AHE FINAL PT PROBLEMS Flashcards
COPD
disease blocking and breathing related problems
prone to irreversable damage and lung cancer
(emphysmea/chronic bronchitis)
wheezing
dsypnea
hypoxia
Emphysema
alveoli walls breakdown, greatly reducing the surface area for respiratory exchange
lungs lose elasticity
Chronic Bronchitis
bronchiole lining is inflamed mucus formed
Epiglottis
Infection inflames the area above and around the epiglottis
seen in adults now
Pulmonary edema (CHF)
difficulty of breathing due to fluid in lungs
pulmonary embolism
a clot of fat stuck in a artery
tachycardia hypoxia dvt tachpnea sob
risk-pregnancy birth control cancer
OZ rapid transport stemi center
ekg
sob paste
ventilation rate
12-20 rpm infant
10-12 adult
infarction
tissue death after ischemia (lack of o2 to tissues)
ROSC
when heartbeat begins to beat on its own again after cpr and defib
initiate transport
treat for shock
monitor vitals
reasses
Acute coronary sundrome
blanket term refers to blood supply to cells of heart is blocked or disreupted
chest pain
stroke
chest discomfort
pressure
radiates
SOB
aspirin
o2
nitro
ischemia
class of heart are not getting enough oxygenated blood
coronary artery disease
coronary arteries are narrowed or blocked, blood flow is reduced, thereby reducing the amount of O2 delivered to the heart
angina pectoris
heart works harder supplied by narrowed artery is starved of O2
stress
rest nitro
Acute Myocardial Infarction AMI
blockinf of coronary artery formation of thrombus or embolism
radiates
chest discomfort
epigastric
epigastric discomfort
pt med hx
pt medications
als
aspirin
nitro
congestive heart failure
implies one or both ventricles can no longer fill up or pump blood adequately
JV
pedal edema
pt meds
significant wt gain
SOB
fluid in lungs
cpap
nitro
aneurysm
cardiovascular disorder that stems from weakened sections in the arterial wall
mechanical heart failures
MI
aortic valve stenosis
pericardial temponade
cardiac temponade
pulsesless electrica; activity
sudden cardiac arrest
refers to an abrupt onset of dysrythmis
vtach
vfib
Diabetes
low glucose below 60
insulin oral glucose
check glucose
hypoglycemia
low blood sugar
sudden onset
seizure’s skin cold moist clammy
hyperglycemia
high blood sugar
lack of insulin
over days weeks
tachy cardia
drop bp
increase urination and thirst
siezure types
generalized partial
stroke
tia, lvd, subarachnoid hemorrhage
fast
ams
high bp
unequal pupils
numbness, weakness, or paralysis
SIRS
less than 96 degress
more than 101 degrees
hr greater than 90
rr greater than 20
ams
Stimulants
uppers
depressants
downers
meth
upper
solid organ
liver spleen pancreas kidneys
holliw oragns
stomach
small intestine
large intestine
gall bladder
bladder
duodenum
appendix
Epigastric region
stomach
pancreas
RUQ
liver
gall bladder
r kidney
LUQ
spleen kidney
RLQ
appendix
visceral pain
originates from the organs
solid- dull achy
hollow- intermittent, cramp sharp
Parietal pain
direct result of irritation of peritoneum
sharp constant
due to GI bleeding/infection/inflammation
knees up
reffered pain
pain goes somewhere else due to pathway of nerves
Gall bladder= r shoulder
spleen= L shoulder
appendicitis
infection of the appendix
nausea vommiting
pain in umbilicus
sharp pain in RLQ
Peritonitis
Infection or inflammation of the peritoneum
upon palpination pain
fever
cholecytisis/gallstones
gall bladder full of stones bile
RUQ epigastric pain
r shoulder pain
green sputum
nausea
pancreaitis
infection
apin in stomach
back shoulders
signs of shock
GI bleeding
bright red sputum
coffee ground material
abnormal stools
Renal Colic/Kidney stones
kidney stones
flank pain to groin
AAA
aortic aneurysm
sharp pain to the back
inequality between pulses
palpate a pulsating mass
hernia
suddent onset of lifting or exertion
lump abdomal wall or groin
causes shock
volume loss
pump fail
loss of blood
obstruction of flow
hypovolemic shock
insufficient volumes of fluids in circulatory system
cariogenic shock
root cardiac cause of the hypo perfusion state
distributive shock
caused by massive drops in bp associated with systemic dilations
anaphylactic
neurogenic
septic
obstructive shock
blood flow blocked
pulmonary embolism
cardiac tamponade
tension pneumothorax
compensated shock
period when the pt is developing shock but body is maintaining
tachypne
tachycardia
cool diaphretic skin
nausea
decompensated shock
when the body can no longer compensate for low blood volume or lack of perfusion
low bp
low hr
low rr
arterial bleeding
bright red squirting of blood
venous bleeding
dark red flow steady
types of chest trauma
blunt trauma
penetrating
compression and shearing injuries
classification of chest injuries
closed open
Flail chest
fractur of two or more ribs
paradoxial motion
diff breathing
pain at site
shock hypoxia
als
o2
transport
pneumothorax
occurs when air accumulates in the potential space in the area where the lung tissue adheres to chest wall
resp diff
uneven chest
reduction of absense of breath sounds
o2 occlusive dressin
tension neumothorax
buildup of air in chest cavity putting pressure on heart and vena cava
pneumothorax signs and symptoms
hypoxia
cyanosis
shock
low bp
tracheal deviation
hemopneumothorax
blood flow into space around llungs
signs of pneumothoarax
red sputum
Cardiac tamponade
penetrating trauma injury to the heart causing bloowd flow of sac
jvs
weak pulse
low bp
steady decreasing pulse pressur
o2 rapid transport
commotio cordis
blunt force trauma when the heart is electrically vulnerable
eviseration
open wound on abd organs coming out
sterile dressing moistened with sterile saline of wound site
intercranial pressure
high bp
slow hr
neurologic posturing
unequal pupils
cheyne stokes respirations
distinct patter of breathing quick and deep
subdural hematoma
collection of blood between brain and dura
epidural hematoma
blood between the dura and the skull
intracerebral hematoma
blood pools in the brain
