Unit Test 3 Flashcards

1
Q

At 9 months what characteristics should you show?

A

Pulls up to stand and places objects in their mouth to explore them.

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2
Q

At 12 months what characteristics should you show?

A

Knows their own name and can walk.

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3
Q

Separation anxiety

A

10-18 months. Clingy behavior and fear of unfamiliar places/ people.

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4
Q

Toddlers

A

1-3 yrs. Pulse 90 to 150 beats/min. Respiration 20-30 beats/min.

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5
Q

Preschoolers

A

3-6 yrs. Pulse 80 to 140 beats/min. Respiration 20-25 beats/min. systolic blood pressure 80-100 beats/min

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6
Q

3 factors of Early Adults

A

Work, Family, Stress

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7
Q

Atherosclerosis

A

A disorder in which cholesterol and calcium build up inside the walls of the blood vessels, forming plaque, which leads to partial or complete blockage of blood flow.

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8
Q

Diastolic blood pressure increases

A

with age caused by stiffening of the blood vessels.

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9
Q

Vital Capacity is the volume

A

of air moved during the deepest inhale and exhale ( only 50% of the amount young adults have at age 75)

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10
Q

Diabetes as you get older

A

When a person gains weight, more insulin is needed to control the body’s pancreas may not be able to produce enough insulin for the person’s body, which can lead to diabetes mellitus.

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11
Q

Kidney’s Filtration Function

Renal System

A

Declines by 50% from age 20-90

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12
Q

Dose definiton

A

The amount of medication that is given.

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13
Q

Dose Depends On what three things

A

Patients weight, age, and desired action of medication.

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14
Q

Inhalation

A

Inhaling or breathing in

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15
Q

Intramuscular (IM)

A

Into the muscle

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16
Q

Intraosseous (IO)

A

Into the bone

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17
Q

Intravenious (IV)

A

Into the vain

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18
Q

Per os (PO)

A

By mouth

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19
Q

Per rectum (PR)

A

By rectum

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20
Q

Subcutaneous (SC)

A

Under the skin

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21
Q

Sublingual (SL)

A

under the tongue

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22
Q

Transcutaneous (tansdermal)

