Study Guide Flashcards

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1
Q

What is included in Class 1 (Red) of the triage criteria?

What are some example conditions in this class?

A

Highest priority!

Patients need immediate care and transport. These patients need to be treated first.

Examples: LOC, severe medical problems, shock, severe burns, radiation exposure.

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2
Q

What is included in Class 2 (Yellow) of the triage criteria?

What are some example conditions in this class?

A

Second priority

Patients’ tx may be temporalized.

Ex: Burns w/o airway problems, major or multiple bone/joint injuries. Back injuries with or without spinal chord damage.

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3
Q

What is included in Class 3 (Green) of the triage criteria?

What are some example conditions in this class?

A

Lower priority

Pts whose tx and transportation can be delayed.

Ex: Minor fractures, minor soft tissue injuries

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4
Q

What is included in Class 4 (Black) of the triage criteria?

What are some example conditions in this class?

A

Lowest priority

Pts already dead or have little chance of survival. If resources are limited, treat “salvageable” puts before these patients.

Ex: Obvious death, obvious mortal wounds such as major open brain trauma, full cardiac.

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5
Q

What are the signs and symptoms of angina pectoris?

A

Defined as discomfort induced by exercise and relieved with rest and/or nitroglycerin.

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6
Q

What are characteristic signs and symptoms of atypical angina?

A

Comes on at rest

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7
Q

What are characteristic signs and symptoms of stable angina?

A

Occurs with the same degree of exertion and resolves with the same degree of rest and/or same dosage strength and frequency of nitroglycerin.

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8
Q

What are characteristic signs and symptoms of unstable angina?

A

Angina that occurs with:

  • more frequency AND
  • episodes are longer lived OR
  • episodes are more easily provoked.
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9
Q

What are concerning pain symptoms for ACS? (4)

A
  • Pressure or squeezing quality
  • Pain similar to prior AMI or angina
  • Pain radiating to neck, shoulder, or left arm
  • Pain with associated dyspnea
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10
Q

What symptoms are less concerning chest pain symptoms? (4)

A
  • Pleuritic quality to pain (sharp/stabbing)
  • Pain is reproducible with palpation of movement
  • Short (seconds in duration)
  • Long (constantly for several hours in duration)
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11
Q

What are characteristic signs and symptoms for chostochondritis?

A
  • The chest pain is reproducible
  • wall strain
  • rib out
  • trauma to rib
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12
Q

What is Tietze’ syndrome?

A

Benign, painful, non-suppurative localized swollen of the costosternal , sternoclavicular, or costochondral joints, most often involving the area of the second and third ribs.

Usually a more defined area of the chest wall in involved, and a young adults are more commonly affected.

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13
Q

What are characteristic signs and symptoms of aortic dissection? (3)

A
  • Unequal pulses
  • pain radiates to the back
  • development of a new murmur of aortic insufficiency (regurgitation)
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14
Q

What are characteristic signs and symptoms of cardiac tamponade?

A

Beck’s Triad:

  • hypotension
  • JVD
  • muffled heart sounds

Also:
PULSUS PARADOXUS
new onset friction rub

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15
Q

What is pulses paradoxes?

A

Drop in systolic blood pressure >10mmHG on inspiration

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16
Q

What are characteristic signs and symptoms of Aortic Arch Aneurism.

A
  • hoarse voice (left laryngeal nerve is stretched)

- pain between shoulder blades or upper back

17
Q

What are characteristic signs and symptoms of Pulmonary embolism?

A
  • Dyspnea
  • pleuritic chest pain on inspirations
  • cough
  • hemoptysis

May also find:

  • low pulse ox
  • tachypnea
18
Q

What are characteristic signs and symptoms of Tension pneumothorax?

A

Hyper resonance with decreased breath sounds