Head to Toe Assessment
Vital Signs:
- Any signs of distress indicating a patient emergency
- Patient's level of consciousness, speech, orientation
Eyes:
- Pupil size response to light
- Extracurricular eye movements
- Accommodation
Mouth:
- Skin color around lips and tip of nose (checking for circumoral cyanosis)
- Mucous membranes for moisture (area between gums and cheek will stay moist even with a mouth breather unless patient is dehydrated)