Midterm Flashcards
OPQRST
Onset Provocation Quality Region/Radiation/Referral Severity Timeframe
Pulse assessment
Rate, quality and rhythm
Pulse points
Radial Brachial Femoral Carotid arteries Popliteal Pedal
GCS eye
4 - spontaneous
3 - verbal
2 - pain
1 - none
GCS - verbal
5 - oriented 4 - disorientate 3 - inappropriate response 2 - incomprehensible sound or speech 1 - none
GCS - motor
6 - obey commands 5 - localize pain 4 - withdraw from pain 3 - flexion decorticate 2 - extension decerebrate 1 - none
Cervical
7
Thoracic
12
Lumbar
5
Sacral
5
Coccygeal
4
Blood loss - pelvis
1,500-3,000 ml
Blood loss - femur
1,000 - 1,500 ml
Blood loss - Humerus
250 - 500 ml
Blood loss - tibia or fibula
250 - 500 ml
Blood loss - ankle
250 - 500 ml
Blood loss - elbow
250 - 500 ml
Blood loss - radius or ulna
150 - 250 ml
6 P
Pain Paralysis Paresthesias Pulselessness Pallor Pressure
Types of trauma
Penetrate
Blunt
Multi system
Surfactant
Reduce lung tension
Life threatening injuries
Gun shot Head injuries Penetrations Blast injuries Fall from height Pedestrian struck
Cheyenne stokes respirations
Increased rate of respirations followed by gradual decreased respirations with periods of apnea.
Brain stem problem, before death.
Kussmaul respirations
Deep gasping respirations common in diabetic coma
Biot respirations
Irregular pattern, rate and depth with periods of apnea. Results from increased intracranial pressure
Atonal respirations
Slow, shallow irregular respirations or occasional gasps. Results from cerebral anoxia. Heart stops but brain still send signals to respiratory muscles
Tachypnea
Hyperventilation and breathing more than 24 breath for a minute
Bradypnea
Hypoventilation, breathing slower than usual
Nasal cannula mask
Between 24%-44%
1-6 liter per minute
Simple mask
40%-60%
5-10 liter per minute
Non rebreather mask
90%-100%
10-15 liter per minute
Leg
Pelvis מותן Hip מותניים Femur ירך Patella ברך Fibula רגל Tibia רגל נמוכה Tarsals קרסול Metatarsals כף רגל Phalanges כף רגל
Vertebrae
Cervical Thoracic Lumbar Sacral Coccygeal
Lower airways
Trachea
Alveoli
Bronchi
Bronchioles
Upper airway
Nose Larynx Pharynx Oropharynx Nasopharynx
Oxygen therapy administration
Patients with potential hypoxia.
If the patient still doesn’t receive enough oxygen, increase the supply
SAMPLE
Signs and symptoms Allergies Medications Past history Last oral intake Events leading to injury
How to value respiratory function?
End Tidal CO2
What is the difference between visceral and parietal?
Visceral- lines the organ itself
Parietal - lines the cavity that the organ is in
What is the difference between dislocation and fracture?
Fracture - discontinuing of the bone (break)
Dislocation - usually happens in joints, significant deformity
RICE
Rest
Ice
Compression
Elevation