Ch 2 Flashcards
What are the classic MOIs for spinal injury?
- falls from greater than 3 ft esp onto back, side, butt, head
- falls associated with a loss of consciousness
- high velocity impact
Medical definition of shock
Failure of the circulatory system to provide oxygen to the cells
What are the three forms of shock
Hypolemic: blood loss, dehydration
Vasogenic: sepsis, spine injury, drug overdose, anaphylaxis
Cardiogenic: heart attack, blunt force trauma
Classic signs your patient is in shock
LOR: anxious, restless
HR: elevated
RR: elevated
SCTM: pale cool clammy
What are some principles that should guide your care when lifting and moving a patient while protecting the spine
Limit # of total moves Avoid lateral force Move on plane at a time Maintain neutral alignment Stop if there is an increase in pain
Hypolemic shock
loss of fluid volume from bleeding, sweating, vomiting, diarrhea, and or severe burns
Vasogenic
loss of vascular tone resulting in an increase vascular space; spinal cord injury, sepsis, anaphylaxis
Cardiogenic
failure of the heart to adequately pump blood
aspirin
accion: platelet slider
doseage: 325 mg. 4 bby asprin
antihistamine
accion quiets histamine response doseage: read package route: orally time: patient
nitroglycerin
+ important questions to ask patient
+ what not to do
accion: vasodilator
route: sublingual
patient:
time: expiration date,
dose: 1 pill of .4 mg every 5 minutes up to 3 times
HAVE you taken any other vasodilators like erectile dysfunction drugs?
HAVE YOU TAKEN THIS BEFORE?
DONT TOUCH PILL
EPIPHREDRINE
accion: vaso constrictor
dose: .3ml for an adult, .15 child
route: intramuscular
inhaler
accion: broncodialator
doseage: 4-8 inhalaciones every 20 min for up to 4 hours
usability test
use common sense
can it bear weight
range of motion
septic shock
severe infection
