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Nursing 213 > Emergency management, violence, PTSD, Communication - Unit 4 exam > Flashcards

Emergency management, violence, PTSD, Communication - Unit 4 exam Flashcards

1
Q

What mass casualty color code would this be?

Shock

A

red

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2
Q

All of the following are S/S of what?

  • Re-experience the traumatic event
  • Flashbacks
  • Sustained high level of anxiety or arousal
  • General numbing of responsiveness
  • Intrusive recollections or nightmares
  • Amnesia to certain aspects of trauma
  • Depression
  • Survivors guilt
  • Anger
  • Substance abuse
  • Relationship problems
  • Suicidal thoughts
A

PTSD

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3
Q

What mass casualty color code would this be?

Hemorrhage

A

red

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4
Q

What is a hallmark sign of a tension Pneumothorax

A

Tracheal deviation to the unaffected side

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5
Q

First thing to do during the decontamination process

A

Remove and bag a patients clothing.

Eliminates 60-90% of contents asap

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6
Q

S/S of a Tension Pneumothorax

A
  • Diminished breath sounds
  • Deviated trachea to unaffected side
  • Muffled heart sounds
  • Decreased CO & BP
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7
Q

Nursing priorities for suspected child abuse

A
  • STAY WITH PATIENT
  • Reporting to authorities when there is reason to suspect child abuse or neglect
  • Provide shelter and promote reassurance or safety
  • Promote trust
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8
Q

Priority levels of care

A
  1. ABC’s
  2. Sudden change in VS and LOC
  3. Unstable metabolic disorders
  4. C/O Pain (except chest pain)
  5. Complex tmnt and skills
  6. D/C teaching and referrals
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9
Q

Treatment for PTSD

A
  • Cognitive therapy
  • Prolonged exposure therapy
  • Group family therapy
  • Eye movement desensitization and reprocessing
  • Psychopharmacology
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10
Q

What mass casualty color code would this be?

Life-threatening, treatable with immediate attention

A

Red or Immediate

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11
Q

What mass casualty color code would this be?

Sprains

A

Green

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12
Q

occurs if air or blood cells collect in the pleural space and is not removed

A

Tension pneumothorax

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13
Q

What mass casualty color code would this be?

Fractures

A

Yellow

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14
Q

Ways to prevent hypothermia

A

o Remove wet clothing
o Cover with blankets
o Increase room temp
o Infuse warmed fluids
o Heat lamp

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15
Q

Clamping a chest tube can cause what?

A

A tension pneumothorax

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16
Q

What mass casualty color code would this be?

Burns <20%

A

yellow

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17
Q

What mass casualty color code would this be?

Potentially serious but stable enough to wait a short while for a medical treatment

A

yellow or delayed

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18
Q

5 rights of delegation

A
  • Right Task
  • Right Circumstance
  • Right Person
  • Right Direction/communication
  • Right Supervision/evaluation
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19
Q

What mass casualty color code would this be?

Threatened loss of limb

A

red

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20
Q

What mass casualty color code would this be?

Airway obstruction

A

Red

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21
Q

What mass casualty color code would this be?

Minor injuries can wait for longer periods of time

A

Green or minimal

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22
Q

A condition where multiple broken bone rib fragments cause chest paradoxical breathing

A

Flail chest

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23
Q

What mass casualty color code would this be?

Tension pneumothorax

24
Q

What mass casualty color code would this be?

Facial injury without airway involvement

25
# What mass casualty color code would this be? Full thickness burns > 50% TBSA
Black
26
# What mass casualty color code would this be? High SCI
Black
27
# What mass casualty color code would this be? MI
red
28
When is someone who is being abused most in danger?
Period right after leaving the abuser
29
# What mass casualty color code would this be? Head injury
red
30
Nursing priorities for pt's with PTSD
* Establish therapeutic relationship encourage patient to share feelings * Provide safe , non threatening , routine environment * Assess client for suicidal ideation , take precautions as needed * Use multiple strategies to decrease anxiety (music, imagery, relaxation, breathing techniques ) * If pt is a child involve caregivers in treatment
31
How to treat an open pneumothorax from a GSW/stabbing
* Insert chest tube * Only tape 3 sides of dressing over wound to prevent tension pneumo
32
# What does this stand for? START
Simple Triage & Rapid Treatment
33
# What mass casualty color code would this be? Minor burns
Green
34
Medications to treat PTSD
o SSRI (first line): paroxetine , sertraline o Tricyclic antidepressants: Amitriptyline (evlavil) o MAO inhibitors o Benzos, busprione , propranolol
35
Communication with families in a crisis
* Keep them updated * Allow to stay close * Appoint an advocate * Don’t use medical jargon * Give factual information
36
S/S of PTSD
* Re-expiernce the traumatic event * Flashbacks * Sustained high level of anxiety or arousal * General numbing of responsiveness * Intrusive recollections or nightmares * Amnesia to certain aspects of trauma * Depression * Survivors guilt * Anger * Substance abuse * Relationship problems * Suicidal thoughts
37
Reasons victims stay with their abuser
* Fear for their lives or lives of their children * Fear of retaliation by the partner * Fear of losing custody of their children * Lack of financial resources * Lack of a support network * Religious reasons * Having hope that the partner will change, and they can have good times again * Lack of attention to the danger
38
Root cause analysis
1. Identify problem 2. Define problem 3. Understand problem 4. Identify Root cause 5. Correct Action 6. Monitor *Repeat
39
# What mass casualty color code would this be? Lacerations
Green
40
# What mass casualty color code would this be? No pulse or breathing after airway opened
Black
41
# What mass casualty color code would this be? Ambulatory
green
42
Maslows Hierarchy of needs
* Self-actualization * Self-esteem * Love and belonging * Safety and security * Physiological needs
43
Components of the primary survey of an emergent patient
A - Airway with C -spine B - Breathing/ventilation C - Circulation D - Disability E - Exposure/environmental
44
# What mass casualty color code would this be? Torso wounds without shock
Yellow
45
# What mass casualty color code would this be? Transcranial GSW
Black
46
# What mass casualty color code would this be? Dead, no VS, injuries incompatible with survival
Black or expectant
47
# What mass casualty color code would this be? Soft tissue injuries with minimal bleeding
Yellow
48
Fast five interventions
* Full set of vital signs * Further labs and x-rays * Foley Catheter * Facial trauma presence * Facilitate family presence
49
How is flail chest treated
Intubation
50
Prioritization Principals
* Systemic before local * Acute before chronic * Actual problems before potential problems * Recognize condition changes/emergencies (unstable) vs. expected findings (stable)
51
Conflict resolution steps and actions
* Strive for “win-win” * Identify the problem or issue * Generate a possible solution * Evaluate suggested solutions * Choose the best solution * Implement the solution chosen * Evaluate: Is the problem resolved?
52
How to treat a tension Pneumothorax
Needle decompression
53
# What does this stand for? S.A.L.T
S – Sort A – Assess L – Lifesaving Interventions T – Treatment and/or transport
54
Memonic for collecting pt history during second survey
* A - allergies * M - medications * P – previous medical history * L – last meal * E – event history or mechanism of injury/Any alcohol or drugs involved? * H - head-to-toe assessment once client is stable
55
# What mass casualty color code would this be? Severe abdominal injury
Red
56
Components of a secondary survey of an emergent patient
F - Fast 5 G - Give comfort measures H - History

Nursing 213 (29 decks)

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