Ch 37 Emergencies For Patients With Special Challenges Flashcards
(19 cards)
Diseases not developmental
Multiple sclerosis, Parkinson’s disease
Cerebral palsy
Permanent impairment in motor control
Begins at birth
Kidney (renal) failure
Result from chronic illness such as diabetes, high BP, or traumatic injuries
Do not take BP in extremity with dialysis access
BMI
25-29 overweight
Over 30 obese
BiPAP
NIPPV
Assistance with inhalation and exhalation
DOPE
Problems with home ventilator
Displacement (observe chest rise during ventilation)
Obstruction
Pneumothorax/pneumonia
Equipment
Pacemaker
Prevents heart rate from being too slow
Delivers low energy pulses
AICD
Automatic implanted cardiac defibrillator
Defects life threatening rhythms and delivers shock to restore
Ventricular assist device
Implanted mechanical pump that pumps for one or two of heart ventricles
NG tube
Nasogastric
Feeding tube
Nose to stomach
G tube
Gastronomy
Through Abdominal wall to stomach
Feeding tube
Ostomy bag
Connected to colostomy or ileostomy (brings intestine through abdominal wall to rectum)
Dialysis
For kidney failure
Removes toxins, filters blood, helps regulate fluid levels
Hemodialysis
Usually at dialysis center
Machine removes and returns blood
Prone to hypovolemia, hypotension
Peritoneal dialysis
Requires permanent catheter
Dialysis solution run into abdominal cavity to absorb waste products
Can be done at home
Do not take BP on any arm
With A-V shunt, fistula, or graft
Central IV catheter
For frequent IV therapy
On arm (PICC) or chest (central venous line) or implanted port under skin
Ventriculoperitoneal (VP) shunts
Drainage device from brain to abdomen or to atrium of heart to relieve CSF
Shaking an infant
Bulging fontanelle
Injuries to central nervous system
