Chapter 19 Medical Emergencies Flashcards

1
Q

Ensure open airway

control bleeding

prevent shock

attend wounds/fractures

provide emotional support

continumally re-evaluate

A

priorities for medical emergency

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2
Q

tool box

contains drugs and equipment

drawers in “ABC” order

secured

A

crash cart

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3
Q

atrophine

benadryl

cordarone

dilantin

lasix

xylocaine

intropin

epinephrine

A

crash cart drugs

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4
Q

atrophine

A

respiratory stimulant

treat brdaycardia

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5
Q

benadryl

A

allergic reactoins

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6
Q

cordarone

A

treat heart arrhythmias

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7
Q

dilantin

A

siezure med

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8
Q

lasix

A

edema

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9
Q

xylocaine

A

local anesthetic

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10
Q

intropin

A

shock

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11
Q

epinephrine

A

cardiac arrest

anaphylaxis shock

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12
Q

backboard

flashlight

levine tubing

jelco cannulas

cut down tray

connectors

surgical lube

A

non drug items on crash cart

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13
Q

head injury

alert and conscious

can fully respond to stimuli and questions

A

least severe injury

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14
Q

head injury

drowsy

roused only with loud voice or gentle contact

A

more seriously injured

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15
Q

head injury

unconscious

reacts only to painful stimuli

A

even more seriously injured

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16
Q

head injury

comatose

unresponsive to all stimuli

A

most serious injury

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17
Q

why asscess patient before procedure

A

recognize change

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18
Q

irratability

lethargy

slowing pulse rate

slowing respiration rate

A

signs of deteriorating head injury

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19
Q

stop procedure

maintain airway

move as little as possible

get assistance

monitor vital signs

A

response to deteriorating head injury

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20
Q

general term that indicates the failure of the circulatory system to support vital body functions

A

shock

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21
Q

hypovelemic

cardiogenic

neurogenic

vasogenic

A

types of shock

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22
Q

hypovelemic

A

loss of blood/fluid

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23
Q

cardiogenic

A

cause by cardiac issue

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24
Q

neurogenic

A

spinal anesthesis

damage to upper spinal cord

CNS damage

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25
Q

vasogenic

A

septic

most common

infectoin

anesthesia

anaphylaxis

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26
Q

what type of shock will you most see

A

hypovelemic

anaphylaxis

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27
Q

pain

anxiety

stress

A

contributing factors to shock

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28
Q

restless

apprehensive

anxitey

increase HR

decrease BP

cold

damp

pallor (absence of color)

A

signs of shock

29
Q

mild to severe

A

reactoins to contrast

30
Q

death

cardiac arrest

A

severe reaction

31
Q

history and consent

A

ALWAYS obtain before administering contrast

32
Q

long reaction time

A

less severe

33
Q

quick reactoin time

A

more severe

34
Q

is it possible to have delayed reaction

A

yes

35
Q

localized intching

uticaria (hives)

nausea and vomiting

A

mild reactoins

similar to allergic reactoin

36
Q

what is generalized itching and hives indicative of

A

systemic reaction

more serious reaction to contrast

37
Q

reaction course of action

A

call for assistance

38
Q

benedryl

epinephrine

A

drugs administered by physcian

39
Q

laryngeal edema (swelling throat)

shock vasogenic

cardiac arrest

A

more serious reactoins to contrast

40
Q

excessive insulin present

A

hypoglycemia

41
Q

excessive sugar in blood

A

hyperglycemia

42
Q

weak

shaky

sweating

confused

irratible

A

sigsn of hypoglecemia

43
Q

thirst

urination

dry mucosa

rapid deep breaths

drowsy

confused

A

signs of hyperglycemia

44
Q

need carbs

slucose tablet

sweetened orage juice

candy bar

A

treat hypoglycemia

45
Q

need insulin

can go into diabetic coma

A

hyperglycemia

46
Q

loss of elasticy of bronchi

wheezing

A

Asthma

47
Q

stop procedure

get patient upright

gets patient meds

get assistance

A

in case of asthma attack

48
Q

can patient speak

clutches throat

encourage cough

A

choking

49
Q

crushing chest pain

pain down left arm

pallor

shortness of breath

A

signs and symptoms of cardiac arrest

50
Q

what is CVA

cerebral vascular accident

A

stroke

brain attack

51
Q

slurred speech

paralysis on one or both sides

dizziness

loss of vision (particularly one eye)

A

signs of stroke

52
Q

report to nurse or physician

do not stand or move

get med assistance

begin CPR if required

A

actions if stroke occurs

53
Q

older patients >75

A

who is more susceptible to stroke

54
Q

both pyhsiological and psychological response

A

nausea and vomiting

55
Q

breath slowly

deeply

through mouth

A

instruction sto patient with

nausea

56
Q

epitaxis

A

nose bleed

57
Q

do not put in recumbant position

lean forward apply pressure

use moist cloth

after 15 min seek medical attention

A

procedure for nose bleed

58
Q

vertigo

A

dizziness

59
Q

syncope

A

fainting

60
Q

self correcting mechanism to get blood flow back to brain

A

syncope

61
Q

get patient in recumbant position

elevate feet

loosen tight clothing

moist cool cloth to forehead

A

syncope actions

62
Q

orthostatic hypotension

A

dizzy vertigo from sitting or standing too quickly

63
Q

may experience breif loss of consciousness or stare into space

confused and weak

A

mild seizure

64
Q

experience involuntary contraction of muscles on 1 or both sides of body

last one to several minutes

A

severe seizure

65
Q

seizure aura

A

feeling that seizure is coming

physical or mental warning

66
Q

prevent injury

do not restrain

do not put fingers in mouth

move to floor with p;illow

ensure open airway

A

seizure actions

67
Q

which side contractions were on

drooling

experience aura

A

notes from seizure

68
Q

dehiscence

A

wound separation

69
Q

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

A

dehiscence actions