203 Skills Indications/contraindications/complications

Question 1

3.3.c basic extrication indications, contraindications, complications

Answer 1

I: transfer pt from a variety of non critical situations
C: c-spine injury
Complication: worsening of spinal injury

Question 2

4.5.d peripheral venipuncture indications and contraindications

Answer 2

I: venous blood sample for labs
C: previous surgery (mastectomy/shunt/fistula/graft), infection, burn, edema, cellulitis, trauma.

Question 3

4.5.d peripheral venipuncture complications

Answer 3

Arterial placement, air embolism, thrombophlebitis, vasovagal syncope, hematoma, sample hemolysis.

Question 4

5.5.b control external hemorrhage through direct pressure and patient positioning indications and contraindications

Answer 4

I: external bleeding
C: light, indirect pressure, tourniquet, removal of dressing with breakthrough bleeding.

Question 5

5.5.b control external hemorrhage through direct pressure complications

Answer 5

Hemorrhage, hypovolemia, shock, tissue/organ damage, death

Question 6

5.5.e conduct intraosseous needle insertion indications and contraindications

Answer 6

I: difficult IV access, rapid administration of fluids/medications/colloids/blood
C: fracture, burn, infection, trauma, osteogenesis imperfecta.

Question 7

5.5.e conduct intraosseous needle insertion complications

Answer 7

Infiltration, fat embolism, clot formation, osteomyelitis, tibial fractures, skin necrosis, compartment syndrome, extravasation

Question 8

5.5.f utilize direct pressure infusion devices with intravenous infusions indications and contraindications

Answer 8

I: rapid infusion of IV solution or blood, invasive pressure monitoring
C: extravasation.

Question 9

5.5.f utilize direct pressure infusion devices with intravenous infusion complications

Answer 9

Equipment malfunction, circulatory overload, air embolism, occlusion, kinked tubing, infection, hematoma, infiltration, extravasation.

Question 10

5.6.b treat burn indications and contraindications

Answer 10

I: burns
C: rubbing/massaging affected area, puncture/drain blister, application of ice

Question 11

5.6.b treat burns complications

Answer 11

Pain, edema, local/systemic infection, hypothermia, hypovolemia, scarring, bone/joint problems, dysrhythmias.

Question 12

5.6.c treat eye injury indications and contraindications

Answer 12

I: to prevent ocular damage and/or vision loss from foreign bodies, cornea abrasions, trauma, penetrating injuries, chemicals
C: rubbing/firm direct pressure, sharp instrument to remove object, leaving contact lenses in.

Question 13

5.6.c treat eye injury complications

Answer 13

Inflammation, infection, pain, ocular damage, vision loss, bleeding.

Question 14

5.6.d treat penetration wound indications and complications

Answer 14

I: stabilization/immobilization of impaled objects
C: removal (unless airway compromise), allowing object to move, applying direct pressure to object.

Question 15

5.6.d treat penetration wound complications

Answer 15

Hemorrhage, hypovolemia, tissue/organ damage, shock, infection

Question 16

5.6.f routine wound care indications and contraindications

Answer 16

I: traumatic wounds
C: dirty/contaminated wound, embedded foreign body, injuries to underlying structures. Staples (deep wound/face/hands/feet, CT/MRI)

Question 17

5.6.f provide routine wound care complications

Answer 17

Infection, tissue trauma, bleeding, poor wound closure, dehiscence, scarring.

Question 18

5.7.a immobilize fracture involving appendicular skeleton indications

Answer 18

Immobilization and stabilization of suspected fractures, dislocations, decrease pain and swelling

Question 19

5.7.a immobilize suspected fracture involving appendicular skeleton contraindications

Answer 19

Forcefully moving limb, not immobilizing above and below injury, forcing limb into splint, pushing protruding bones under skin, realigning shoulder, elbow, wrist, or knee fractures.

Question 20

5.7.a immobilize fracture involving appendicular skeleton complications

Answer 20

Pain, muscle spasm, soft tissue damage, edema, nerve damage, decreased pulses and sensation, compartment syndrome, infection, fat embolism.

Question 21

5.8.c med admin SQ indications and contraindications

Answer 21

I: med admin
C: trauma, infection, burns, injury, pain, nodules, lumps, scars, tattoos, bruising

Question 22

5.8.c med admin via SQ complications

Answer 22

Redness, swelling, bleeding, inflammation, pain, abscess, nerve injury

Question 23

5.8.f med admin via IO indications and contraindications

Answer 23

I: med admin
C: bone fx, osteoporosis, osteogenesis imperfecta, bilat knee replacement, previous IO attempt

Question 24

5.8.f med admin via IO complications

Answer 24

Similar to IV, compartment syndrome, bone fx, PE

Question 25

5.8.g med admin via ETT indications, contraindications, and complications

Answer 25

I: no IV/IO access
C: no ETT, only certain meds can be administered
Comp: airway injury, aspiration, med OD

Question 26

5.8.j med Admin via topical indication, contraindications, complication

Answer 26

I: med admin
C: scar tissue, thick skin, PVD, eye and mouth use
Comp: redness, itching, inflammation, inhalation

Question 27

5.8.n med admin via IN indication, contraindications, complication

Answer 27

I: med admin when IO/IV unavailable
C: epistaxis, nasal trauma/abnormality/congestion/discharge
Comp: epistaxis, nasal trauma