Exam 4 Extra Practice: Shock and Resuscitation Flashcards

1
Q

Name the conditions associated with obstructive shock

A

Tension pneumothorax, pulmonary embolism, cardiac tamponade

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2
Q

Name the conditions associated with cardiogenic shock

A

MI

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3
Q

Name the conditions associated with distributive shock

A

SNAP:
Sepsis
Neurogenic
Anaphylaxis
Psychogenic

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4
Q

Name the conditions associated with hypovolemic shock

A

non/hemorrhagic shock

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5
Q

Describe Beck’s triad and what condition it is associated with

A

cardiac tamponade
JVD
Narrowing pulse presssure
Muffled heart tones

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6
Q

What is edema and what kind of shock is it associated with?

A

Edema is the presence of abnormally large amounts of fluid between the cells.
It is associated with cardiogenic and anaphylactic shock

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7
Q

What are the signs and symptoms of tension pneumothorax?

A

Cyanosis
Tracheal deviation
Unilateral chest rise during ventilation

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8
Q

What lung sounds are associated with cardiogenic shock?

A

crackles/rales

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9
Q

What are the signs and symptoms of sepsis?

A

Warm skin/fever
Tachycardia
Low BP

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10
Q

What are the signs and symptoms of neurogenic shock?

A

bradycardia
low blood pressure
signs of neck injury
absence of sweating below the level of injury
warm, normal skin (The ONLY type of shock with this symptom)

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11
Q

Name some signs and symptoms of anaphylaxis

A

Two or more body systems in distress if first time, only one body system if there has been a reaction before

mild itching/rash
burning skin
vascular dilation, bronchioconstriction, capillary leakage
Generalized edema
Coma

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12
Q

What are the signs and symptoms of psychogenic shock?

A

Rapid pulse
Normal or low BP

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13
Q

What are the signs and symptoms of hypovolemic shock?

A

rapid, weak pulse
low BP
AMS
Cyanosis
Cool, clammy skin
Tachypnea

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14
Q

What is syncope? What type of shock is it associated with?

A

Fainting, psychogenic shock

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15
Q

What is the difference between hemorrhagic and non hemorrhagic shock?

A

Hemorrhagic is associated w bleeding, non hemorrhagic is non-blood fluids

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16
Q

Name some symptoms of decompensated shock

A

<90 SBP
Mottled, cyanotic, or ashen skin
AMS
Labored/irregular breathing
Thready/absent peripheral pulses
Dull eyes/dilated pupils
poor urinary output
Feeling of impending doom

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17
Q

Name some symptoms of compensated shock

A

> 90 SBP
Agitation
Anxiety
Feeling of impending doom
pale, cool, moist skin
Pallor, cyanosis about lips
Shallow, rapid breathing
Nausea or vomiting
Capilary refill >2 seconds in infants
Thirst

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18
Q

When should you give pts in cardiogenic shock nitroglycerin?

A

Never

19
Q

What is the best indicator for overall condition in a patient?

A

Mental Status

20
Q

What is the formula to determine normal SBP in a child 3-10?

A

70 + (2 x age)

21
Q

Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient’s outcome?
A. Advanced airway management
B. Early CPR and defibrillation
C. IV fluid administration
D. Cardiac medication

A

B Early CPR and defibrillation

22
Q

The AED gives a “no shock” message to a patient who is in cardiac arrest. You should:
A. resume chest compressions.
B. check for a carotid pulse.
C. reanalyze the cardiac rhythm.
D. deliver two rescue breaths

A

A resume chest compressions

23
Q

What is the maximum amount of time that should be spent checking for spontaneous breathing in an unresponsive child?
A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 20 seconds

A

B 10 seconds

24
Q

When performing CPR on an adult, you should compress the chest to a depth of at a rate of
compressions per minute.
A. 1 inch to 1.4 inches (2.5 cm to 3.5 cm); 80 to 100
B. 2 inches to 2.4 inches (5 cm to 6 cm); 80 to 100
C. 1 inch to 1.4 inches (2.5 cm to 3.5 cm); 100 to 120
D. 2 inches to 2.4 inches (5 cm to 6 cm); 100 to 120

A

D 2-2.4; 100 to 120

25
Q

What is the proper compression-to-ventilation ratio for adult two-rescuer CPR?

A

30:2

26
Q

What is the preferred method of removing a foreign body in an unresponsive child?
A. Back blows
B. Abdominal thrusts
C. Chest compressions
D. Manual removal

A

C chest compressions

27
Q

If a pt is unresponsive and has no pulse, what is the first thing an EMT should do?

A

Start CPR

28
Q

Describe the rate of BVM for adults vs Children in respiratory arrest

A

adult: squeeze every 5-6 seconds
child: squeeze every 2-3 seconds

29
Q

What is ROSC?

A

Return or Spontaneous Circulation

30
Q

When should you insert a basic airway adjunct for a pt in cardiac arrest?

A

After first analyzation from AED. Then, hook BVM to O2

31
Q

What is the ratio for pediatric two rescuer CPR?

A

15 compressions: 2 breaths

32
Q

What is the ratio for pediatric one rescuer CPR?

A

30 compressions: 2 breaths

33
Q

Where should you place adult AED pads on a pediatric pt?

A

Anterior and posterior

34
Q

What are the shockable and non shockable rhythms?

A

Shockable: V-Fib, pulseless V-Tach
Non-shockable: Asystole

35
Q

What are the six links in the chain of survival?

A
  1. Recognition and activation of emergency response
  2. Immediate, high-quality CPR
  3. Rapid defibrillation
  4. BLS and ALS
  5. Advanced life support and post arrest care
  6. Recovery
36
Q

Gastric distention occurs most frequently in___

A

children

37
Q

During one rescuer CPR, airway opening should take place…

A

After the first thirty compressions

38
Q

Ventilation should last for

A

one second each

39
Q

If pt is a child, hwo long should you perform CPR before calling for help, assuming it is one rescuer? What if the pt is an adult?

A

Child: do two minutes of compressions, then call
Adult: Call for help immediately

40
Q

Children consume oxygen ___x more than adults

A

2-3

41
Q

Compare hand position for infant two rescuer vs one rescuer CPR

A

One rescuer: 2 fingies, ratio of 30:2
Two rescuer: thumbs around sternum, 15:2

42
Q

Compare compression depth for infant to children

A

infants: 1.5
children: 2 in

43
Q

For pregnant pts in cardiac arrest, what should be done before compressions begin?

A

Manual left displacement of the uterus