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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
How soon should CPR be performed before dire circumstances
3-5minutes
25
A person in shocks blood pressure is
Decreased
26
Hypovolmic shock
Caused by loss of blood from injury
27
Diabetic patient episode, what are the signs
Increased thirst, urination Nausea, vommitting, weakness, confusion, coma, headache, hunger, tremors, impaired vision, personality change, loss of consciousness
28
Angina
Occurs when coronary arteries are unable to supply heart with sufficient oxygen
29
What to do with an unconscious person who is vommitting?
Turn them on their side
30
What to do if a person is having a seizure?
Do not hold them down Check if both sides affected ????
31
Compound fracture
Splintered ends of bone forced thru skin
32
Green stick fracture
Doesn't break all the way thru
33
Comminuted fracture
Crushing fracture, many parts
34
Why or when is a blackboard used?
Used in trauma room when suspected spinal injury
35
Strider
Abnormal high pitched sound caused by obstruction of trachea or larynx
36
Epistaxis
Nosebleed
37
Concussion signs
Confusion, appears delusional
38
Vertigo
Instability, loss of equilibrium, caused by inner ear
39
Coma
State of abnormal deep sleep caused by injury/illness
40
Asthma
Respiratory disorder
41
Myocardial infarction
Aka heart attack
42
Glasgow coma scale
Levels of concussion
43
Signs of diabetes
Frequent urination | Thirsty
44
Seizure notes
Length of episode | Both sides
45
AED
Automatic External Defibulator | - shocks patients to regulate heart beat
46
CPR
``` 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
Heinrich maneuver
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
FAST
``` 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
Burn victims
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
Endotrachial tube
Placed into carina before bifurcation
51
Tracheostomy tube
Required when patient is unable to breath via normal route
52
Chest tube
Put in for drainage - air - fluid - both air and fluid
53
Urinary catheter
Passes thru urethra into bladder - 2 types Straight Foley
54
Ureteral stents
Allow urine flow from kidney to bladder when body is unable
55
Nasogastric tube
Tube that goes thru nose and into stomach Used for suction (overdose) or feeding
56
Jejunostomy
Tubule going directly into the jejunum
57
Drainage tubes
Remove fluids, decrease swelling, reduce fluid build up, decreases risk of infection
58
Pacemaker
Implanted device which controls irregular heart rhythm
59
AICD
Automated implanted cardio Defibulator
60
Pulmonary embolism
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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