction - Adduction What are the 3 anatomical planes? - Sagittal plane - Coronal plane - Transverse plane Give the examination process - informed consent - General Survey - Vital signs - General (peripheral) examination - System-focused examination i.e. CVS, respiratory, neurological, abdominal Define explicit consent 1/3 Can be spoken or written when a patient gives you explicit permission to do something Define implied/implicit consent When consent is indicated indirectly e.g. By bringing a prescription for dispensing. It is only valid if the patient understands what they are consenting to. - Level of consciousness -Mental awareness - agitation/ drowsiness/ confusion - Position / posture General Survey. Observe the patient/en- - Walking aids vironment e.g. - Effort in breathing - accessory muscles - Fever - Audible wheeze - Sweating - Tremor Give examples of vital signs - Blood pressure - lying, standing, inter-arm difference - Pulse - rate, rhythm, volume, character - Temperature - Respiratory rate - Height/ weight - Capillary Refill Time - Pulse Oximetry Give examples of peripheral examinations for the following: - Skin - Finger nails - Hands - Arms - Eyes - Face - Mouth - Neck - Legs - turgor/ colour/ lesions/ - clubbing (check Schamroth's window sign)/splinter haemorrhages/ leukonychia (white) - lesions/ tremor / asterixis - radial/ brachial pulses, blood pressures, Collapsing Pulse - conjunctival pallor/ corneal arcus/ petechial haemorrhages - Malar Flush - dentition/ cyanosis/ hydration - lymph nodes, central venous pressure, 2/3 carotid pulse - pulses, skin, oedema - Inspection - use of vision, hearing and smell to detect characteristics and physical signs - Palpation - using the hands to touch and Use a systematic approach for every re- make measurements of physical signs view: IPPA --> what does this stand for? - Percussion - striking the body's surface with a finger to produce a vibration - Auscultation - listening to sounds created in body organs to detect variations from the normal What does Jugular Venous Pressure (JVP) provide? An indirect measure of central venous pressure (right atrium) - Not palpable - Obliterated by pressure Give characteristics of the Jugular Ve- - Characterised by a double waveform nous Pulse - Variable with respiration - it decreases with inspiration - Enhanced by the hepatojugular reflux Look at ppt to see how to measure JVP 3/3