A

Through the skin

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23
Q

Intranasal

A

Into the Nose

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24
Q

Form of Medication Dictates

A

The route of administration

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25
Manufacturer Chooses the form of Meds for
Proper route of administration, timing of its release into the bloodstream, and its effects on the target organs or body systems.
26
6 R's
1. Right patient 2. Right medication 3. Right dose 4. Right route 5. Right time 6. Right Documentation
27
Glucose administration
Is a gel designed to be spread on the mucous membranes between the cheek and the gum.
28
Nitroglycerin's purpose is
To increasing blood flow by reliving the spasms or causing the arteries to dilate. It does this by relaxing the muscular walls of the coronary arteries and veins.
29
Epinephrine definition
Is the main hormone that controls the bodies fight- or - flight repose and is the primary medication that you will be administering IM.
30
Epinephrine is for Patients
with an airway obstruction or wheezing due to an airway obstruction.
31
Epinephrine is administered
Mostly through an auto- injector (EpiPen) at 0.3 mg
32
Naloxone (Narcan)
To reverse the effects of only an opioid overdose.
33
Naloxone (Narcan) is administered
In increments 0.4 mg, can increase due to patients response.
34
Histamines
Is the revers effect of epinephrine
35
CPR
30:2 compressions, 2-2.4 inches deep, 100-120 compressions per minute, Head tilt chin lift for non trauma
36
Adult cardiac arrest occurs___ respiratory arrest
Before
37
Child/Infant cardiac arrest occurs ___respiratory arrest
From
38
In CPR (Chest)
Allow for full recoil and let chest return to normal position.
39
Stoma
A opening that connects the trachea directly to the skin. Does not need a tube to breath. If leakage when giving ventaliations cover the nose and mouth
40
Tracheostomy
A hole that has an adapter attached to ventilator. they require a vent to breath for them.
41
13-1 Table
Page 525
42
If massive gastric distension interferes with adequate ventilation...
Contact medical control, check airway again, reposition the patient, watch for chest rise and fall, and avoid giving forceful breaths.
43
If you see a child go unconscious, and you are alone, check that they are in cardiac arrest...
leave the child to Get a phone to call 911 and locate an A.E.D before beginning CPR
44
STOP
S-The patient STARTS breathing and has a pulse T-The patient's care is TRANSFERRED to another provider of equal or higher level training. O-You are OUT of strength or too tired to continue CPR P-A PHYSICIAN who is present or providing online medical direction assumes responsibility for the patient and directs you to discontinue CPR
45
Use Chest Thrusts For
Pregnant women and obesity
46
Responsive Infants
Page 546-548
47
Opioid definition
A narcotic drug, when excessively taken, depressed the central nervous system and cause respiratory arrest followed by cardiac arrest.
48
For Opioid Overdose
FIRST USE BVM to ventilate and push/administer narcan
49
Index of Suspicion definition
Is your awareness and concern for potentially serious underlying and unseen injuries or illnesses.
50
For All Extremities...
Check pulse, motor, and sensation
51
For Neurological (brain) Problems
Check pupillary reaction.
52
Check Neck Closely
For any evidence of accessory muscle use with respirations. Check for jugular vane distension and tracheal deviation, which can be indicators or respiratory or cardiac problems.
53
For Blood Pressure check
Check manually and with the automatic blood pressure cuff to make sure the readings match.
54
End-tidal CO2 monitoring should be considered...
If the patient complains of respiratory problems
55
Asprin
For Chest Pain
56
Oral Glucose is for patients
With diabetes and low BGL | Is a simple sugar absorbed by the bloodstream
57
Albuterol
For respiratory difficulties
58
Activated Charcoal
For a person who has ingested poison
59
Hepatitis B causes
blood, sexual contact, saliva, urine, and breast milk
60
Hepatitis B incubation/vaccine
4-12 weeks and there is a vaccine
61
Methicillin- Resistant Staphylococcus Aureus (MRSA)
Is a bacteria that causes infections and is resistant to many antibodies.
62
MRSA
Incubation is 5-45 days and there is no vaccine
63
Dyspnea
Shortness of breath or difficulty breathing which can cause the brain to be deprived of oxygen.
64
Carbon Dioxide Retention is chronically high
blood level of carbon dioxide in which the respiratory center no longer responds to high blood levels of carbon dioxide.
65
Hypoxic Drive
The theory that the brain gradually accommodates high levels of carbon dioxide and then uses a backup system to control breathing based on low levels of oxygen rather than high levels of carbon dioxide.
66
Hypoxia
A condition in which the body's cells and tissues do not get enough oxygen
67
Hypoxia Causes
Altered mental status
68
Croup
Is inflammation of the pharynx, larynx, and trachea. | Narrows airway
69
Croup Signs are
Stridor and a seal-bark cough
70
Epiglottitis
Disease where the epiglottis becomes inflamed and enlarged and may cause an upper airway obstruction, delivers high flow of oxygen (drooling)
71
Asthma
Produces a characteristic wheezing as the patient attempts to exhale through partially obstructed air passages.
72
Wheezing is indicative
Of a partial lower airway obstruction.
73
Anaphylaxis (anaphylactic shock) definition
A severe allergic reaction characterized by airway swelling and dilation of blood vessels all over the body. This may significantly lower blood pressure.
74
Always Consider Upper Airway Obstruction
In patients who were eating just before coming short of breath.
75
In Unconscious Patients
change from Airway, Breathing, Circulation go to Circulation, Airway, Breathing.
76
Cystic Fibrosis
Genetic disorder that affects the lungs and the digestive system. Disrupts the normal function of sweat glands in the skin causing very salty sweat. Lines the lungs with a thick mucus that makes it hard to breath. It effects the lungs, digestive, and reproductive systems.
77
Which of the following regarding an infants vital signs is correct?
Infants boy temp is usual higher then a preschoolers.
78
During primary assessment
You and your partner can be working simultaneously or at the same time.
79
Shallow/ Rapid respirations
assist ventilations or open airway
80
If a patient has respiratory distress
Place in a position that helps breathing, administer oxygen that filters at 15meter per minute, nonrebreather
81
Insulin levels regulates
Metabolism and sugar levels
82
For conscious patients you don't need to do a secondary head- to- toe
Just do a detailed or limited physical exam based on their chief complaint.