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From Flashcardlet > emergency med surg > Flashcards

emergency med surg Flashcards

0
Q

A wound or injury and usually is caused by a force outside the person

A

Trauma

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1
Q

A medical/surgical condition requiring immediate or timely intervention to prevent permanent disability or death

A

Emergency

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2
Q

Provides protection against malpractice to persons who stop at the scene of an accident and render safe and appropriate care

A

Good Samaritan act

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3
Q

Situation or an event of greater magnitude than emergency, unforeseen, serious, or immediate threats to public health

A

Disaster

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4
Q

8 types of emergencies

A
  1. MVA
  2. Falls
  3. Fires
  4. Assaults-knives, guns
  5. Swimming, boating
  6. Poisoning
  7. Machinery
  8. Electrical
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5
Q

What is the first thing u should do before rushing to assist in an emergency situation?

A

Assess safety make sure the scene is safe

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6
Q

What is a level 1 trauma center

A

Provides total care for every aspect of injury, prevention, through rehab and everything in house

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7
Q

Classification of clients to determine priority needs, proper place of treatment

A

Triage

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8
Q

Used to establish priorities and levels of care needed by clients

A

Hospital triage

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9
Q

System utilized in events of community disaster, different from that of hospital system

A

Disaster triage

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10
Q

Trained to provide life saving measures prior to arrival at the hospital

A

Emergency medical technician

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11
Q

More specialized, trained to provide advance life support to client requiring emergency interventions

A

Paramedic

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12
Q

The first assessment done in an emergency that is no more than 60 seconds

A

Primary assessment

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13
Q

What is done in a secondary assessment and how long should it take?

A

Take V/S and a head to toe assessment should take about 1-2 mins

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14
Q

9 signs to observe initially

A
  1. Respiratory
  2. Pupillary changes
  3. Skin color
  4. Reflexes
  5. Vital signs
  6. LOC
  7. Posture
  8. Skin/temperature
  9. Deformities
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15
Q

What does ABCDE stand for and explain them

A
  1. Airway and cervical spine-open the airway by head tilt chin lift unless the is a possible cervical spine injury then open it by jaw thrust
  2. Breathing-assess for breathing if no breathing then give two breaths
  3. Circulation and bleeding- check pulse if no pulse do compressions and check for bleeding
  4. Disability- neurological assessment
  5. Expose and examine- cut clothes off and examine for deformities and bruising
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16
Q

When checking for pulse how long should u palate for

A

5-10 seconds

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17
Q

If pulse is weak and rapid what is that a sign of

A

Loss of blood or shock

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18
Q

If pulse is rapid and bounding

A

Fear or anxiety

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19
Q

If pulse is slow bounding

A

Head trauma or heart block

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20
Q

If pulse is absent

A

Death

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21
Q

If skin is ashen

A

Shock or fright

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22
Q

If skin is red

A

Fever of sunburn

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23
Q

If skin is cherry red

A

Carbon monoxide

24
Q

If skin is purple

A

Respiratory distress

25
Q

Name 4 ways to stop the bleeding

A

Apply pressure, elevate the limb above the heart, apply ice or clod pack, apply tourniquet

26
Q

For neurological assessment what 4 letter acronym should u use and what does it stand for

A

AVPU-alert, responsive to verbal stimuli only, responsive to painful stimuli only, unresponsive

27
Q

For disability what do u assess

A

Eye

28
Q

What acronym is used to assess the eye

A

PERRLA-pupil equal round reactive to light accommodation add C-coordination

29
Q

What 10 things do u assess in the secondary assessment

A

Head, eyes, ears, nose, neck, chest, abdomen, pelvis/genitalia, extremities, back

30
Q

What is priapism

A

When a man has an erection for 4 or more hours

31
Q

What is the condition of profound hemodynamic and metabolic disturbance

A

Shock

32
Q

The type of shock Caused by trauma, hemorrhage, severe burns, dehydration

A

Hypovolemia

33
Q

The type of shock Caused by inefficiency of the heart as a pump

A

Cardiogenic

34
Q

The type of shock caused by Massive vasodilation

A

Vasogenic shock

35
Q

The type of shock that Interferes with sympathetic nervous system, can last for 6 weeks

A

Neurogenic shock

36
Q

The type of shock caused by Vasodilation secondary to massive histamine release, allergies

A

Anaphylactic shock

37
Q

The type of shock Caused by severe infection

A

Septic shock

38
Q

The shock often associated with diarrhea vomiting and polyuria

A

Metabolic shock

39
Q

The type of shock caused by obstruction to central arteries or veins could be pulmonary embolism or tension pneumothorax

A

Obstructive shock

40
Q

The type of shock caused by nervous system reaction and is often a result of fear

A

Psychogenic

41
Q

What r the 5 vital organs that r effected with shock

A

Heart, lungs, brain, liver, kidneys

42
Q

Treatment for hypovolemic shock

A

Restore volume

43
Q

Treatment for cardiogenic shock

A

Improve myocardial function

44
Q

Treatment for septic shock

A

IV antibiotics and fluids

45
Q

Treatment for neurogenic shock

A

Medications for hypotension

46
Q

Treatment for anaphylactic shock

A

Identify the cause

47
Q

What does epistaxis mean

A

Nosebleed

48
Q

If the bleeding is slow and oozes from the wound it is

A

Capillary

49
Q

If the bleeding spurts bright red or pink

A

Arterial

50
Q

If the bleeding is a steady flow, darker red usually minor and stops by itself

A

Venous

51
Q

If the bleeding is a major emergency

A

Internal

52
Q

A neurological screening test that measures a clients best verbal motor and eye response to stimuli

A

Glasgow coma scale

53
Q

Bruised brain

A

Contusion

54
Q

Brain is bruised, lacerated, punctured. Blood from ruptured vessels flow

A

Subdural hematoma

55
Q

When blood flow between the meninges and the skull

A

Epidural hematoma

56
Q

When blood pools in the brain itself

A

Intracerebral hematoma

57
Q

Penetrating or perforating wounds of cranium

A

Lacerations

58
Q

What drug is the clot buster

A

TPA

From Flashcardlet (21 decks)

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