clair review Flashcards
the 5 solid organs
liver, spleen, kidneys, pancreas, ovaries
read about PID (pelvic inflammatory disease)
is an infection of the upper female reproductive organs-specifically, the uterus, ovaries, the fallopian tubes-that occurs almost exclusively in sexually active women
Diseases stds
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
if patient refuses transport
respect the patients wishes, ensure that the appropriate documentation is complete.
what to do with patient vagina bleeding
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
what can lead to premature
bacterial vaginosis
read about rape
offer to call the local rape crisis center for her
read about rape table 23-1
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
assessment and management way to do en rout to hospital
comfort patients etc
scenario and grade APGAR score
2,1,0 points appearance. pulse. grimace or irritable. activity or muscle tone. respiration.
patient that has a stroke or hypoglycemia have an
altered mental status (AMS)
signs and symptoms for appancredtits, colesystitis, appendicitis
appendicitis - nausea vomiting, fever, chills rebound tenderness
colesystitis - vomiting, indigestion, bloating
appendicitis - nausea, vomiting, anorexia (lack of appetite for food), fever, chills.
OPQRST and definition
O- onset P- provocation Q- quality R- radiation S- severity T- timing
tenderness, regular pain, guarding rebound tenderness, lack of appetite
appendicitis
AAA
abdominal aortic aneurysm (worst back pain ever)