Unit 4 Review Flashcards
What happens when a patient refuses a physical exam
Document it and call medical control
How to treat a patient with inadequate ventilation and breathing
If the patient is not breathing or had inadequate breathing, ensure adequate ventilations with a BVM and 100% oxygen
Signs and symptoms of hypoglycemia and mimic
It causes altered mental status, decreased LOC, and mimics a stroke.
Difference between a stroke and hypoglycemia and vary
Patient with stroke may be alert and attempting to communicate normally.
Patient with hypoglycemia almost always has a decreased LOC. ( Patient with decreased LOC should not be given anything orally)
If a women is crowing and the head delivers what do you do once the heads delivered
Once it is obvious that the head is coming out place your sterile gloved hand over the emerging body parts of the head, avoid the eyes and fontanelles, and by exerting minimal pressure, control the delivery of the head.
What regulates blood flow and how blood flows through the body
SA node PG.631
Prolonged transport of over 20 minutes what do you need:
idk
Whats the next step if CPR is in progress
If bystander CPR is in progress, assess the effectiveness of chest compressions by palpating for a carotid or femoral pulse. If compressions are effective, you should be able to feel the pulse. Stop compressions once you feel the pulse. If you lose the pulse continue CPR. Don’t apply AED for responsive patient.
Signs, symptoms and treatment of neurological shock
Damaged cervical spine ( Bradycardia is slow pulse, low blood pressure, signs of neck injury) Treatment is obtaining and maintaining proper airway, providing immobilization, assisting inadequate breathing as needed, conserving body heat, and ensuring the most effective circulation possible
All the causes of shock
Many conditions include bleeding, respiratory failure, acute allergic reactions, and overwhelming infection. It all occurs due to insufficient perfusion of organs and tissues. As soon as perfusion stops or becomes impaired, tissues start to die, affecting all local body processes. If not stopped or revered death will follow soon.
Every aspect of the APGAR score and how to score a baby
2 1 0 Appearance Pulse Grimace of irritability Activity or muscle tone Respiration Total of score: 10
Steps 1-5 of delivering a baby
- Crowing is a definitive sign that the delivery is eminent and transport should be delayed until the baby is born
- Allow the women to push the head out, use your hands to support the bony parts, body will rotate either left or right, feel the neck for umbilical cord, if do gently lift over without pulling hard.
- Once head is delivered it will rotate on its own, the next contraction the upper shoulder will be visible, guide the head down slightly by applying gentle downward traction to help the upper shoulder deliver.
- Support head and upper body as shoulders deliver, may need to help guide the head slightly to help deliver the lower shoulder.
- Once body is delivered support the newborn gently but firmly. The baby will be very slippery just support the head with the neck in a neutral position to keep the airway open.
What patients does OPQRST and SAMPLE refers to
Chest pain
Signs, symptoms and treatments of all the brain bleeds
Altered mental status, stroke like symptoms. Treatment is cover patient with blanket, drive fast, and check blood pressure.
How to treat the airway in a seizure patient
Evaluate the patient if the airway is patent, if patient requires assistance maintenance of airway consider OPA and NPA. Be prepared to provide to suction, and position the patient to prevent aspiration. If patient cannot protect airway place in recovery position to help prevent secretions from entering the airway
Signs and symptoms of esophageal varacies, ulcers, and ruptures
Esophageal Varacies -
Ulcers -
Ruptures -
First thing to do in a primary survey
First looking for and treating any life - threatening conditions.
Signs and symptoms of STD’s (3)
Chlamydia - lower abdominal pain, nausea, fever, pain during sexual intercourse, and/or bleeding between menstrual periods.
Bacterial Vaginosis - normal bacteria in the vagina is replaced by overgrowth of other bacteria. Symptoms include itching, fishy smelling fouling discharge, burning and pain.
Gonorrhea - Bacterium that can grow and multiply rapidly in the warm moist areas of the reproductive tract. Symptoms include painful urination, associated with burning and itching; yellowish or bloody discharge with foul odor, and blood associated with sexual intercourse. More severe infections may present with cramping and abdominal pain, nausea, vomiting, and bleeding between menstrual periods
Syphilis -
How to treat a patient with respiratory insufficiency
Immediately secure and maintain the airway, clear mouth or throat for any obstructions, if necessary provide ventilations with BVM, administer supplemental oxygen, and transfer patient promptly