PALS Secondary Assessment Overview
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Questions and Answers

What are the components of secondary assessment?

  • Focused History (correct)
  • Focused Physical Exam (correct)
  • Complete Medical History
  • Imaging Studies
  • What does focused hx stand for?

    SAMPLE

    SAMPLE stands for S-signs & symptoms, A-_____, M- medications, P- past medical hx, L- last meal, E- events.

    allergies

    Match the components of SAMPLE with their definitions:

    <p>S = Signs &amp; symptoms A = Allergies M = Medications P = Past medical hx L = Last meal E = Events</p> Signup and view all the answers

    What does 'S' in SAMPLE refer to?

    <p>Signs &amp; Symptoms</p> Signup and view all the answers

    What types of allergies should be assessed?

    <p>Medications, foods, latex, etc.</p> Signup and view all the answers

    What information should be gathered about medications?

    <p>Medications, last dose &amp; time</p> Signup and view all the answers

    What does 'P' stand for in SAMPLE?

    <p>Past medical hx</p> Signup and view all the answers

    What information should be noted regarding the last meal?

    <p>Time &amp; nature of last intake of liquid or food</p> Signup and view all the answers

    What does 'E' represent in SAMPLE?

    <p>Events leading to current illness or injury</p> Signup and view all the answers

    What should be considered during the focused physical exam?

    <p>Severity of illness should determine the extent of the exam.</p> Signup and view all the answers

    Study Notes

    Secondary Assessment in PALS

    • Components of Secondary Assessment: Involves focused history and focused physical exam.

    Focused History

    • SAMPLE Acronym: A systematic approach for gathering information during assessment.

    SAMPLE Breakdown

    • S - Signs & Symptoms: Essential observations at onset of illness, including:
      • Breathing difficulty (cough, pain)
      • Decreased level of consciousness (LOC)
      • Agitation and anxiety
      • Fever, decreased oral intake, diarrhea, vomiting
      • Bleeding and fatigue
      • Understanding the time course of symptoms is critical.

    Allergies

    • A - Allergies: Important to document allergies to:
      • Medications
      • Foods
      • Latex and other substances

    Medications

    • M - Medications: Key information includes:
      • Types of medications being taken
      • Last dose and timing of administration

    Past Medical History

    • P - Past Medical History: Relevant health history includes:
      • Significant conditions such as asthma, chronic lung disease, congenital heart disease, arrhythmias, congenital airway abnormalities, seizures, head injuries, brain tumors, diabetes, hydrocephalus, and neuromuscular diseases
      • Previous symptoms and immunization history

    Last Meal

    • L - Last Meal: Important details involve:
      • Timing of the last intake (liquid or food)
      • Nature of the last meal consumed

    Events Leading to Illness

    • E - Events: Gather information on:
      • Circumstances leading to current illness or injury
      • Nature of the injury (gradual or sudden onset)

    Focused Physical Exam

    • Exam Characteristics:
      • Severity of the illness dictates the thoroughness of the examination.
      • Includes a careful assessment of the primary area of concern alongside a brief head-to-toe evaluation.

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    Description

    Test your knowledge on the components of secondary assessment in Pediatric Advanced Life Support (PALS). This quiz will cover focused history gathering using the SAMPLE acronym, as well as the importance of allergies, medications, and past medical history in critical situations.

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