Test 5 Flashcards

1
Q

What are some signs and symptoms of increased intracranial pressure?

A
Confusion
Non reactive pupils
Seizures
Coma
Shallow breathing
Loss of consciousness
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2
Q

What is hydrocephaly?

A

Hydrocephalus is caused by an imbalance between how much cerebrospinal fluid is produced and how much is absorbed into the bloodstream. An excess of cerebrospinal fluid builds in the vesicles of the brain and causes pressure within the skull to build

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3
Q

What are some signs and symptoms of hydrocephaly?

A
In infants, hydrocephaly will present as major swelling of the cranium 
In adults s&s will present as 
Chronic headache 
Nausea 
Difficulty in focus 
Seizures
Weakness in legs 
Drowsiness
Personality changes such as irritability 
Problems with gait
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4
Q

What is a first degree burn?

A

A first degree burn is a burn that only affects the outer layers of the skin and presents as erythemious and does not blister. The skin may swell as well. Can be treated with analgesics to reduce pain and swelling, can use moisturizers and cool compresses to help with pain and hydration

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5
Q

What is a second degree burn?

A

A second degree burn is a burn that affects the first and second layer of skin. Skin will usually blister and appear to be moist or smooth. Second degree burns can be life threatening if they are widespread on the body. Can be treated with analgesics for pain and swelling and antibiotics to prevent infection.

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6
Q

What is a third degree burn?

A

Third degree burns extend through every layer of skin and are painless due to the nerves being destroyed in the effected area. The area can appear as waxy or white, char, dark brown, and raised and leathery. Can be treated with surgery. Can cause electrolyte imbalance

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7
Q

How are poisonings usually treated?

A

Poisonings are treated in different ways depending on the poison but stomach pumps using charcoal can be used to clear the stomach of a poisonous ingested substance as it binds with the substance and passes through feces

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8
Q

What is hypovolemic shock and how is it treated?

A

Hypovolemic shock is shock caused by low blood volume and is treated by replacement of fluids. Limbs can be elevated above heart level to promote return of fluid toward the heart

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9
Q

What are some signs and symptoms of hypovolemic shock?

A
Hypotension
Tachycardia
Weak thready pulse 
Cool, pale, and moist skin  
Urine output is low
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10
Q

What is neurogenic shock and how is it treated?

A

Neurogenic shock is life threatening that is caused by the sudden loss of signals from the sympathetic nervous system that maintain the normal muscle tone in blood vessel walls. Treatment usually begins with fluids to stabilize the blood pressure. Vasopressors are used as well such as epinephrine, norepinephrine, dopamine, and vasopressin

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11
Q

What is anaphylactic shock and how is it treated?

A

Anaphylactic shock is an extreme, often life-threatening allergic reaction to an antigen to which the body has become hypersensitive. Anaphylactic shock is treated with epinephrine as well as IV antihistamines and corticosteroids

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12
Q

What is hyperthermia?

A

Body overheating due to environmental exposure.

More common in children as they are unable to thermoregulate as well. Occurs in the elderly as well.

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13
Q

What are heat cramps?

A

Heat cramps- body begins cramping due to loss of fluids and electrolytes through sweating. Mostly sodium lost. Will have headaches, dizziness, nausea, and weakness. Skin will be cool and clammy. Hypertension can be present. Treated by restoring fluids and removing from heat

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14
Q

What are heat strokes?

A

Heat stroke- Emergency condition. Can and will kill the patient if not treated. The patient is unable to regulate their own heat and their skin will be hot and flush. Patient will usually be comatose. Hypertension, tachycardia, and core temp will usually be >105. Treated by maintaining airway, O2, and by restoring fluids through IV. Clothing will be removed and ice packs or other cooling measures will be used to lower body temparature. Use Valium or Thorazine to prevent shivering as the heat stoke is resolved

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15
Q

What is hypothermia?

A

Involves prolonged exposure to cold and the body temperature <94.4

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16
Q

What are some ways to treat hydrocephalus?

A

Diuretics can be used to reduce fluid volume

A shunt can be directly inserted into a ventricle to drain the fluid

17
Q

What is the rule of 9s concerning burns?

A

The rule of 9s is used to determine the amount of area that has been burned on an individual
An arm counts as 9% of the body front and back
A leg counts as 18% of the body front and back
The torso counts as 18% on the front and an additional 18% on the back
The head counts as 9% front and back
The groin counts as 1%

18
Q

What does water in a persons lungs do?

A

Water in the lungs from aspiration, whether saltwater or freshwater, will wash away surfactant and compromise the lungs. Bronchospasms can occur which is the leading cause of drowning deaths. Because of metabolic instability as well cerebral edema can occur

19
Q

How would you treat a near downing situation?

A

Open airway and maintain spine immobilization
Assess LOC and VS
Look for signs of hypoxia
If respiratory insufficient, intubate and ventilate
If breathing provide NRB and monitor lungs sounds every hour

20
Q

What should be monitored if a patient has been poisoned?

A

EKG and continual cardiac monitoring
Xray to see if aspiration made it to the lungs
Blood draws for toxicology

21
Q

What is given to a patient if they are bitten by a poisonous snake?

A
Antivenom
Caution must be demonstrated when giving antivenom as some patients are allergic 
Benadryl can be given to reduce swelling
O2
Analgesics
DO NOT ICE
22
Q

What are some complications of snakebites?

A

Swelling
Compartment syndrome
Hemotoxic effects
Coagulation or DIC (bleeding out of every orifice)

23
Q

What presents with an anaphylactic reaction?

A
Hives
Angioedema 
Dyspnea/wheezing
Flushing 
Nausea vomiting and diarrhea
Syncope
24
Q

What is cardiogenic shock?

A

Heart is insufficient in providing blood to the rest of the body. Fixed through drugs like digoxin and lasix