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ENPC 5th Edition > PAT/Triage Ch. 11 > Flashcards

PAT/Triage Ch. 11 Flashcards

1
Q

PAT components

A

Appearance/Alertness, Work of Breathing, Circulation to skin

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2
Q

PAT Alertness mnemonic (5)

A

TICLS

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3
Q

What is the TICLS mneumonic?

A

tone, interaction, consolabiltiy, Look/gaze, speech/cry

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4
Q

PAT Work of breathing assessment (5)

A
  1. spontaneous, 2. rate (tachy/brady), 3. sounds (grunting/stridor/wheeze), 4. posturing (tripod/sniffing/head bobbing/ seesaw), 5. retraction or flaring
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5
Q

PAT circulation assessment (4)

A

COLOR: normal, pale, mottled, cyanotic

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6
Q

PAT triage categories and criteria

A

Sick- 0 disruption , sicker- 1 disruption, sickest 2+ disruptions

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7
Q

Temperature parameters (max/min and ages)

A

<95 at any age or >102

<97 or >100.4 IF UNDER 90 days old.

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8
Q

What is Hypovolemic shock?

A

loss of fluid including blood

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9
Q

What are three types of distributive shock?

A
  1. anaphylactic, 2. septic, 3. neurogenic
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10
Q

What is the cause of hypotension in Neurogenic shock?

A

loss of sympathetic tone, causes vasodilation that decreases blood pressure

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11
Q

What three things can cause hypotension in septic shock?

A

endotoxins, ^cap permeability, 3rd spacing

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12
Q

What causes Anaphylactic shock ?

A

histamine release

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13
Q

Obstructive Shock definition

A

Physical obstruction of blood pumped out or returning to the heart

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14
Q

Causes of obstructive shock (4)

A
  1. CHD, 2. tamponade, 3. tension pneumo, 4. pulmonary emobolism
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15
Q

What is Cardiogenic shock?

A

mechanical pump failure, < C.O.

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16
Q

What is the Pediatrics cardiac reaction to shock?

A

Increase HR, cant increase SV to increase CO

17
Q

Pediatric CO compared to Adult

A

Peds have 2 x the CO

18
Q

Ped O2 consumption compared to adutls

A

Peds have 2x the O2 demands

19
Q

Circulating blood volumes for infant, child and adult in ml/kg?

A

Infant 90ml/kg child 80 ml/kg adult 70ml/kg

20
Q

A NARROW PP indicates

A

increased SVR

vasoconstriction

21
Q

How much volume loss occurs before the patient becomes hypotensive?

A

@ 30%

ENPC 5th Edition (35 decks)

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