AHE FINAL Flashcards
3 stages of stress
Alarm- fight or flight
Resistance- adaption and coping to the situation
Exhaustion- prolonged exposure to the stressor, lost ability to adapt or cope
Acute stress reaction
occurs simultaneously with the event or shortly after
delayed stress reaction
also know as PTSD, may occur at any time, day, months or years after following a critical event
commulative stress reaction
burnout, as a result to prolonged recurring stressors
emergency move
one rescue drag, one carries
urgent move
log roll to backward
non-urgent
moved from on-site scene to a facility
Safest level to move a pt to the gurney
mid-level
HIPPA
don’t share anything
safety surrender law
parent surrenders baby with in 72 hours of birth
In loco parentis
“in place of parent”
slander
spoken falsly
libel
written falsly
res ipsa loquitur
the thing that speaks for itself
advance directives
DNR, instructions written in advance of an event
fight or flight?
increases pulse (heart pump faster)
blood vessels constrict
RR accelerates
pale, sweaty
skin layers
epidermis
dermis
subcutaneous
components of blood & purpose
plasma-fluid
RBC- o2, nutrients, fuel
immune system soldiers
clotting
artery
oxygenated blood, moves blood towards the heart
route of blood through the heart
R vena cavae
R atrium
R ventricle
pulmonary artery
Lungs
Pulmonary vein
L atrium
L ventricle
Aorta
Process of exhalation
passive process
positive pressure
ribs move downward inward
diaphram rises
size of chest decreases
Ventalation
Mechanical process of moving air in and out of the alveoli
respiration
chemical- exchanges of gasses in the alveoli and in the cells (oxygenated and deoxgenated)
perfusion
blood flow to the alveolar capillaries
-cap refills
-looking at their skin signs
Systolic Pressure
The pressure created in the arteries when the L ventricle contracts & forces blood out into circulation
diastolic pressure
the pressure remaining in the arteries when the L ventricle of the heart is relaxed and refilling
diaphoresis
sweaty, pale skin that is cool & moist to the touch
Hypertension
121-139 systolic
81-89 diastolic
increase of BP HR
abnormally increase of systemic vascular resistance
Systemic vascular resistance
pressure inside the vessels that the heart has to pump against
tachycardia
rapid pulse
a resting HR above 100 BPM in an adult
decreased stroke volume
Aerobic metabolism
sufficient 02
broken into ATP
anaerobic metoblism
insufficient o2
energy produced at lower rate
vitals
HR,RR,BP
Newborn: 100-170,30-60,50-70
1-3 years: 80-140,24-40, 90 + (Yrx2)
adolescent: 60-100, 12-20,107-117
19-40 yrs- 60-100, 12-20, >120
empty nest sundrom
41-60, time after all off-spring have left the home
stridor
high pitched due to obstruction
wheezing
high pitched upon exhalation due to airway narrowing, asthma, copd
crackles/rales
bubbling sound due to fluid build up
rhonchi
lower pitched sounds snoring secretions in larger airways pneumonia
gurgling
fluid in airway due to obstruction
Alveolar ventilation
depends on tidal volume
Pulmonary Respiration
diffusion O2 CO2 take place in alveoili
Hypoxia
not enough oz
NRM flow rate
12-15
enternal
swallow pill
parentals
such as intravenous meds