clair review Flashcards

1
Q

the 5 solid organs

A

liver, spleen, kidneys, pancreas, ovaries

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2
Q

read about PID (pelvic inflammatory disease)

A

is an infection of the upper female reproductive organs-specifically, the uterus, ovaries, the fallopian tubes-that occurs almost exclusively in sexually active women

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3
Q

Diseases stds

A

chlamydia - lower abdominal pain, low back pain, nausea, fever, fever, pain during sexual intercourse

bacterial vaginosis - itching, burning, pain and accompanied by a fishy smell in discharge.

gonorrhea - painful urination, with burning or itching; yellowish or bloody vagina discharge, usually with a foul odor, blood associated with vaginal sexual intercourse

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4
Q

if patient refuses transport

A

respect the patients wishes, ensure that the appropriate documentation is complete.

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5
Q

what to do with patient vagina bleeding

A

place the patient in a supine position. Cover the patient to keep her warm, and then transport to the nearest appropriate receiving facility for the treatment

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6
Q

what can lead to premature

A

bacterial vaginosis

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7
Q

read about rape

A

offer to call the local rape crisis center for her

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8
Q

read about rape table 23-1

A

step 1. Document the patients history, assestment, treatment, and response to treatment in detail because you may have to appear in court as long as 2 to 3 years later. RECORD ONLY FACTS

step 2. complete the SAMPLE history objective

step 3. follow any crime scene policys established

step 4. do not examine the genitalia unless their is major bleeding

step 5. whenever possible, reduce the patients anxiety by using an EMT who is the same gender as the patient.

step 6. discourage the patient from bathing, voiding, cleaning any wounds until the hospital staff has completed an assessment.

step 7. if possible transport the patient to a hospitals with specialized staff such as sexual assault nurse experience (SANE) who can fully evaluate these patients

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9
Q

assessment and management way to do en rout to hospital

A

comfort patients etc

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10
Q

scenario and grade APGAR score

A
2,1,0 points 
appearance. 
pulse.
grimace or irritable.
activity or muscle tone.
respiration.
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11
Q

patient that has a stroke or hypoglycemia have an

A

altered mental status (AMS)

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12
Q

signs and symptoms for appancredtits, colesystitis, appendicitis

A

appendicitis - nausea vomiting, fever, chills rebound tenderness

colesystitis - vomiting, indigestion, bloating

appendicitis - nausea, vomiting, anorexia (lack of appetite for food), fever, chills.

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13
Q

OPQRST and definition

A
O- onset 
P- provocation 
Q- quality
R- radiation
S- severity
T- timing
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14
Q

tenderness, regular pain, guarding rebound tenderness, lack of appetite

A

appendicitis

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15
Q

AAA

A

abdominal aortic aneurysm (worst back pain ever)

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16
Q

esophageal varices

A

occurs when the amount of pressure within the blood vessels surrounding the esophageal increases resulting in liver failure

17
Q

function of the liver, spleen, kidney, pancreas

A

liver - assists in digestion by secreting bile which aids in digestive system

spleen - is part of the lymphatic system and plays a significant role in relations to the reed blood cells and the immune system. also produces anti body’s to help the body fight off diseases and infections

kidneys - plays an important role in the regulation of acid-based balance the body’s PH and blood pressure

pancreas - secretes juice containing enzymes that help break down starches fats and proteins also produce bicarbonate and insulin

18
Q

talks about seizure (vomiting) put patient

A

securing and maintaining the air way in a patient, suction ready if vomiting

19
Q

scenarios about angina

A

give nitro

20
Q

difference between the 2 strokes hemoraggic & iscemic

A

hemorrhagic stroke occurs as a result of bleeding in the brain caused by a rupture

iscemic stroke occurs when blood flow to a particular part of the brain is stopped by a blockage (blood clot) inside a blood vessel.

21
Q

S&S of intracranial pressure

A

headache, nausea, vomiting, decreased consciousness, reduced vision, and dizziness.

22
Q

what happens in left & right hemisphere

A

in the left side of the hemisphere has been affected by the stroke. patients has aphasia (loss of expressed speech)

if the right cerebral hemisphere of the brain is not getting enough blood the patient will have trouble moving the muscles on the left side of the body

23
Q

scenario AMS Altered mental

A

Check blood sugar status

24
Q

if a patient is apneic, pulseless what do you do

A

you perform CPR and get the AED

25
Q

regulation of blood flow

A

Determined by cellular need

26
Q

nitroglycerin patches and what to do with them. remove patch and then what ?

A

whip away the excess residue before use of AED

27
Q

types of bleeds subarachnoid

A

bleeding occurs into the subarachnoid space, where the CSF circulates it results in bloody CSF and signs of meningeal irritation (such as neck rigidity, headache)

causes - trauma or rupture of an aneurysm

28
Q

if a bystander is performing CPR

A

assess the affectedness of chest compressions by palpating for a carotid pulse. if you do, leave your fingers in that position and stop compressions.

29
Q

oxygenated blood

A

(pulmonary veins) (left side of heart)

30
Q

know angina if chest pain doesn’t go away. what do you do

A

angina occurs when the heart need for oxygen exceeds it supply chest pains nitro. unstable angina pain response to progressively less exercise ————-?

31
Q

scenario pulsless apnetic patient

A

begin chest compression until AED is available

32
Q

when inadequate breathing (Not BMV)

A

secure and maintain the airway. clear the mouth and throat of any obstructions.

33
Q

action of hormones epi & no-epinephrine

A

hormones is a chemical substance regulates the activity of organs and tissue , regulates body functions, growth, body temperature

Epi and norepinephrine cause changes in certain body functions increases heart rate, also cause vasoconstriction (the contraction of blood vessels) areas in the skin and gastro

34
Q

primary survey

A

check life threats first

35
Q

the 3 non-cardiovascular shock

A

anaphylactic shock, psychogenic shock, hypovolemic shock

36
Q

scenario & know what kind of shocks and s&s

A

cardiogenic shock, obstructive shock, distributive shock, septic shock, neurologic shock, anaphylactic shock, phycogenic, hypovolemic

37
Q

basic cause of shock

A

pump failure, low fluid volume, poor vessel fluid

38
Q

basic cause of shock

A

pump failure, low fluid volume, poor vessel function