4093 2 Flashcards
Emergent triage indicates a life- or ___-threatening situation
limb
A primary survey is a rapid assessment of life-threatening conditions. It should take no longer than __ seconds to perform
60
ABCDE
Airway/cervical spine, breathing, circulation, disability, exposure/environmental control
The most obvious way to tell the airway is open
Client is awake and alert
If the client is unresponsive without suspicion of trauma, the airway should be opened with
a head-tilt/chin-lift maneuver
the most effective manual technique for opening a client’s airway without any equipment
a head-tilt/chin-lift maneuver
If the client is unresponsive without suspicion of trauma, the airway should be opened with a head-tilt/chin-lift maneuver. Do NOT do this technique on clients who
have a potential cervical spine injury
If the client is unresponsive with suspicion of trauma, the airway should be opened with a
modified jaw thrust maneuver
A nonrebreather mask with 100% oxygen source is indicated for clients who are
spontaneously breathing
Once a patent airway is achieved, the
presence and effectiveness of breathing should be assessed
Once adequate ventilation is accomplished,
circulation is assessed
as a ____ ___, apply a tourniquet distal to a traumatic injury
last resort
Obtain IV access using large-bore IV catheters inserted into the ____ ___ of both arms
antecubital fossa
Disability refers to
a quick assessment to determine the client’s level of consciousness
Glasgow Coma Scale: Components include
eye opening, verbal response, and motor response
exposure/environmental control refers to
remove their clothes to do an assessment
Hypothermia is a really important concern during ABCDE. one way to treat this
warm IV fluids (as prescribed)
____ of ipecac is no longer recommended for poison patients
Syrup
Administer ____ medications for pain due to snake or spider bite
opioid
Poisoned patient: Administer IV ____ if seizures occur
diazepam
Use ____ and an exchange blood transfusion as a nonpharmacologic technique to
remove toxic agents
dialysis
Cardiac arrest – the sudden cessation of cardiac function caused most commonly by ___ ___ or ___ ___
ventricular fibrillation or ventricular asystole
Ventricular fibrillation (VF) – a fluttering of the ventricles causing (3 things)
loss of consciousness, pulselessness, and no breathing
an irritable firing of ectopic ventricular beats at a rate of 140 to 180/min
V tach
Ventricular asystole
complete absence of electrical activity and ventricular movement
VF or VT: administer
Epi 1 mg IV push Q 5 min or vassopress 40 units IV once
Postresuscitation: give Catecholamine adrenergic agonists like d_____, e____, d____
DA, Epi, Dobu
The CPR sequence for adults and kids is
Compression, Airway, Breaths (Cabs)
The CPR sequence for newborns is
ABC
In-Hospital Cardiac Arrest: step 1
Determine responsiveness of client
In-Hospital Cardiac Arrest: step 1: Determine responsiveness of client. If there’s no response
Stay with the patient but call and code and tell someone to bring the crash cart
In-Hospital Cardiac Arrest: If pulse is not identified within 10 seconds,
begin chest compressions
In-Hospital Cardiac Arrest: If pulse is not identified within 10 seconds, begin chest compressions. After 30 compressions,
open airway and ventilate
In-Hospital Cardiac Arrest: Immediately after defibrillations,
Resume CPR, beginning with compressions
During cardiac arrest, what is the Do and Don’t for acidosis
Do increase ventilation, don’t give bicarbonate
silent cough, inability to speak or breathe, or cyanosis. The victim typically clutches the neck.
FBAO
how do you do the Heimlich maneuver for obese or pregnant people
chest thrusting (instead of abd)
FBAO: Use a finger sweep only if
the object is seen obstructing
the airway
Choking: If the infant is able to cry, cough,
do not interfere
