Test 3.6 Flashcards

1
Q

What’s hyper-resosnant sound

A

Excessive air accumulation; indicative of pneumothorax

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2
Q

What’s a dull sound

A

Excessive fluid; may be indicated if hemothorax

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3
Q

What does the pale, ashen skin, or cyanotic skin mean

A

Respiratory collapse

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4
Q

What does red, dark-red, or blue head and neck mean

A

Traumatic asphyxia

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5
Q

What’s the management for thoracic injury

A

High flow of supplement oxygen

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6
Q

What does a fracture of thoracic include

A

Significant force is require
Crepitus at site
Compression of rib cage
Prevents athlete to take full breath

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7
Q

Does a single rib fracture with no internal injury require a emergency?

A

No

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8
Q

What is a sternum fracture

A

Require a significant force
Severe dyspnea, point tenderness
Sternal deformity requires emergency
Can be life threatening

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9
Q

What is Sternoclavicular dislocation

A

Posterior Dislocation can cause respiratory distress as clavicle places pressure on trachea

Be concerned with C-spine injury

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10
Q

What’s the treatment for Sternoclavicular dislocation

A

Treat with air many revers and oxygen

If no improvement attempt reduction
Draw clavicle anterior and laterally

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11
Q

What does a flail chest consist of

A

Fractures of 2 or more adjacent ribs

Result in paradoxical chest movement during breathing

Must be concern with pneumothorax

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12
Q

What’s the management with a flail chest

A

Athlete can be placed on side of injury cause body weight serves to support and splint chest wall

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13
Q

What’s the treatment for pneumothorax

A

Transport to ER
hug a pillow
Avoid coughing
Monitor vital signs

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14
Q

What does a open pneumothorax consist of

A

Opening in chest wall allowing air to enter pleural space

Tx: create one-way valve which is sealed on 3 sides allowing air to leave during exhalation

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15
Q

What is tension pneumothorax

A

Expands to point of compressing heart
Life threatening condition
Build up pressure causes mediastinum and trachea to be pushed away from affected side

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16
Q

During tension pneumothorax what happens when pressure is on superior vena cava

A

Causes jugular vein distention

17
Q

What causes decreases CO, drop in BP and declining mental status during tension pneumothorax

A

Pressure on aorta and heart

18
Q

What is the cause of hemothorax

A

Blood entering pleural cavity

Pleural cavity can hold 2-3L of blood

Shock will quickly develop

19
Q

What’s the treatment for hemothorax

A

Oxygen and respiratory support
IV fluid resuscitation
Endotracheal intubation
Transport to ER

20
Q

What is pulmonary embolism

A

Blood clot that enters venous system and becomes lodged in lungs

If not treat will cause tissue death

21
Q

How much blood do fault have

A

6L or 12.6 pts

22
Q

What is Class 1 blood loss

A

Up to 15% blood loss ( 1-2 pts

Effects on patient; remains alert & vitals remain WNL

23
Q

What’s Class 2 blood loss and what are the effects

A

Up to 30% blood loss (3-4 pts)

Effects on patient :confusion, restlessness, skin pale, weak and rapid BP

24
Q

What does Class 3 blood loss and what are the effects

A

Up to 40% loss and (5 pts)

Effects: more confused, restless and signs of shock

25
Q

What is Class 4 blood loss and what are the effects

A

More than 40% loss and (5+ pts)

Effects: patient lethargic, drowsy, death

26
Q

What does arterial blood look like

A

Bright red, spurting, pulsating flow

27
Q

What does venous blood look like

A

Darker blood, steady and slow flow

28
Q

What does capillary blood look like

A

Dark red, oozing flow
Easy to control
High skin infection due to break in skin

29
Q

What are the methods to control bleeding

A

Direct pressure
Elevation and cold application
Pressure point/indirect pressure
Tourniquet

30
Q

What does cold application promote?

A

Vasoconstriction

31
Q

What are the common pressure points

A

Brachial artery
Femoral artery
Popliteal artery

Avoid pressure points if possible

32
Q

What does internal bleeding cause and when should you suspect it

A

Causes hypoperfusion (shock) and death

Suspect with cases of unexplained shock

33
Q

What may hypo perfusion lead to

A

Organ failure and to death

Theses organs are: heart, lungs, brain, kidney

34
Q

What’s the assessment for thoracic injuries

A

Ask about onset of symptoms
Note demeanor, anxiety levels, abilitiyu to speak
Mental status and relationship to hypoxia
Check vital signs
Check auscultation