CP 1 study Flashcards

1
Q

Nasal prongs fr

A

1-4 per minute

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2
Q

Simple mask

A

6-8 per minute

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3
Q

Neb

A

8 lpm

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4
Q

Resivour mask

A

10-15 Lpm

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5
Q

Mannual ventilation bag

A

10-15 Lpm

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6
Q

A
N
T
S

A

A access is difficult
N number of pt a scene exceeds road resources
T pt has a time sensitive condition
S pt needs personal of higher skill and clincally significant time will be saved by that person helicoptering in

Times
Stat 1 15 mins at minimum will b saved
Stat 2 30 mins will b saved
Stat 3 60 mins at minimum will b saved

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7
Q

Diastolic pressure

A

pressure in arteries when heart if filling/relaxed.

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8
Q

eccymosis

A

bruising or discolouration

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9
Q

How children compensate for respiratory difficulty

A

increased rate of breathing

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10
Q

What is an early sign of respiratory distress in children

A

tachpnoea

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11
Q

Children’s dominant respiratory muscle

A

the diaphragm- the chest wall is not moved significantly. This is why children are stomach breathers.

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12
Q

children indrawing and retraction

A

As children have very elastic ribs so in drawing, retraction very obvious and can lead to fatigue.

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13
Q

what does hypoxia cause in children

A

tachycardia, agitation, drowsiness pallour, cyanosis is a very late sign.

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14
Q

children blood volume

A

Children have a higher blood volume and CO relative to size in comparison with adults. However they have a lower total blood volume. Therefore a lot less significant injuries such bleeding from scalp can cause hypovalemic shock. Children are good at vasocontricting, So a drop in BP is a very late sign of shock.

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15
Q

signs of shock in children

A

tachycardia, tachypnoea, vasoconstriction (causing slow CRT and mottled skin).

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16
Q

estimated 1-10 yr olds

11-14 yr olds

A

( age +4) x 2

age x 3

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17
Q

supine

A

lying flat on back

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18
Q

What is pre-term labour

A

37 weeks

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19
Q

RR normal

A

12-20

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20
Q

BP systolic normal

A

90-140

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21
Q

temp normal

22
Q

PEARL

A

Pupils equal, accommodating and reactive to light.

23
Q

New born HR
1-12 months
1-4 years
5-12 years

A

120-180
100-160
80-100
65-100

24
Q

RR newborn
1-12 months
1-4 years
5-12 years

A

30-60
30-50
24-40
18-30

25
BP newborn 1-12 months 1-4 years 5-12 years
60-90 90-105 95-105 100-110
26
reasons to administer O2
- SPO2 less than 94% - airway obstruction - respiratory distress - shock - severe TBI - carbon monoxide poisoning - smoke inhalation - decompression illness - a condition where sedation is required
27
LLQ
descending colon, sigmoid colon, uterus
28
RLQ
ascending colon, uterus, ceceum ( top of large intestines, appendix
29
ULQ
kidney, liver (more on right), stomach, spleen, pancreas
30
URQ
kidney, duodenum, liver, gallbladder
31
4 types of plans / directives
Dnr Advance care plans Advance directives Allow natural death orders
32
When is cyanosis visible
Usually with says below 80%
33
Vital signs recorrding
Stat 1-2 10-15 mins | Stat 3 20-30 mins
34
``` Cardiac compromise Not Mild Moderately Severe ```
Not- normal Vs no MI Mild- near normal VS mild symptoms of MI Moderate- abnormal VS significant symptoms of MI Severe- very abnormal VS could by LOC, high risk cardiac arrest
35
What etco2 do u aim for in post rosc care
35-45
36
Signs of shock in young children
Tachyponea, tachycardia, vasoconstriction
37
Shoulder relocation technique
Modified kochers technique- rotate out and up | Stimsons technique- lying on bed arm hanging
38
Shoulder dislocation looks like
Squared off shoulder rather than protruding clavicle. This is usually a acromioclavicular dislocation.
39
Central Cord syndrome
Injury/ bleeding central spinal cord. Central spinal duct is where arm nerves are. So moto function of arms impaired, legs none or a little.
40
Anterior Cord syndrome
Injury to front 2/3 of cord. Loss of motor function, pain and temperature sensation.
41
Brown Sequard syndrome
Injury to one side of the cord. Injury to descending colon, loss of motor function of same side as injury. Ascending- loss of proprioception. And loss of temperature and pain on opposiste side to injury.
42
stages of delevery
1st stage is contractions, until the cervix is fully dilated. 2nd stage is pushing and baby delivery, 3rd stage is the placenta being birthed.
43
pre-term labour
37 weeks
44
PPH
is more than 500mls blood
45
APH
occurs after 20 weeks and before birth
46
ABCD 2 score
2 points for unilateral weakness and symptoms for over 60 mins everything else one point.
47
Abdominal pain that radiates to the flank, loin, spine
pancreatitis, peptic ulcers, cholecystitis, pyelonephritis, leaking aortic aneurysm.
48
cholecystitis
inflammation of gallbladder usually from gallstones.
49
pyelonephritis
inflammation of the kidney
50
quadrants
URQ- gallbladder, large part of liver, kidney, pancreas LUQ stomach, kidney pancreas, spleen LRQ- appendix, ascending colon, small intestines LLQ-small intestines, descending colon