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Flashcards in Emergency ll Deck (34)
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1

Foley vs French catheter
if a lot of urinary retention, how to?

foley long-term
french short
drain slowly to avoid shock
300-400 mL, then relax for 30-60 min

2

if eye trauma, then cover the other eye

yes

3

Closed vs Open globe trauma

closed is more dangerous
most concerned about optic N - swelling
PE: check acuity, bleeding
tell pt if increase in pain and decrease in vision, then go to ER

4

what to do if chemical burn in eye

irrigate w any water then ER referral
if in woods, put any oil in the eye (lacrilube or vit A)

5

How to tx a flash burn (welder)

shredded raw potato poultic
vitamin A

6

Abrasion vs Ulceration of eye

hard for ND's to tell the difference, so ER!
Abrasion- patch 24 hrs, mb abx, must r/o foreign object - so irrigate and check

7

Crazy emergency situation! what to do?
SURVEY, THEN RAP!
RAP?

survey
is victim Responding? "hey you!"
Activate EMS
Position on back but don't move head

8

CPR in adult vs infant

adult: 30:2
infant: 15:2
if alone with infant, then 30:2 for 2 min, then call 911

9

CPR will provide how much normal blood flow?

1/4-1/3

10

How long does it take until brain damage if not breathing?

4-6 min
certain after 10 min

11

depth of compressions on adult, child

adult 1.5-2 inches
children 1/2 - 1/3 chest depth
use two fingers for infant

12

how long apart are contractions when you know the baby is coming

2-3 min

13

What should you do once head is through vagina before shoulders are out?

clear airway

14

Once baby is out what to do?

check airway, flick feet, give 2 breaths, CPR, EMS

15

where to clamp umbili cord?

4 AND 6 inch from baby

16

is prolapsed cord an emergency?

yes

17

Why screen for GBS in pregnant women?

sepsis and meningitis of newborn

18

Tx neonatal eye infections

0.5% erythromycin
1% tetracycline hydrochloride

19

Normal Pulse, BP, Breaths in children ages
0-1
1-5 yr
5-10

up to 1 yo: 120 HR, 80/40, 40 RR
1-5 yo: 100 HR, 100/60, 30 RR
5-10 yo: 80 HR, 120/80, 20 RR

20

if they ask you if you want a 2nd opinion if child has ear injury, answer what?

send to ER for second opinion

21

if injury to nose, must do what

ER bc fracture imaging

22

SubQ degree

30-45

23

normal pH of blood
comfortable pH of IV
acidic pH
alk pH

normal: 7.35-7.45
comfortable: 6.6-7.6
> 5 acidic
9 alk

24

Osmolarity in humans:
if ________, at risk for phlebitis

~ 300 mosm/L = isotonic
hyperosmolar (high risk is 600)

25

Hyperosmolar soln range
Hypo range

> 375
< 250

26

What kind of solution will hydrate the cells and lower serum sodium?

hypotonic
1/2 NS
fluid goes from blood to cells

27

Hypertonic soln:
problems:
how to administer

> 375
irritating to veins, mb painful
are the vitamin and mineral ones
give at slow rate of 1-5mL//min

28

Tx phlebitis

prevent
flush w NS
D/c line
apply ice

29

What in IV can cause hypoglycemia?
Tx?

EDTA, Vitamin C
Tx: D5W as a base solution to prevent OR slow push D-50 5-50 mL

30

What can cause speed shock?
Tx?

Mg too fast
Tx with Ca
Can treat too much Ca with Mg