ABCDE

Question 1

Airway- if pt is talking to you, it means what?

Answer 1

They have a patent airway

Question 2

A: What are abnormal airway noises?

Answer 2

Stridor,snoring gurgling

Question 3

If there’s a foreign body or loose teeth, blood or vomit?

Answer 3

No blind sweeps, keep well fitted dentures in
Suction circular motion out

Question 4

What is t 1st priority in an unconscious person? How? What about ?spinal injury?

Answer 4

Open the airway
>head tilt chin lift
?spinal > jaw thrust

Question 5

What is agonal breathing?
What do you do?*

Answer 5

Unconcious w airway obstruction or s1 in CA

> immediately open airway,
Check breathing
IF NO breathing or abnormal breathing
Start CPR

Question 6

If an unconcious pt is attempting to breathe, airway APPEARS obstructed, what do you do? If this fails what could bear going on?

Answer 6

> jaw thrust
if this fails could be choking

Question 7

Preferred airway tech for infants? Why? How do you do it?

Answer 7

Chin tilt nose parallel to the sky, jaw thrust
Bc they are nose breathers, big tongue
Head tilt can obstruct airway

Question 8

Can you do a head tilt in infants?

Answer 8

Y. Only v slightly bc can obstruct airway

Question 9

What are the breathing considerations? (11 ans)

Answer 9

Spontaneous , RR, SpO2, WOB, accessory muscle use, pt position(tripod), SOB speaking(words, short, full sentences), chest movement, depth symmetry, attempting PEEP through pursed lips, grunting

Question 10

If there is inadequate breathing what do I do?

Answer 10

Bag valve mask ventilation, make sure airway is open

Question 11

C= Circulation
What do you check?
What are interventions dependent on cause?

Answer 11

Check warm and perfused, centrally and peripherally, radial pulse, bounding thready, HR, BP
>connected to Telemetry
> ECG
> cap refill <2secs

Question 12

C: If the pt does not have a radial pulse, what does this mean? What do you do?

Answer 12

C: BP is <90mmHg
>Check BP
> put on telemetry to monitor VS
> insert IV cannula FUTURE INTERVENTIONS

Question 13

C: What does PAST mean? What should you do?

Answer 13

C: Pale, Ashen, Sweaty, Tachycardiac =pt is shocked
=HR higher than BP =SICK
>2 large IVCs
> telemetry

Question 14

Disability:
What do you use to initially test LOC?

Answer 14

AVPU Alert, responds to Voice, or Pain, Unconcious

Question 15

D : What other things do you do?
Pain assessment

Answer 15

P location
Q describe it
R radiating
S severity 0-10
T onset intermittent, constant

Full GCS
BSL
Neuro vascular obs for limb injuries

Question 16

E=Exposure what things do you assess?

Answer 16

Need to put pt into a gown to assess RR

Question 17

What is really NB when assessing a pt re ABCDE?

Answer 17

Correct the problem before moving on to the next step

Question 18

Vitals for code 1 and 2

Answer 18

1-5mins, Q 10mins respectively

Question 19

What is the sigficance of tachycardia?

Answer 19

Depends on type, many causes; sinus tachycardia, SVT, SVT> unconscious or CA

Question 20

What is the significance of bradycardia?

Answer 20

Arrhythmias ; less O2 to brain and body

Question 21

What is the significance of hypotension?

Answer 21

Reduced organ perfusion, insufficient blood to coronary arteries > CP, MI

Question 22

Name causes of h.T? (7)

Answer 22

Dehy, bl loss, cardiac issues, anaphylaxis, infection, endocrine, pregnancy

Question 23

How do you assess CR?

Answer 23

Press finger nail
Centrally press sternum, forehead

Question 24

Limitations of GCS?

Answer 24

Needs to be EVM formation, doesn’t incl brain stem reflexes
Subjective
Affected by drugs ETOH