Chapter 19 Medical Emergencies

Question 1

Ensure open airway

control bleeding

prevent shock

attend wounds/fractures

provide emotional support

continumally re-evaluate

Answer 1

priorities for medical emergency

Question 2

tool box

contains drugs and equipment

drawers in “ABC” order

secured

Answer 2

crash cart

Question 3

atrophine

benadryl

cordarone

dilantin

lasix

xylocaine

intropin

epinephrine

Answer 3

crash cart drugs

Question 4

atrophine

Answer 4

respiratory stimulant

treat brdaycardia

Question 5

benadryl

Answer 5

allergic reactoins

Question 6

cordarone

Answer 6

treat heart arrhythmias

Question 7

dilantin

Answer 7

siezure med

Question 8

lasix

Answer 8

edema

Question 9

xylocaine

Answer 9

local anesthetic

Question 10

intropin

Answer 10

shock

Question 11

epinephrine

Answer 11

cardiac arrest

anaphylaxis shock

Question 12

backboard

flashlight

levine tubing

jelco cannulas

cut down tray

connectors

surgical lube

Answer 12

non drug items on crash cart

Question 13

head injury

alert and conscious

can fully respond to stimuli and questions

Answer 13

least severe injury

Question 14

head injury

drowsy

roused only with loud voice or gentle contact

Answer 14

more seriously injured

Question 15

head injury

unconscious

reacts only to painful stimuli

Answer 15

even more seriously injured

Question 16

head injury

comatose

unresponsive to all stimuli

Answer 16

most serious injury

Question 17

why asscess patient before procedure

Answer 17

recognize change

Question 18

irratability

lethargy

slowing pulse rate

slowing respiration rate

Answer 18

signs of deteriorating head injury

Question 19

stop procedure

maintain airway

move as little as possible

get assistance

monitor vital signs

Answer 19

response to deteriorating head injury

Question 20

general term that indicates the failure of the circulatory system to support vital body functions

Answer 20

shock

Question 21

hypovelemic

cardiogenic

neurogenic

vasogenic

Answer 21

types of shock

Question 22

hypovelemic

Answer 22

loss of blood/fluid

Question 23

cardiogenic

Answer 23

cause by cardiac issue

Question 24

neurogenic

Answer 24

spinal anesthesis

damage to upper spinal cord

CNS damage

Question 25

vasogenic

Answer 25

septic most common infectoin anesthesia anaphylaxis

Question 26

what type of shock will you most see

Answer 26

hypovelemic anaphylaxis

Question 27

pain anxiety stress

Answer 27

contributing factors to shock

Question 28

restless apprehensive anxitey increase HR decrease BP cold damp pallor (absence of color)

Answer 28

signs of shock

Question 29

mild to severe

Answer 29

reactoins to contrast

Question 30

death cardiac arrest

Answer 30

severe reaction

Question 31

history and consent

Answer 31

ALWAYS obtain before administering contrast

Question 32

long reaction time

Answer 32

less severe

Question 33

quick reactoin time

Answer 33

more severe

Question 34

is it possible to have delayed reaction

Answer 34

yes

Question 35

localized intching uticaria (hives) nausea and vomiting

Answer 35

mild reactoins similar to allergic reactoin

Question 36

what is generalized itching and hives indicative of

Answer 36

systemic reaction more serious reaction to contrast

Question 37

reaction course of action

Answer 37

call for assistance

Question 38

benedryl epinephrine

Answer 38

drugs administered by physcian

Question 39

laryngeal edema (swelling throat) shock vasogenic cardiac arrest

Answer 39

more serious reactoins to contrast

Question 40

excessive insulin present

Answer 40

hypoglycemia

Question 41

excessive sugar in blood

Answer 41

hyperglycemia

Question 42

weak shaky sweating confused irratible

Answer 42

sigsn of hypoglecemia

Question 43

thirst urination dry mucosa rapid deep breaths drowsy confused

Answer 43

signs of hyperglycemia

Question 44

need carbs slucose tablet sweetened orage juice candy bar

Answer 44

treat hypoglycemia

Question 45

need insulin can go into diabetic coma

Answer 45

hyperglycemia

Question 46

loss of elasticy of bronchi wheezing

Answer 46

Asthma

Question 47

stop procedure get patient upright gets patient meds get assistance

Answer 47

in case of asthma attack

Question 48

can patient speak clutches throat encourage cough

Answer 48

choking

Question 49

crushing chest pain pain down left arm pallor shortness of breath

Answer 49

signs and symptoms of cardiac arrest

Question 50

what is CVA cerebral vascular accident

Answer 50

stroke brain attack

Question 51

slurred speech paralysis on one or both sides dizziness loss of vision (particularly one eye)

Answer 51

signs of stroke

Question 52

report to nurse or physician do not stand or move get med assistance begin CPR if required

Answer 52

actions if stroke occurs

Question 53

older patients \>75

Answer 53

who is more susceptible to stroke

Question 54

both pyhsiological and psychological response

Answer 54

nausea and vomiting

Question 55

breath slowly deeply through mouth

Answer 55

instruction sto patient with nausea

Question 56

epitaxis

Answer 56

nose bleed

Question 57

do not put in recumbant position lean forward apply pressure use moist cloth after 15 min seek medical attention

Answer 57

procedure for nose bleed

Question 58

vertigo

Answer 58

dizziness

Question 59

syncope

Answer 59

fainting

Question 60

self correcting mechanism to get blood flow back to brain

Answer 60

syncope

Question 61

get patient in recumbant position elevate feet loosen tight clothing moist cool cloth to forehead

Answer 61

syncope actions

Question 62

orthostatic hypotension

Answer 62

dizzy vertigo from sitting or standing too quickly

Question 63

may experience breif loss of consciousness or stare into space confused and weak

Answer 63

mild seizure

Question 64

experience involuntary contraction of muscles on 1 or both sides of body last one to several minutes

Answer 64

severe seizure

Question 65

seizure aura

Answer 65

feeling that seizure is coming physical or mental warning

Question 66

prevent injury do not restrain do not put fingers in mouth move to floor with p;illow ensure open airway

Answer 66

seizure actions

Question 67

which side contractions were on drooling experience aura

Answer 67

notes from seizure

Question 68

dehiscence

Answer 68

wound separation

Question 69

do not try to put contents back in place sterile dressing over area put patient in seated slightly forward position to relieve abdominal pressure get help

Answer 69

dehiscence actions