PT Assessment, Causes of Shock & Causes of Altered Mental Status

SAMPLE History: S

Signs and symptoms

SAMPLE History: A

Allergies

SAMPLE History: M

Medications

SAMPLE History: P

Pertinent past medical history

SAMPLE History: L

Last oral intake (*last menstrual period in women)

SAMPLE History: E

Events leading up to injury or illness

SAMPLE History: *R

Risk factors

OPQRSTI: O

Onset: “What were you doing when symptoms began”

OPQRSTI: P

Provocation: “Does anything make the symptoms better or worse”

OPQRSTI: Q

Quality: “What does it feel like”

OPQRSTI: R

Radiation: “Does the pain travel anywhere”

OPQRSTI: S

Severity: “On a scale of 0-10, 0 being no pain and 10 being the worst how would you rate your pain”

OPQRSTI: T

Time: “How long has this been going on for”

OPQRSTI: I

Intervations: “Have you done or taken anything to help”

DCAP-BTLS: D

Deformity: Misshapen body part

DCAP-BTLS: C

Contusions: Bruising

DCAP-BTLS: A

Abrasions: Loss/damage to surface of skin

DCAP-BTLS: P

Punctures: Small penetration of through skin into soft tissue

DCAP-BTLS: B

Burns

DCAP-BTLS: T

Tenderness: Pain when palpated

DCAP-BTLS: L

Lacerations: Deep cut in skin

DCAP-BTLS: S

Swelling

Cause of shock: Pump Failure, Type of shock:

Cariogenic shock

Obstructive shock

• tension pneumothorax

• cardiac tamponade

• pulmonary embolism

Cause of shock: Poor vessel function, Type of shock:

Distributive shock

• septic shock

• neurogenic shock

• anaphylactic shock

• psychogenic shock

Cause of shock: Low fluid volume, Type of shock:

Hypovolemic shock

• hemorrhagic shock

• nonhemorrhagic shock

Possible cause of altered mental status AEIOUTIPS: A

Alcohol

Possible cause of altered mental status AEIOUTIPS: E

Epilepsy, Endocrine, Electrolytes

Possible cause of altered mental status AEIOUTIPS: I

Insulin

Possible cause of altered mental status AEIOUTIPS: O

Opioids & other durgs

Possible cause of altered mental status AEIOUTIPS: U

Uremia

Possible cause of altered mental status AEIOUTIPS: T

Trauma, Temperature

Possible cause of altered mental status AEIOUTIPS: I

Infection

Possible cause of altered mental status AEIOUTIPS: P

Poisoning, Psychogenic Causes

Possible cause of altered mental status AEIOUTIPS: S

Shock, Stroke, Seizure, Syncope, Space-Occupying Lesion, Subarachnoid Hemorrhage