Physiological Adaptation Flashcards
CPR compressions for adults and children
Use heel of hand, at least 100/min, depth 2 inches
CPR compressions for infants
Use 2-3 fingers, at least 100/min, depth 1.5 inches
CPR compression to ventilation ratio for adults
30:2 with one or two rescuers
CPR compression to ventilation ratio for children/infants
30:2 with one rescuer
OR
15:2 with 2 HCP rescuers
The nurse cares for the client diagnosed with a flail chest following an automobile accident. Which type of respiratory pattern should the nurse anticipate when making a respiratory assessment?
Paradoxical chest movements — affected side goes down with inspiration and up with expiration
Key manifestations of croup syndrome
Bark-like cough, inspiratory stridor
Assessment of skull injury
Battle’s sign, raccoon eyes, rhinorrhea, otorrhea
Assessment of contusion
- slight depression of consciousness to coma
- decorticate posturing: flexion and internal rotation of the arms and hands
- decerebrate posturing: extension and external rotation of forearms and hands
- generalized cerebral edema
Score < ___ on Glasgow coma scale indicates the client is comatose
7
Score of ___ on the Glasgow coma scale indicates the client is alert and oriented
15
Earliest sign of increased ICP
Altered LOC
Cushing’s triad
Bradycardia, irregular respirations, widened pulse pressure
Thrombolytic therapy such as streptokinase and t-PA must be given with ___ hours of onset of an MI
6
What type of diet suppresses many types of seizures
Ketogenic diet — high fat, low carbs
Respiratory paralysis may occur if the client experiences a spinal cord injury above ___
C4
