random Flashcards
chemical breakdown of fat typically in (dig sys organ):
small intest
elbow is proximal to the wrist
elbow to wrist
diastolic pressure
pressure on the ARTERIES when the hrt is at rest
left arm pain and nausea, low BP, irreg P, rapid and shallow RR, a ptnt is likely having
myocardian infarction/heart attack
ptnt had surgery, post surg having tachycardia, hot moist sk, could be:
sepsis
increased preload in the hrt does NOT cause cardiogenic shck
distributive shck:
bl vessels dilation - bl pools in vascular beds
Hypovolemic shock relates to the blood and fluids compartment while distributive shock relates to the vascular system; cardiogenic shock arises from primary cardiac dysfunction; and obstructive shock arises from a blockage of the circulation
3 types distributive shck
sepsis
anaphylactic (allergies or asthma)
neurogenic (spinal cord inj damages nervous sys) *often accompanied by hypothermia
most likely to cause obstructive shck
cardiac tamponade
spine inj
pneumothorax
cardiac tamponade
tension pneumothorax - is a collapsed lung.
this can cause what shock:
obstructive -
other common causes of obstructive shck can be:
tension pneumothorax
vena cava compression syndrome (the artery gets compressed)
pulmonary (lung) compression syndrome
tumors (dont expect on any test)
bl in heart sac
adult HR should not go over this, at rest:
100/min
deoxygenated bl from lower half goes back up into the
RT atrium via vena cava (inferior)
cervical spine has
7 vertebra
wheres a hinge joint?
elbow and knee
internal hemorrhage can cause
hypothermia
look for bruising in abd region
flail chest
multiple rib fractures such as with blunt trauma
high morbidity
paradoxical movement is an obvious sign that a portion of the chest wall is not assisting with breathing
what to do:
position ptnt laying on the side w/the flail chest
under 1 yo with 2nd degree burns on lower extremities what is the rules of 9 percentage:
27%
note that google shows varying images with kids with either 14 or 15% per leg.
highest risk of air embo:
lacerated:
femoral artery
lacerated jugular vein
carotid artery
lacerated jugular vein
MOI ptnt from scene of motorcycle accident.
wearing a helmet, snoring resps even after attempted jaw thrust. what else do u do?
in this case, because the jaw thrust didn’t work, remove the helmet.
do this before any other major inj’s such as a femur fracture.
ptnt stabbed in chest. vomiting bl, RR 20/min. SPOA 93%. what kind of O2 to give?
non-RBM at 12-15 lpm.
this is confusing because the ptnt is vomiting.
ptnt in likely heart attck, no dyspnea, mostly healthy, O2 at 89%. what kind of O2 to give?
4l nasal cannula.
here’s the thing, i dont get this one. why wouldn’t we give non-RBM? he has mostly adequate breathing for now so my assumption is that is why, but i would think it could turn at any time.
early signs and symptoms of viral hepatitis include all of the fllwing except:
pain in muscles and joints
loss of appetite and a cough (incorrect)
vomit, fever, fatigue
jaundice adn abd pain
??