Chapter 6: Emergency Care, Safety, & Disaster Response Flashcards

1
Q

how long before brain damage occurs after the heart and breathing stops

A

4 -6 mins

death can happen within 10 mins

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2
Q

shock

A

when organs and tissues in the body don’t receive adequate blood supply

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3
Q

what is shock caused by

A

bleeding, heart attack , severe infection, falling BP

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4
Q

S/S of shock

A

pale, gray, bluish, discolored skin; staring; increased pulse and RR; low BP; extreme thirst

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5
Q

how to respond to shock

A

lie person on their back or if they’re vomiting on their left side

elevate legs 8-12 in
maintain normal body T
NPO

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6
Q

myocardial infarction

A

when the heart muscle itself doesn’t receive enough oxygen b/c blood vessels are blocked

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7
Q

S/S of myocardial infarction

A

sudden pain/pressure in the chest
indigestion or heartburn
N/V
SOB
dizziness
discolored skin/mucous membranes
perspiration
cold and clammy skin
weak and irregular HR
low BP
anxiety and sense of doom

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8
Q

how to respond to a myocardial infarction

A

place pt in a comfortable position
loosen clothing around neck
NPO

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9
Q

S/S of poisoning

A

vomiting
heavy, difficult breathing
very drowsy
confusion
burns around the mouth

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10
Q

appearance of 1st degree burn

A

discolored, painful, swollen, no blisters

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11
Q

appearance of 2nd degree burn

A

discolored, painful, swollen, blisters

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12
Q

appearance of 3rd degree burn

A

shiny and hard skin; looks white, deep red, or charred black

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13
Q

syncope

A

(fainting) occurs b/c of decreased blood flow to the brain

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14
Q

what causes syncope

A

abnormal heart rhythm
hunger
hypoglycemia
dehydration
fear
pain
fatigue
poor ventilation
meds
pregnancy
over-heating
orthostatic hypotension

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15
Q

orthostatic hypotension

A

a sudden drop in BP that occurs when a person stands/sits up

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16
Q

how to respond to fainting

A

lie person down before fainting occurs
if sitting place head between knees
elevate legs 12 in while laying down
stay in position for 5 mins after symptoms disappear

17
Q

epistaxis

A

a nosebleed

18
Q

how to respond to a nosebleed

A

elevate the head of the bed and tell pt to lean forward slightly

apply firm pressure on both sides of the nose up near the bridge

use a cool cloth/ice wrapped in a cloth to slow the flow of blood

19
Q

hypoglycemia

A

results from too much insulin or too little food; can also occur from vomiting and diarrhea

20
Q

S/S of hypoglycemia

A

weakness
nervousness
dizziness
perspiration
rapid pulse
low BP
cold clammy skin
hunger
headache
confusion
trembling
blurred vision
numbers of lips and tongue
unconsciousness

21
Q

diabetic ketoacidosis (DKA)

A

caused by having too little insulin in the body causing blood sugar levels to be very high

22
Q

S/S of diabetic ketoacidosis

A

increased hunger
thirst
urination
abd pain
deep/labored breathing
sweet/fruity smelling breath

23
Q

causes of diabetic ketoacidosis

A

undiagnosed diabetes
infection
not enough insulin
eating too much
not enough exercise
stress
headache
weakness
rapid and weak HR
low BP
flushed cheeks
drowsiness
N/V
SOB
unconsciousness

24
Q

seizure

A

involuntary muscle contractions

25
Q

causes of seizures

A

abnormalities in the brain
children with high fever
head injury

26
Q

how to respond to seizures

A

note time
lower to floor
protect head
loosen clothing
clearing surroundings
NPO
after seizure turn pt to left side

27
Q

cerebrovascular accident (CVA)

A

when blood supply to a part of the brain is blocked or a blood vessel leaks/ruptures within the brain

28
Q

transient ischemic attack (TIA)

A

warning sign of CVA that is the result of a temporary lack of blood to the brain

29
Q

S/S of TIA

A

difficult speaking
weakness on 1 side of the body
temporary loss of vision
numbness/tingling
facial drooping

30
Q

emesis

A

(vomiting)
ejecting stomach contents through the mouth/nose

31
Q

how to respond to emesis

A

head up and turned to one side
place emesis bin under the chin
remove soiled linens
measure and note I&O
flush vomit down toilet
document time, amount, color, odor, and consistency