Chapter 29 Flashcards
Shock is the circulatory system’s failure to provide sufficient blood and oxygen to all the body’s tissues. Which of the following is not a major type of shock?
hypervolemic
Your patient is a 6-year-old child who has fallen down while running on a sidewalk. She has abrasions on both knees and the palms of both hands, which are oozing blood. This is an example of bleeding from which of the following types of vessels?
capillaries
External bleeding may be classified according to types. Which of the following is one of those types?
capillary bleeding
Cold is sometimes used to help control bleeding. When using cold, the following guidelines and statements are true except:
it should be applied directly to the skin and will not be effective if anything is between the cold agent and the wound.
Which of the following is recommended in situations in which a tourniquet must be used?
use a material that is wide and thick
Which of the following is the most effective way of controlling external bleeding in superficial wounds?
Using direct pressure with a dressing
Which of the following is the most effective way of controlling external bleeding in superficial wounds?
Using direct pressure with a dressing
Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-inch laceration on his anterior forearm. You have applied a pressure dressing and bandage, but these have become saturated due to continued bleeding. Which of the following should you do now?
Elevate the arm and prepare to apply a tourniquet or consider administering a hemostatic agent.
Which of the following should increase the EMT’s suspicion of internal bleeding?
Fall from a height two or more times the patient’s height
High-speed motor vehicle collision
Penetrating trauma to the chest or abdomen
Blunt trauma is the leading cause of internal injuries and bleeding. Which of the following are mechanisms of blunt trauma that may cause internal bleeding?
- Falls
- Motor vehicle or motorcycle crashes
- Auto-pedestrian collisions
- Blast injuries
1 2 3 4
Which of the following is an important early indicator of hypoperfusion?
altered mental status
Which of the following is responsible for most of the early signs and symptoms of shock?
The body’s attempts at compensation for blood loss
Which of the following is part of the body’s compensatory response to blood loss?
Blood vessels constrict and the heart rate increases.
Although many of the signs and symptoms of shock are the same no matter what the cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs and symptoms in the order that they will most likely appear.
- Altered mental status
- Dropping blood pressure
- Nausea and vomiting
- Pale, cool, and clammy skin
- Increased pulse
- Increased respirations
1, 4, 3, 5, 6, 2
Which of the following is a hallmark of irreversible shock?
Cell damage and death in the vital organs
Which of the following best describes the function of blood?
It transports gases and nutrients, aids in excretion, and provides protection and regulation.
When deciding where to transport a patient who has internal bleeding or who has the potential for internal bleeding, which of the following is the most important service to be provided by the receiving hospital?
immediate surgical capabilities
Which of the following is not indicated in the management of a patient in shock?
Engaging in high-speed ambulance transportation
Which of the following statements about treating a patient who appears to be in shock is false?
Spend time on scene to correct the causes of the shock so it does not worsen.
Which of the following terms refers to the delivery of oxygen and nutrients and the removal of wastes at the body’s cellular level?
Perfusion
Which of the following vessels contain blood under the highest amount of pressure?
arteries
