Flashcards in Emergency ll Deck (34)
Foley vs French catheter
if a lot of urinary retention, how to?
drain slowly to avoid shock
300-400 mL, then relax for 30-60 min
if eye trauma, then cover the other eye
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
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)
How to tx a flash burn (welder)
shredded raw potato poultic
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
Crazy emergency situation! what to do?
SURVEY, THEN RAP!
is victim Responding? "hey you!"
Position on back but don't move head
CPR in adult vs infant
if alone with infant, then 30:2 for 2 min, then call 911
CPR will provide how much normal blood flow?
How long does it take until brain damage if not breathing?
certain after 10 min
depth of compressions on adult, child
adult 1.5-2 inches
children 1/2 - 1/3 chest depth
use two fingers for infant
how long apart are contractions when you know the baby is coming
What should you do once head is through vagina before shoulders are out?
Once baby is out what to do?
check airway, flick feet, give 2 breaths, CPR, EMS
where to clamp umbili cord?
4 AND 6 inch from baby
is prolapsed cord an emergency?
Why screen for GBS in pregnant women?
sepsis and meningitis of newborn
Tx neonatal eye infections
1% tetracycline hydrochloride
Normal Pulse, BP, Breaths in children ages
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
if they ask you if you want a 2nd opinion if child has ear injury, answer what?
send to ER for second opinion
if injury to nose, must do what
ER bc fracture imaging
normal pH of blood
comfortable pH of IV
> 5 acidic
Osmolarity in humans:
if ________, at risk for phlebitis
~ 300 mosm/L = isotonic
hyperosmolar (high risk is 600)
Hyperosmolar soln range
What kind of solution will hydrate the cells and lower serum sodium?
fluid goes from blood to cells
how to administer
irritating to veins, mb painful
are the vitamin and mineral ones
give at slow rate of 1-5mL//min
flush w NS
What in IV can cause hypoglycemia?
EDTA, Vitamin C
Tx: D5W as a base solution to prevent OR slow push D-50 5-50 mL