Ch 37 Emergencies For Patients With Special Challenges Flashcards

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1
Q

Diseases not developmental

A

Multiple sclerosis, Parkinson’s disease

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2
Q

Cerebral palsy

A

Permanent impairment in motor control
Begins at birth

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3
Q

Kidney (renal) failure

A

Result from chronic illness such as diabetes, high BP, or traumatic injuries
Do not take BP in extremity with dialysis access

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4
Q

BMI

A

25-29 overweight
Over 30 obese

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5
Q

BiPAP

A

NIPPV
Assistance with inhalation and exhalation

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6
Q

DOPE

A

Problems with home ventilator
Displacement (observe chest rise during ventilation)
Obstruction
Pneumothorax/pneumonia
Equipment

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7
Q

Pacemaker

A

Prevents heart rate from being too slow
Delivers low energy pulses

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8
Q

AICD

A

Automatic implanted cardiac defibrillator
Defects life threatening rhythms and delivers shock to restore

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9
Q

Ventricular assist device

A

Implanted mechanical pump that pumps for one or two of heart ventricles

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10
Q

NG tube

A

Nasogastric
Feeding tube
Nose to stomach

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11
Q

G tube

A

Gastronomy
Through Abdominal wall to stomach
Feeding tube

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12
Q

Ostomy bag

A

Connected to colostomy or ileostomy (brings intestine through abdominal wall to rectum)

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13
Q

Dialysis

A

For kidney failure
Removes toxins, filters blood, helps regulate fluid levels

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14
Q

Hemodialysis

A

Usually at dialysis center
Machine removes and returns blood
Prone to hypovolemia, hypotension

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15
Q

Peritoneal dialysis

A

Requires permanent catheter
Dialysis solution run into abdominal cavity to absorb waste products
Can be done at home

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16
Q

Do not take BP on any arm

A

With A-V shunt, fistula, or graft

17
Q

Central IV catheter

A

For frequent IV therapy
On arm (PICC) or chest (central venous line) or implanted port under skin

18
Q

Ventriculoperitoneal (VP) shunts

A

Drainage device from brain to abdomen or to atrium of heart to relieve CSF

19
Q

Shaking an infant

A

Bulging fontanelle
Injuries to central nervous system