AHE FINAL PT PROBLEMS Flashcards

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1
Q

COPD

A

disease blocking and breathing related problems
prone to irreversable damage and lung cancer
(emphysmea/chronic bronchitis)
wheezing
dsypnea
hypoxia

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2
Q

Emphysema

A

alveoli walls breakdown, greatly reducing the surface area for respiratory exchange
lungs lose elasticity

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3
Q

Chronic Bronchitis

A

bronchiole lining is inflamed mucus formed

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4
Q

Epiglottis

A

Infection inflames the area above and around the epiglottis
seen in adults now

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5
Q

Pulmonary edema (CHF)

A

difficulty of breathing due to fluid in lungs

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6
Q

pulmonary embolism

A

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

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7
Q

ventilation rate

A

12-20 rpm infant
10-12 adult

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8
Q

infarction

A

tissue death after ischemia (lack of o2 to tissues)

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9
Q

ROSC

A

when heartbeat begins to beat on its own again after cpr and defib
initiate transport
treat for shock
monitor vitals
reasses

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10
Q

Acute coronary sundrome

A

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

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11
Q

ischemia

A

class of heart are not getting enough oxygenated blood

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12
Q

coronary artery disease

A

coronary arteries are narrowed or blocked, blood flow is reduced, thereby reducing the amount of O2 delivered to the heart

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13
Q

angina pectoris

A

heart works harder supplied by narrowed artery is starved of O2
stress
rest nitro

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14
Q

Acute Myocardial Infarction AMI

A

blockinf of coronary artery formation of thrombus or embolism
radiates
chest discomfort
epigastric
epigastric discomfort
pt med hx
pt medications

als
aspirin
nitro

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15
Q

congestive heart failure

A

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

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16
Q

aneurysm

A

cardiovascular disorder that stems from weakened sections in the arterial wall

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17
Q

mechanical heart failures

A

MI
aortic valve stenosis
pericardial temponade
cardiac temponade
pulsesless electrica; activity

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18
Q

sudden cardiac arrest

A

refers to an abrupt onset of dysrythmis
vtach
vfib

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19
Q

Diabetes

A

low glucose below 60
insulin oral glucose
check glucose

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20
Q

hypoglycemia

A

low blood sugar
sudden onset
seizure’s skin cold moist clammy

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21
Q

hyperglycemia

A

high blood sugar
lack of insulin
over days weeks
tachy cardia
drop bp
increase urination and thirst

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22
Q

siezure types

A

generalized partial

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23
Q

stroke

A

tia, lvd, subarachnoid hemorrhage
fast
ams
high bp
unequal pupils
numbness, weakness, or paralysis

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24
Q

SIRS

A

less than 96 degress
more than 101 degrees
hr greater than 90
rr greater than 20
ams

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25
Q

Stimulants

A

uppers

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26
Q

depressants

A

downers

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27
Q

meth

A

upper

28
Q

solid organ

A

liver spleen pancreas kidneys

29
Q

holliw oragns

A

stomach
small intestine
large intestine
gall bladder
bladder
duodenum
appendix

30
Q

Epigastric region

A

stomach
pancreas

31
Q

RUQ

A

liver
gall bladder
r kidney

32
Q

LUQ

A

spleen kidney

33
Q

RLQ

A

appendix

34
Q

visceral pain

A

originates from the organs

solid- dull achy
hollow- intermittent, cramp sharp

35
Q

Parietal pain

A

direct result of irritation of peritoneum
sharp constant
due to GI bleeding/infection/inflammation

knees up

36
Q

reffered pain

A

pain goes somewhere else due to pathway of nerves
Gall bladder= r shoulder
spleen= L shoulder

37
Q

appendicitis

A

infection of the appendix
nausea vommiting
pain in umbilicus
sharp pain in RLQ

38
Q

Peritonitis

A

Infection or inflammation of the peritoneum
upon palpination pain
fever

39
Q

cholecytisis/gallstones

A

gall bladder full of stones bile
RUQ epigastric pain
r shoulder pain
green sputum
nausea

40
Q

pancreaitis

A

infection
apin in stomach
back shoulders
signs of shock

41
Q

GI bleeding

A

bright red sputum
coffee ground material
abnormal stools

42
Q

Renal Colic/Kidney stones

A

kidney stones
flank pain to groin

43
Q

AAA

A

aortic aneurysm
sharp pain to the back
inequality between pulses
palpate a pulsating mass

44
Q

hernia

A

suddent onset of lifting or exertion
lump abdomal wall or groin

45
Q

causes shock

A

volume loss
pump fail
loss of blood
obstruction of flow

46
Q

hypovolemic shock

A

insufficient volumes of fluids in circulatory system

47
Q

cariogenic shock

A

root cardiac cause of the hypo perfusion state

48
Q

distributive shock

A

caused by massive drops in bp associated with systemic dilations
anaphylactic
neurogenic
septic

49
Q

obstructive shock

A

blood flow blocked
pulmonary embolism
cardiac tamponade
tension pneumothorax

50
Q

compensated shock

A

period when the pt is developing shock but body is maintaining
tachypne
tachycardia
cool diaphretic skin
nausea

51
Q

decompensated shock

A

when the body can no longer compensate for low blood volume or lack of perfusion

low bp
low hr
low rr

52
Q

arterial bleeding

A

bright red squirting of blood

53
Q

venous bleeding

A

dark red flow steady

54
Q

types of chest trauma

A

blunt trauma
penetrating
compression and shearing injuries

55
Q

classification of chest injuries

A

closed open

56
Q

Flail chest

A

fractur of two or more ribs
paradoxial motion
diff breathing
pain at site
shock hypoxia
als
o2
transport

57
Q

pneumothorax

A

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

58
Q

tension neumothorax

A

buildup of air in chest cavity putting pressure on heart and vena cava
pneumothorax signs and symptoms
hypoxia
cyanosis
shock
low bp
tracheal deviation

59
Q

hemopneumothorax

A

blood flow into space around llungs
signs of pneumothoarax
red sputum

60
Q

Cardiac tamponade

A

penetrating trauma injury to the heart causing bloowd flow of sac
jvs
weak pulse
low bp
steady decreasing pulse pressur
o2 rapid transport

61
Q

commotio cordis

A

blunt force trauma when the heart is electrically vulnerable

62
Q

eviseration

A

open wound on abd organs coming out
sterile dressing moistened with sterile saline of wound site

63
Q

intercranial pressure

A

high bp
slow hr
neurologic posturing
unequal pupils

64
Q

cheyne stokes respirations

A

distinct patter of breathing quick and deep

65
Q

subdural hematoma

A

collection of blood between brain and dura

66
Q

epidural hematoma

A

blood between the dura and the skull

67
Q

intracerebral hematoma

A

blood pools in the brain