Circulation and Control of Hemorrhage Flashcards Preview

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Flashcards in Circulation and Control of Hemorrhage Deck (22):
1

What are the major assessment parameters for circulation and hemorrhage?

level of consciousness, skin color, and pulse

2

What can the use of AVPU reveal?

patient's level of consciousness and help determine if the initial assessment may proceed as ABC or reprioritize ABC to address hemorrhage

3

When assessing for circulation what is one of the first things you want to evaluate?

hemorrhage in the abdomen and pelvis or anyone with sustained blunt trauma

4

What do you inspect for circulation?

- uncontrolled bleeding
- skin color

5

What do you auscultate for in circulation?

- muffled heart sounds

6

What do muffled heart sounds indicate?

pericardial tamponade

7

What do you palpate for in circulation?

- presence of carotid/femoral pulses (rate, rhythm, strength)
- skin temp/moisture (cool/diaphoretic or warm/dry)

8

What do you do if pulses are absent?

- initiate life support
- assess for signs of uncontrolled internal bleeding
- penetrating wound to the heart
- pericardial tamponade
- rupture of great vessels
- abdominal hemorrhage

9

What are common sites for hemorrhage?

- chest
- abdomen
- pelvis
- long bones
- external bleeding from wounds/amputation

10

What do you inspect if pulses are present?

- external bleeding
- skin color

11

What do you palpate for if pulses are present?

- central pulses
- skin temp and moisture

12

What does a strong, regular, and normal pulse rate indicate?

normovolemia

13

What does a rapid, thready pulse indicate?

hypovolemia

14

What does an irregular pulse indicate?

cardiac dysfunction

15

What do you do if pulses are present but circulation is ineffective?

- assess for signs of uncontrolled bleeding
- consider common sites for hemorrhage (chest, abdomen, pelvis)

16

What interventions do you do for circulation?

- control/treat bleeding
- cannulate two veins
- intervene in life-threatening situations

17

How do you control/treat uncontrolled bleeding?

- apply direct pressure
- apply pressure over arterial sites
- pelvic binder for unstable pelvic fx
- tourniquet
- take blood pressure (base line, trending)

18

Why would you want to cannulate two veins?

- type and crossmatch blood
- infusions of warmed isotonic crystalloid solution
- blood administration tubing and NS to facilitate for possible blood administration
- administer blood/blood products
- use rapid infusion devices per protocol

19

What should you do if you are not able to place an IV?

consider IO or central venous access

20

What are some interventions you can do for life-threatening situations?

- prepare/assist with thoracotomy
- prepare/assist with pericardial needle aspiration to relieve cardiac tamponade
- prepare pt transfer to operating suite

21

What could elevated blood pressure do?

dislodge blod clots and promote further bleeding

22

What is suggested for fluid resuscitation?

- component therapy - RBC, plasma, platelets