Assessment Flashcards

Question

Drug Administration

Answer 1

- Correct Patient - Correct Drug - Correct Route - Correct Dose - Correct Time - Not expired - Contraindications

Answer 2

Nasal Canula: 2-6 lpm O2 conc: 24-44%

Answer 3

BVM: 15L/M O2 conc: nearly 100%

Answer 4

In the conscious Patient - SAMPLE - OPQRST All Pt Head & Neck - obvious wounds - position of trachea - Deformity / JVD - tenderness to c-spine Chest - movement & symmetry - obvious blunt or penetrating trauma - -for TIC of the ribs - Ascultates Breath Sounds Abdomen - obvious wounds - rigidity / distension - tenderness (conscious) Pelvis - for obvious wounds - DCAP-BTLS-TIC Legs/Arms - obvious blunt trauma - DCAP-BTLS-TIC - PMS Posterior Exam -DCAP-BTLS-TIC Disability -Pupils for PERRL Baseline Vitals BP, PR, RR, Glucose, SaO2 Re-assessement

Answer 5

Verbalizes General Impression of Pt Determines LOC Determines Life Threats (ABC) ``` Airway - Opens / assesses / adjunct as needed Breathing - Assesses Breathing .. too fast or slow - Initiates appropriate O2 Therapy -Manages any complication to breathing Circulation -Checks pulse - rate, rhythm, quality Assesses Skin - color, temp, condition -Major Bleedind ```

Answer 6

``` Description of episode Duration Onset Associated symptoms Checks Blood Glucose Performs Stroke Assessment Evidence of Trauma Seizures Fever Interventions ```

Answer 7

Have you taken you insulin today Have you eaten today Obtains blood glucose level Obtains on-line or off-line orders from medical control Assure 5 R's Checks Expiration Date Determines that pt can swallow & protect airway

Answer 8

``` Length of Time of Unconsciousness Position Hx Blood in vomit or stool Trauma Incontinence Checks Blood Glucose Interventions ```

Answer 9

Positions pt ro facilitate comfort | OPQRST

Answer 10

Obtains On-Line or Off-Line Medical Control Assures 5 R's & expiration Ensures that BP is appropriate (100) Asks about ED drugs******* Considers repeat dose in 3-5 min if pain continues & BP ok

Answer 11

``` What was the substance When / How exposed Amount ingested Time Period Interventions Estimated Weight Contacts Poison Control ```

Answer 12

moves pt to safe place | administers O2 ASAP

Answer 13

closely monitors airway | is alert for vomiting

Answer 14

Removes clothing | ensures not activated by water

Answer 15

``` Contacts Medical Control Determines swallow and airway Shakes container places in cup with a lid monitors pt during administration ```

Answer 16

Obtains on-line off-line Medical Control Assures 5 R's & exp Shakes inhaler Removes O2 mask Has pt exhale deeply & puts mouth around inhaler Has pt depress inhaler as they begin to inhale deeply Adsorption by having pt hold breath as long as possible Replaces O2 & allows pt to rest before repeating if needed

Answer 17

``` manually stabilize PMS measure the splint immobilize joint above and below wrap distal to proximal secure the hand or foot in the position of function PMS ice? ```

Answer 18

``` stabilize the limb PMS immobilize the site and the bone above and below secure the splint - distal to proximal PMS ice? ```

Answer 19

evisceration bi-lateral femur pelvic fracture and any other that you feel is appropriate

Answer 20

``` control bleeding if present high flow O2 PMS Traction splint (PMS throughout) PMS ```

Answer 21

two rigid long boards | PMS before and after

Answer 22

bone above and below - could use a pillow PMS before and after

Answer 23

``` Carotid....60 Brachial- anticubital/Mid-Humeral Radial.....90 Femoral....70 Dorsalis Pedis...90 Posterior Tibial ``` Normal 60-100 Adult If you find a pulse at the xx BP is... Ask about rate, rhythm and quality

Answer 24

10 Locations Skin to Scope Turn Head - Deep Breath in & out Quality of Breathing Normal, Shallow, Labored, Noisy ``` listen on one side and then the opposite side anterior chest just below the clavicle just below the nipple line between scapula lower border of the lungs mid axiiallary ``` Wheezing: high pitched musical most common on expiration Crackles: fine bubbling - fluid - hear opening & closing of alveoli Rhonchi - low pitched snoring /rattling rhonchi are louder than crackles Stridor - high pitch on inspiration partial airway obstruction in trachea or larnyx

Answer 25

explain to pt prepare equipment check exp on strips & inst is calibrated insert strip into meter ``` clean with alcohol allow to dry apply lancet wipe first drop of blood touch test strip to blood read result apply band - aid ``` ``` Hypoglycemic- 140 mg/dL slow onset thirst urination dehydration altered warm, red, dry ``` a reading of high usually indicates a reading >500 mg/dL

