Shock / BLS Resuscitation / Medical Overview

Question 1

Adequate perfusion performs two vital tasks, what are these tasks?

Answer 1

Maintain normal organ function through pushing fluids through the body

Transport CO2 out of the body

Question 2

List two devices that can be used to improve CPR.

Answer 2

(ITD) - Impedence Threshold Device

(LBD) - Load Distributing Band

Question 3

What three conditions may result in obstructive shock?

Answer 3

Cardiac Tamponade - leak in pericardial sack that compresses heart

Tension pneumothorax - air enters pleural space and cannot escape, collapses lung

Pulmonary embolism - blockage in pulmonary artery, obstructs blood flow to lungs or to the heart

Question 3

While assessing an unconscious patient, list two ways to determine the patient’s medical history?

Answer 3

Checking for medical alert bracelets or identification with relevant information

Interview family or bystanders present at the scene

Question 4

What is afterload? High afterload is often that heart failure develops in patients with what medical condition?

Answer 4

Amount of blood left in the arteries that the heart works against during systolic phase.

Hypertension

Aortic Stenosis

Question 4

You are treating a 4-year-old patient who is unresponsive and breathing at a rate of 8 breaths/minute. There is cyanosis present in the face, with the heart rate of 46. What is the MOST effective treatment for this patient?

Answer 4

Alert ALS, maintain clear open airway, provide O2 with BVM, monitor vitals, rapid transport to pediatric hospital

Question 5

The most common endocrine emergencies are from complications of what chronic disease?

Answer 5

Diabetes

Question 6

How does septic shock occur? Briefly explain how sepsis causes shock.

Answer 6

Toxins damage the vessel walls and begin to leak. Plasma loss through injured vessel walls, results in shock

Question 7

List two types of medical, neurological emergencies

Answer 7

Stroke
Seizure
Nuerogenic Shock

Question 8

Which bacterium is believed to be transmitted from patient to patient via unwashed hands of health care providers?

Answer 8

MRSA

Question 9

What two organs typically become hypoperfused first when a patient goes into shock?

Answer 9

Skin

Stomach

Question 10

What two complications of anaphylaxis are life-threatening for patients?

Answer 10

Respiratory Arrest

Cardiac Arrest

Question 10

A 45-year old patient presents with agitation, a HR of 110, BP of 114/80 and cool, pale skin signs. What stage of shock is this patient exhibiting?

Answer 10

Compensated Shock

Question 11

A 13-year old is complaining of a fever, headache and a stiff neck. Your secondary assessment reveals red blotches in the skin. You should suspect this patient is suffering from what condition? You should take what immediate action?

Answer 11

Meningitis

Put on N95 respirator
Place surgical mask on patient
Repid transport to hospital with an infectious disease department

Question 12

List two characteristic signs of neurogenic shock that are not found in other forms of shock.

Answer 12

Normal to low HR despite hypotension

no sweating below injury

(538)

Question 12

What is usually the first measurable sign that a patient has progressed into decompensated shock?

Answer 12

Falling blood pressure (systolic of 90 mmHg or lower with adults)

Question 13

All strains of influenza are transmitted by:

Answer 13

Direct contact with nasal secretions and aerosolized droplets

Question 14

What is the action of epinephrine as it relates to anaphylactic shock?

Answer 14

Bronchodilation - relaxes muscles for better airflow

Vasoconstriction - vessels constrict, increased blood flow