Chapter 5 - Medical Emergencies Flashcards
Abdominal/Flank Pain - 5010
TREATMENT: (4)
- Place patient in POSITION OF COMFORT
- Airway/breathing management
- Monitor SpO2
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Determine Blood Glucose Level
- Assess temperature
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Alcohol Related Illness - 5020
TREATMENT: (7)
• Maintain aspiration prophylaxis by placing the patient in the RECOVERY POSITION
• If trauma suspected, immobilize patient using proper technique
• Airway/breathing management
• Monitor SpO2
• Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
Initiate cardiac monitoring
• Assess temperature
• Look for underlying causes
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Allergic Reaction/Anaphylaxis - 5030
TREATMENT: (6)
• Airway/breathing management
• Monitor SpO2
• Administer O2 via proper adjuct to maintain oxygen saturation of 95% or greater
• Anticipate rapid deterioration and the need for intubation
• Initiate cardiac monitoring
• ASSIST with ADMINISTRATION of patient’s AUTO-INJECTOR EPINEPHRINE if present
• Determine Blood Glucose Level
• Assess temperature
• Treatment based on ASSESSMENT and Patient’s LEVEL OF DISTRESS
▪Mild reaction (without respiratory compromise)
▪Moderate reaction (without respiratory compromise)
▪Moderate reaction (with respiratory compromise)
Severe/Anaphylaxis (severe respiratory distress and/or cardiovascular compromise)
• If unable to intubate after 2 attempts
▪Insert supra-glottic airway
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Allergic Reaction/Anaphylaxis - 5030
Treatment based on assessment and patient’s level of distress:
Mild reaction:
(without respiratory compromise)
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Allergic Reaction/Anaphylaxis - 5030
Treatment based on assessment and patient’s level of distress:
Moderate reaction: 1
(without respiratory compromise)
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Allergic Reaction/Anaphylaxis - 5030
Treatment based on assessment and patient’s level of distress:
Moderate reaction: 2
(with respiratory compromise)
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Allergic Reaction/Anaphylaxis - 5030
Treatment based on assessment and patient’s level of distress:
Severe reaction/Anaphylaxis:
(severe respiratory distress and/or cardiovascular compromise)
pg. 1
Altered Consciousness - 5040
TREATMENT: (7)
• Maintain aspiration prophylaxis by placing in the RECOVERY POSITION
• If trauma suspected, immobilize using proper technique
• Airway/breathing management
▪Monitor SpO2
▪Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Initiate cardiac monitoring
• Assess temperature
• Look for underlying causes
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Diabetic - 5050
TREATMENT: (6)
• Airway/breathing management
▪Monitor SpO2
▪Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Initiate cardiac monitoring
• Assess temperature
• Look for underlying causes
• Treatments based on blood glucose level and level of consciousness:
▪Conscious and alert patient with BGL less than 60 mg/dl, administer oral GLUCOSE PASTE 15 gram (1 tube)
▪May repeat once in 20 minutes if BGL is below 60
▪Contraindications
▪Altered level of consciousness
▪Difficulty swallowing
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Nose Bleed - 5060
TREATMENT: (8)
• Airway/breathing management
▪Monitor SpO2
▪Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Initiate cardiac monitoring
• Assess temperature
• Look for underlying causes
• If other injuries do not exist, prevent aspiration of blood by place patient in SITTING POSITION WITH THIER HEAD LEANING FORWARD
▪Suction the airway as required if unable to position patient
• If associated with head injury and CSF drainage, assume spinal injury; provide immobilization and DO NOT attempt to control the bleeding
• Control hemorrhage by pinching the nostrils and packing gauze between the upper lip and gum to provide pressure
▪To facilitate clotting instruct patient not to sniff, blow or manipulate the nasal passages in any way
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Headache - 5070
TREATMENT: (7)
• If sudden severe headache (“Thunderclap Headache”) or sudden decreased LOC, refer to Acute Stroke protocol (Section 3020)
• Headache with elevated temperature, nausea/vomiting and/or altered mental status may indicate meningitis or neurological event
• Airway/breathing management
▪Monitor SpO2
▪Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Initiate cardiac monitoring
• Assess temperature
• Look for underlying causes
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Nausea/Vomiting - 5080
TREATMENT: (6)
- Airway/breayhing management
- Monitor SpO2
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Determine Blood Glucose Level
- Initiate cardiac monitoring
- The primary treatment for the patient with gasto-intestinal related signs and symptoms is to re-hydrate them with IV fluids
- Assess temperature
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Seizures - 5090
TREATMENT:(6)
• Maintain aspiration prophylaxis by placing the patient in the RECOVERY POSITION
• If trauma suspected, immibilize using proper technique
• If the patient is actively seizing, protect the patient from further injury
• Airway/breathing management
▪Monitor SpO2
▪Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Initiate cardiac monitoring
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* NO - ASSESS TEMPERATURE*
Shock Medical - 5100
Shock patients may deteriorate rapidly.
true or false?
True
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Signs of poor perfusion include cool mottled skin, diminished pulses, AMS, increased cap. refill time (greater than 3 seconds), tachycardia AND systolic BP less than 90 mm/hg. True or false?
True
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