PEARLS Flashcards
high heart rate, low blood pressure
bleed-dehydration
flat jugular veins when supine
bleed-dehydration
hot skin in a shocky pt
septic shock (look for source)
female patients on birth control & or smoking with shortness of breath
pulmonary embolism (PE)
hives, laryngeal edema
allergic or anaphylactic
cool, clammy skin
shock (sympathetic response)
sudden onset after eating of vomiting/diarrhea
allergic or anaphylactic shock
cool, clammy skin above, warm dry skin below, low BP, how HR
neurogenic shock (does not have to be trauma)
getting PT to the hospital isn’t good enough
make sure you are treating it (could be MI, shock)
person on ace inhibitor with laryngeal edema & stridor
allergic response, anaphylactoid reaction (ace inhibitor, ends in -pril)
hives
allergic or anaphylactic shock
if it is wet and sticky and isn’t yours…
don’t touch it
black tarry stools
GI bleed
PT states “I feel like my heart is beating out of my chest”
supraventricular tachycardia (SVT), treated with bear down, adenosine - follow with bolus to condense, electrical shock
crushing sub sternal chest pain
MI
sudden onset shortness of breath
pulmonary embolism (PE)
jugular vein distention (JVD)
ride side failure, PE, tension pneumothorax, cardiac tamponade, COPD
COPD patients are…
hypercarbic
any female of child bearing age with belly pain has…
ectopic pregnancy until proven otherwise
tall skinny males with sudden onset shortness of breath
spontaneous pneumothorax
if PT has Hx of hypertension (HTN)
think MI, stroke, aneurysm
number one cause of PE is left sided failure, number one cause of left sided failure is MI, number one cause of right sided failure is left side failure. number two cause of right side failure is COPD. this means if you hear wet lungs…
ask yourself if the PT is having a MI
belly insults can refer pain to shoulders
ie. ruptured spleen, liver, ectopic pregnancy
never trust a diabetic
just don’t
if necessary to disrobe a trauma PT, the only concern is…
environmental
if you see JVD…
look to heart or lungs for problem
remember, kids go from respiratory arrest to…
asystole
chest pain radiating between shoulder blades
rule out thoracic aneurysm
if you suspect PT is having an inferior wall MI
check right side (V4R)
right side MI treat with ________, left side MI treat with ________
fluid, nitro
in cardiac resuscitation, the most important factors for success are…
electric and great CPR
trauma PTs must be kept…
warm
pain between chin and public bone could be…
cardiac
PT deteriorating enroute to hospital
check your interventions
hypertensive unresponsive PTs
stroke or head injury
trauma is…
surgical problem
belly pain after eating fast food or fatty food
rule out cholecystectomy disease
dislocations of the elbow or knee are a
medical emergency
BP of 90 systolic is…
fine
too much oxygen is bad for
STEMI’s
the finding of an ETCO2 25 and under, think
sepsis
