IEC Flashcards
3 Principles of IEC
Preserve life
Prevent deterioration
Promote recovery
Consent is to check and act unless refused
Capacity to consent requires them to know:
Time
Place
Person
Test of capacity:
Communicate info
Retain info
Communicate back
5 Principles of Capacity
Mental Capacity Act 2005
• A presumption of capacity
• The right to be supported when making decisions
• An unwise decision cannot be seen as a wrong decision
• Best interests must be at the heart of all decision making
• Any intervention must be with the least restriction possible
Unequivocal sign of death (no CPR):
• decomposition
• decapitation
• incineration (95%)
• massive cranial deconstruction
If you find someone who has drowned:
5 rescue breaths
CPR 1 minute
Get help
When in doubt
Oxygen and reassurance
When to press the child button of AED?
8 and under
Patient assessment:
Danger
Response
Catastrophic bleed
Airway
Breath and chest movement
Circulation
Disability
Expose and Examine
If mild choking?
Encourage coughing
If severe choking?
5 black slaps
5 abdominal thrusts
If unconscious start CPR
Where does clinical waste go?
Ambulance service
How long is the casualty form kept for?
7 years by law
From the patient assessment, what is AVPU?
AVPU is a systematic approach relating to Response;
Alert
Verbal
Pinch
Unresponsive
How often do you check on a patient?
Every 1 minute
Chain of survival:
Early recognition
Early CPR
Early defibrillation
Early advanced care (hospital)
Oxygen in the cylinder is?
15L
NP and OP stand for what?
NP = nasopharyngeal
OP = oropharyngeal
Can’t use an NP when?
Basal fracture
Children (under 12)
Can’t use an OP when?
There is no jaw
Trismus has occurred
If conscious
How to measure up an OP and NP?
OP = hard to hard (bottom of jaw to front tooth)
NP = soft to soft (bit in front of ear to tip of nose)
COPD stands for?
Chronic
Obstructive
Pulmonary
Disease
How many lobes do the lungs have?
3 on the right
2 on the left
Oxygen breathed in?
Oxygen breathed out?
21% in
16% out
The only vein that carried oxygenated blood?
Pulmonary vein
External respiration takes place in the?
Internal respiration takes place in the?
External = lungs
Internal = tissues
Assessing patients breathing (secondary assessment):
Rate
Effort
Sounds
Position
Sats
Assessing patients breathing (primary assessment):
Look for chest movement
Listen to breathing
Feel for chest movement
Red blood cells are called?
Erythrocytes
Hypoxia is?
Symptoms are?
Lack of oxygen
• Euphoria
• Blue skin
The normal oxygen range for someone with COPD?
88% - 92%
The normal oxygen range is?
95% and above
Breathing is a function of the?
Diaphragm
and
Intercostals
The normal respiratory rate is?
12 to 20 breaths per minute