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SEM II - Patient Care > Chap. 15 & 16 > Flashcards

Chap. 15 & 16 Flashcards

0
Q

Trauma center level two

A

Handle most all trauma care but not everything. Staffed 24 hours

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1
Q

Trauma center level one

A

Treat all levels of injuries and staffed 24/7.

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2
Q

Trauma center level three

A

Smaller community hospitals who have doctors on call during night. Most trauma will be transferred to level 1/2

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3
Q

Golden period

A

One hour after

a time period lasting for one hour following traumatic injury being sustained by a casualty or medical emergency, during which there is the highest likelihood that prompt medical treatment will prevent death

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4
Q

Administering oxygen

A

Tubing with nasal prongs is simplest way -24-45% oxygen.

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5
Q

Suctioning patients who are vommitting

A

Mechanical suction used, usually wall mounted. Turn patient to lateral recumbent and try to remove manually.

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6
Q

Disaster situation

A

Hurricane, bus crash, etc

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7
Q

Emergency

A

Condition that requires immediate attention.

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8
Q

Three greatest reasons to be seen in ER

A

Cardiac arrest
Paralysis
Respiratory

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9
Q

Most X-rays done in the trauma room

A

Chest
Pelvis
Lateral c-spine

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10
Q

STAT

A

Immediately, sooner than ASAP

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11
Q

ASAP

A

As soon as possible

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12
Q

Triage station

A

Process of identifying victims, performing initial exam, and assigning priorities for further care

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13
Q

Emergency/crash cart inclusions

A

Backboard, bag valve mask, blood collection tubes, cuff, cardiac monitor, Defibulator, drugs, scissors, flashlight, IV, suction, protective, logging chart, sterile and non sterile gloves, etc

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14
Q

Most common cause of death for adults under 40

A

Traumas

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15
Q

How to calm an anxious person

A

Give them oxygen to calm them down

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16
Q

Venturi mask

A

High flow oxygen mask.

Used for patients with COPD

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17
Q

Non-breathing mask

A

100% oxygen with resivoir

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18
Q

Respiration

A

Breathing, the process of exchange between oxygen and carbon dioxide

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19
Q

Tube used to go through nose/mouth

A

ET tube

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20
Q

If patient is crashing, what medicine are they given?

A

Epinephrine or adrenaline (same)

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21
Q

Type of topical medication used in the hospital

A

Lydicane or zylicane

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22
Q

If suction is needed, what precautions should be taken?

A

Check to ensure its clean
Make sure all parts are there and working
Adequate tubing length

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23
Q

Emphysema

A

Low rate of oxygen

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24
Q

How soon should CPR be performed before dire circumstances

A

3-5minutes

25
Q

A person in shocks blood pressure is

A

Decreased

26
Q

Hypovolmic shock

A

Caused by loss of blood from injury

27
Q

Diabetic patient episode, what are the signs

A

Increased thirst, urination
Nausea, vommitting, weakness, confusion, coma, headache, hunger, tremors, impaired vision, personality change, loss of consciousness

28
Q

Angina

A

Occurs when coronary arteries are unable to supply heart with sufficient oxygen

29
Q

What to do with an unconscious person who is vommitting?

A

Turn them on their side

30
Q

What to do if a person is having a seizure?

A

Do not hold them down
Check if both sides affected
????

31
Q

Compound fracture

A

Splintered ends of bone forced thru skin

32
Q

Green stick fracture

A

Doesn’t break all the way thru

33
Q

Comminuted fracture

A

Crushing fracture, many parts

34
Q

Why or when is a blackboard used?

A

Used in trauma room when suspected spinal injury

35
Q

Strider

A

Abnormal high pitched sound caused by obstruction of trachea or larynx

36
Q

Epistaxis

A

Nosebleed

37
Q

Concussion signs

A

Confusion, appears delusional

38
Q

Vertigo

A

Instability, loss of equilibrium, caused by inner ear

39
Q

Coma

A

State of abnormal deep sleep caused by injury/illness

40
Q

Asthma

A

Respiratory disorder

41
Q

Myocardial infarction

A

Aka heart attack

42
Q

Glasgow coma scale

A

Levels of concussion

43
Q

Signs of diabetes

A

Frequent urination

Thirsty

44
Q

Seizure notes

A

Length of episode

Both sides

45
Q

AED

A

Automatic External Defibulator

- shocks patients to regulate heart beat

46
Q

CPR

A 
Check scene for safety
Check patient for responsiveness
Call 911
Open airway
Check for breathing
Quick scan for severe bleeding
30 chest compression
2 rescue breaths
47
Q

Heinrich maneuver

A

Aka abdominal thrust
Place fist with thumb side against middle of persons abdomen just above naval
Cover fist with other hand
Give upward abdominal thrusts

48
Q

FAST

A 
Stroke symptoms
Face - does one side droop when smiling
Arm - does one arm drift downward if asked to lift both
Speech - is speech slurred or strange
Time - if above observed, call 911 STAT
49
Q

Burn victims

A

Ask them to move themselves.
Use transfer sheet if necessary or ask for help
1st degree - sunburn
2nd degree -dermal layer
3rd degree - extend deep into subcutaneous layer
4th degree - affect bone

50
Q

Endotrachial tube

A

Placed into carina before bifurcation

51
Q

Tracheostomy tube

A

Required when patient is unable to breath via normal route

52
Q

Chest tube

A

Put in for drainage

  • air
  • fluid
  • both air and fluid
53
Q

Urinary catheter

A

Passes thru urethra into bladder - 2 types
Straight
Foley

54
Q

Ureteral stents

A

Allow urine flow from kidney to bladder when body is unable

55
Q

Nasogastric tube

A

Tube that goes thru nose and into stomach

Used for suction (overdose) or feeding

56
Q

Jejunostomy

A

Tubule going directly into the jejunum

57
Q

Drainage tubes

A

Remove fluids, decrease swelling, reduce fluid build up, decreases risk of infection

58
Q

Pacemaker

A

Implanted device which controls irregular heart rhythm

59
Q

AICD

A

Automated implanted cardio Defibulator

60
Q

Pulmonary embolism

A

A clot of blood, fat, or air that travel through the vascular system and lodges into one of the pulmonary vessel

SEM II - Patient Care (3 decks)

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