8. Emergency Care, First Aid, & Disasters Flashcards

1
Q

Medical emergencies involve what 4 situations? [STAR]

A
  • person is unconscious or unresponsive
  • person is not breathing
  • person has no pulse
  • person is bleeding profusely
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2
Q

What things should you take with you when an emergency occurs?

A

2 pairs of gloves and a barrier face mask

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3
Q

What does it mean to be conscious?

A

having awareness of surroundings, sensations, and thoughts

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4
Q

What is the acronym for a CNA to perform first aid? What does it stand for? [STAR]

A

PPE SCC

  • PPE: grab and apply PPE
  • Safety first; check that area is safe
  • Call for help
  • Care for victims
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5
Q

Respiratory arrest vs cardiac arrest; what must be initiated in each situation? [STAR]

A
  • respiratory arrest: breathing stops (initiation rescue breathing)
  • cardiac arrest: heart stops beating (initiation CPR)
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6
Q

the care given to an injured person by the first people to respond to an emergency

A

first aid

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7
Q

What residents are at higher risk of choking?

A

residents who have difficulty chewing/swallowing, have dentures that don’t fit well, are confused, or have poor vision

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8
Q

If a resident is choking but can speak, cough, or breath, what should you do? [STAR]

A

encourage the resident to cough as forcefully as possible to get the object out

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9
Q

What are signs that a person choking needs abdominal thrusts?

A

blue-tinged skin (cyanosis), or inability to speak, cough (silent cough), or breathe

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10
Q

what occurs when organs and tissues in the body don’t receive adequate blood supply

A

shock

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11
Q

Sxs of shock

A

pale/cyanotic skin, staring, tachycardia, tachypnea, low BP, extreme thirst

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12
Q

Name the 3 types of burns

A
  • first degree (superficial)
  • second degree (partial thickness)
  • third degree (full thickness)
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13
Q

abnormal heart rhythm, decreased blood supply to brain, hunger, hypoglycemia, dehydration, fear, pain, fatigue, standing for a long time, poor ventilation, pregnancy, or overheating can all cause what?

A

syncope/fainting

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14
Q

Signs and sx of syncope

A

dizziness, nausea, diaphoresis, pale skin, weak pulse, shallow respirations, blackness in the visual field

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15
Q

Possible signs and sx of poisoning

A

vomiting, heavy/difficulty breathing, drowsy, confused, or burns/red areas around the mouth

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16
Q

What is the pain of an MI usually described as? [STAR]

A

crushing, pressing, squeezing, stabbing, piercing, or “like someone is sitting on my chest”

17
Q

What type of sxs are women more likely to experience with an MI?

A

flu-like sx, SOB, pain/pressure in the lower chest or upper ABD, dizziness, lightheadedness, fainting, pressure in upper back, or extreme fatigue

18
Q

What can result in insulin reaction or hypoglycemia?

A

can result from either too much insulin or too little food; can also occur when a regular amount of food is eaten, but physical activity may cause the body to rapidly absorb food

19
Q

Signs and sx of insulin reaction or hypoglycemia

A

weakness, nervousness, dizziness, or diaphoresis

20
Q

What should you give a person with hypoglycemia if they are conscious and can swallow?

A
  • a glass of milk, fruit juice, or water w/ sugar dissolved in it
  • glucose tablet
21
Q

blood glucose levels fall but the person doesn’t experience any sxs is know as what?

A

hypoglycemia unawareness

22
Q

undiagnosed DM, infection (UTI), not taking insulin, hyperglycemia, eating too much, not getting enough exercise, or physical/emotional stress can cause what?

A

diabetic ketoacidosis (DKA)

23
Q

What is your main goal when a resident has a seizure? [STAR]

A

to make sure the resident is safe

24
Q

Describe an absence or petit mal seizure

A

brief episodes of staring in which levels of awareness and responsiveness are limited; usually people don’t realize they’ve had a seizure and can be alert afterwards

25
Describe a myoclonic seizure
brief jerks of a muscle or group of muscles that usually don't last for more than a few seconds
26
Describe an atonic seizure (drop attack/drop seizure)
muscles suddenly lose strength, which can cause drooping of the eyelids and nodding of the head; person may drop things or fall to the ground; person is usually conscious during the seizure and it lasts less than 15 seconds
27
Describe a tonic seizure
muscle tone is greatly increased temporarily, and the body, arms, or legs can suddenly stiffen; person usually remains conscious; most often occur during sleep and last less than 20 seconds
28
Describe a clonic seizure
consists of rhythmic jerking of the arms and legs; can occur on one or both sides of the body and length of seizure varies
29
Describe a tonic-clonic seizure (grand mal seizure)
all the muscles stiffen and the person may groan and lose consciousness, falling to the floor; person may bite their tongue/cheek, turn blue, or lose bladder/bowel control; arms and legs make rhythmic jerking and bending movements; usually lasts 1-3 minutes and afterwards, person may be confused, tired, or agitated
30
What can cause a CVA?
a clot, ruptured blood vessel, or pressure from a tumor compressing a vessel
31
What is a TIA and how long do sx usually last?
transient ischemic attack results from a temporary lack of oxygen to the brain; sx may last up to 24 hours
32
Define the following: hemiplegia, hemiparesis, expressive aphasia, receptive aphasia
- hemiplegia: paralysis on one side of the body - hemiparesis: arm or leg numbness or weakness, especially on one side - expressive aphasia: slurred speech or inability to speak - receptive aphasia: inability to understand spoken or written words
33
What is the acronym for sudden signs a stroke is occurring? What does it stand for? [STAR]
FAST - Face (one-sided drooping) - Arms (one arm weak/numb) - Speech (slurred speech; aphasia) - Time (timing is very important and must act fast when sx occur)
34
What is the CNA's role on the code team?
they may be asked to perform chest compressions during CPR
35
T/F - responding to a code is more important than the resident they are currently taking care of
False - find another staff member to take over the resident before responding to the code
36
What is the universal sign of choking? [STAR]
hands crossed over throat
37
Name 3 things you shouldn't do when a someone is having a seizure? [STAR]
- don't try to stop the seizure or restrain the person - don't put anything in their mouth - don't give them any food or fluids