Chapter 19 Medical Emergencies Flashcards
Ensure open airway
control bleeding
prevent shock
attend wounds/fractures
provide emotional support
continumally re-evaluate
priorities for medical emergency
tool box
contains drugs and equipment
drawers in “ABC” order
secured
crash cart
atrophine
benadryl
cordarone
dilantin
lasix
xylocaine
intropin
epinephrine
crash cart drugs
atrophine
respiratory stimulant
treat brdaycardia
benadryl
allergic reactoins
cordarone
treat heart arrhythmias
dilantin
siezure med
lasix
edema
xylocaine
local anesthetic
intropin
shock
epinephrine
cardiac arrest
anaphylaxis shock
backboard
flashlight
levine tubing
jelco cannulas
cut down tray
connectors
surgical lube
non drug items on crash cart
head injury
alert and conscious
can fully respond to stimuli and questions
least severe injury
head injury
drowsy
roused only with loud voice or gentle contact
more seriously injured
head injury
unconscious
reacts only to painful stimuli
even more seriously injured
head injury
comatose
unresponsive to all stimuli
most serious injury
why asscess patient before procedure
recognize change
irratability
lethargy
slowing pulse rate
slowing respiration rate
signs of deteriorating head injury
stop procedure
maintain airway
move as little as possible
get assistance
monitor vital signs
response to deteriorating head injury
general term that indicates the failure of the circulatory system to support vital body functions
shock
hypovelemic
cardiogenic
neurogenic
vasogenic
types of shock
hypovelemic
loss of blood/fluid
cardiogenic
cause by cardiac issue
neurogenic
spinal anesthesis
damage to upper spinal cord
CNS damage
vasogenic
septic
most common
infectoin
anesthesia
anaphylaxis
what type of shock will you most see
hypovelemic
anaphylaxis
pain
anxiety
stress
contributing factors to shock
restless
apprehensive
anxitey
increase HR
decrease BP
cold
damp
pallor (absence of color)
signs of shock
mild to severe
reactoins to contrast
death
cardiac arrest
severe reaction
history and consent
ALWAYS obtain before administering contrast
long reaction time
less severe
quick reactoin time
more severe
is it possible to have delayed reaction
yes
localized intching
uticaria (hives)
nausea and vomiting
mild reactoins
similar to allergic reactoin
what is generalized itching and hives indicative of
systemic reaction
more serious reaction to contrast
reaction course of action
call for assistance
benedryl
epinephrine
drugs administered by physcian
laryngeal edema (swelling throat)
shock vasogenic
cardiac arrest
more serious reactoins to contrast
excessive insulin present
hypoglycemia
excessive sugar in blood
hyperglycemia
weak
shaky
sweating
confused
irratible
sigsn of hypoglecemia
thirst
urination
dry mucosa
rapid deep breaths
drowsy
confused
signs of hyperglycemia
need carbs
slucose tablet
sweetened orage juice
candy bar
treat hypoglycemia
need insulin
can go into diabetic coma
hyperglycemia
loss of elasticy of bronchi
wheezing
Asthma
stop procedure
get patient upright
gets patient meds
get assistance
in case of asthma attack
can patient speak
clutches throat
encourage cough
choking
crushing chest pain
pain down left arm
pallor
shortness of breath
signs and symptoms of cardiac arrest
what is CVA
cerebral vascular accident
stroke
brain attack
slurred speech
paralysis on one or both sides
dizziness
loss of vision (particularly one eye)
signs of stroke
report to nurse or physician
do not stand or move
get med assistance
begin CPR if required
actions if stroke occurs
older patients >75
who is more susceptible to stroke
both pyhsiological and psychological response
nausea and vomiting
breath slowly
deeply
through mouth
instruction sto patient with
nausea
epitaxis
nose bleed
do not put in recumbant position
lean forward apply pressure
use moist cloth
after 15 min seek medical attention
procedure for nose bleed
vertigo
dizziness
syncope
fainting
self correcting mechanism to get blood flow back to brain
syncope
get patient in recumbant position
elevate feet
loosen tight clothing
moist cool cloth to forehead
syncope actions
orthostatic hypotension
dizzy vertigo from sitting or standing too quickly
may experience breif loss of consciousness or stare into space
confused and weak
mild seizure
experience involuntary contraction of muscles on 1 or both sides of body
last one to several minutes
severe seizure
seizure aura
feeling that seizure is coming
physical or mental warning
prevent injury
do not restrain
do not put fingers in mouth
move to floor with p;illow
ensure open airway
seizure actions
which side contractions were on
drooling
experience aura
notes from seizure
dehiscence
wound separation
do not try to put contents back in
place sterile dressing over area
put patient in seated slightly forward position to relieve abdominal pressure
get help
dehiscence actions