Answer 26

Before shift I would have checked the status - check for unresponsiveness - check for no breathing - Activates EMS / calls for AED - check carotid pulse - high quality CPR - hand placement - ctr chest / lower half of sternum - compression rate 100 min - 30 compressions 18 sec or less - adequate depth - at least 2 adult - allows for chest recoil - activates AED - places pads upper right / lower left - clears rescuer - pushes analyze - clear If AED advises shock - delivers 1 shock - begins CPR - performs 5 cycles of chest compressions - allows AED to check rhythm If no pulse present: -resume CPR for 2 minutes If AED advises No Shock If pulse present: - checks breathing - if breathing gives high flow O2 - monitors pt If pulse present without breathing: - checks breathing - BVM with 100% O2 - monitor If no pulse present: - continues CPR - reassesses rhythm with AED - transport pt Remember - Verbally & visually clear area - dont touch with analyzing or delivering shock - don't analyze while ambulance is moving

Answer 27

explains procedure to pt has pen light ready ``` take off glasses open both eyes and gaze straight ahead places palm btwn eyes vertically shines light into one eye then the other ``` record size as dialated, normal, constricted record reactivity as reactive, non-reactive equal, non equal ``` PERRL Pupils Equal Round React to Light ```

Answer 28

standard precautions a. determines extent of tissue involved b. PMS before and after c. I.C.E.S 1. Ice application 2. Compression Type Dressing 3. Elevation of Injured Part 4. Splint to Imobilize

Answer 29

``` standard precautions PMS controls bleeding 1. uses appropriate sterile dressing 2.roller gauze to secure 3.splint to imobilize 4. tx for shock if present ``` don't take away dressing just add to them

Answer 30

applies occlusive dressing administers early O2 or assisted ventilations tx for signs and symptoms of shock all pt with MOI should have spinal precautions

Answer 31

does not replace exposed contents administers early O2 covers with sterile moist dressing tx for signs and symptoms of shock all pt with MOI should have spinal precautions

Answer 32

does not remove object administers O2 secures object with bulky dressing tx for signs and symptoms of shock all pt with MOI should have spinal precautions

Answer 33

``` takes std precautions scene safety spinal stabilization primary assessment initiates tx of all life threats ``` ``` immediately seal with gloved hand obtains and applies occlusive dressing seals on 3 sides administers O2 observes for signs of tension pneumothorax -increasing respiratory distress -hypotension -trachea deviation -distended neck veins -decreased breath sounds -altered LOC ``` if signs of pneumo present -burps the dressing and continues to monitor pt dressing 2 inches wider than the wound keep pt on uninjured side have them take a deep breath in and apply check for compliance with the

Answer 34

``` positon pt correctly - supine administers O2 prevents heat loss indicates immediate need for transport reassess ```

Answer 35

* Inspect the bag - is it the right fluid, expiration, clear and free of particulate, leaks? * Select the proper administration set * Connect the extension set to the administration set * make sure the flow regulator is closed * Remove the protective covering from the port of the fluid bag and the protective covering from the spiked end of the tubing Insert the spiked end into the fluid bag * Hold the fluid bag higher than the drip chamber * Open the flow regulator to flush air from tubing * Turn off flow

Answer 36

If no distal pulse make 1 attempt to reposition limb - PMS - rigid splint on either side - wrap to thigh and calf with cravat in a figure 8 manner - should extend 6-12 inches on either side - PMS splint should extend from the buttocks to 4 inches beyond the heel wrap distal to proximal pad voids tie the legs together with wide cravat or a splint on either side of the leg

Answer 37

``` evaluates injury and PMS supports injured limb places sling with little or no movement ties to one side or pads the area sling supports weight of the arm swathe large enough to encircle arm and chest ties knot opposite the side of the injury swathe secures arm from swinging hemorrhage control PMS could do with cap refill ```

Answer 38

Stand back 25 ft cover one eye read the lowest line identify green and red lines what color is the bar.....

Answer 39

-have suction ready - no gag reflex - esophageal varicies - corner of the mouth to earlobe - use head tilt chin lift or modified jaw thrust - cross finger -airway adjunct in place must maintain head tilt / jaw thrust

Answer 40

-have suction ready - no gag reflex - facial trauma - know or suspected palate fracture - CSF out of nose or ears -nostril to earlobe - use head tilt chin lift or modified jaw thrust - cross finger -airway adjunct in place must maintain head tilt / jaw thrust

Answer 41

- intake at leat 30 L/min - generate vacuum of 30 mmHg -remember to wear eye protection - preoxygenate? - no longer than 10 sec no suction with skull fracture if can visualize brain tissue