Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCM 118: Life Threatening Conditions > FINALS LEC (w/ antidotes) > Flashcards

FINALS LEC (w/ antidotes) Flashcards

1
Q

● Reducing potential disaster damages before a
disaster threatens

A

MITIGATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

PHASES OF DISASTER AND EMERGENCY

MPRR

A

Mitigation, Preparedness, Response, Recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Developing operational capabilities and facilitating an
effective response before an emergency occurs

A

PREPAREDNESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Actions taken immediately before, during, or directly
after an emergency occurs

A

RESPONSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Returns infrastructure systems to minimum operating
standards.
● Most difficult disaster phase

A

RECOVERY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A process for sorting injured people into groups based
on their need when resources are insufficient for all to
be treated

A

TRIAGE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

are used in situations
in which triage is dynamic, occurs over many hours to days,
and only limited, austere, field, advanced life support
equipment is readily available.

A

START and SAVE triage techniques

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Open fracture of femur with
● unstable V/S
● Severe burns
● Tension pneumothorax
● Open chest wound
● Upper airway obstruction

A

DISASTER TRIAGE TAGS
RED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dislocations
Burns
Blunt trauma with stable v/s
Head injury with no
change in LOC

A

DISASTER TRIAGE TAGS
YELLOW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Simple fracture
Minor laceration
Hysterical reaction

A

DISASTER TRIAGE TAGS
GREEN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Triage system may have to be adapted to the situation
1. Red:

A

send to the hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Triage system may have to be adapted to the situation
YELLOW

A

send to an ambulatory site to either receive
meds or get vaccinated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Triage system may have to be adapted to the situation
GREEN

A

send home, are not at risk because are
immune

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Triage system may have to be adapted to the situation
BLACk

A

susceptible or very ill, but do not
treat – send to where directed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Quick Circulatory Checks

A

(5P’s) pain, paresthesia, paralysis, pulses,
pallor
● Capillary Refill
● Obvious External
● Bleeding
● Electrocardiogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

particularly important in the patient with a
traumatic mechanism of injury where failure to identify
a second or third injury

A

Exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

An intentional or unintentional wound or injury inflicted
on the body from a mechanism against which the
body cannot protect itself.

A

TRAUMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

any force that penetrates or fractures
the skull.

A

Direct Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

severe forces that may shake or
rotate the brain enough to cause permanent brain
damage.

A

Indirect Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

HISTORY: AMPLE

A

Allergies
● Medications
● Prior illnesses and operations
● Last meal
● Events and environment surrounding injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

an object entering the body or head due to an
object striking the body, or the body being placed in
motion and striking an object which then penetrates
the body.

A

PENETRATING TRAUMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Do’s and Dont’s in Chest Impalement

A

Never try to remove an impaled object.
2. Expose the wound.
3. Control the bleeding.
4. Stabilize the impaled object.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

referred pain at the tip of left shoulder and in left upper quadrant

A

Kehr’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Lower abdominal rigidity with spasms
Appearance of blood in NGT

A

PERFORATED GASTROINTESTINAL TRACT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

abnormal sound or murmur along middle or lower back

A

Bruit:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

fixes area of dullness when left upper abdominal quadrant is percussed

A

Ballance’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

bluish color on blank

A

Turner’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

purplish color around umbilicus

A

Turner’s:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

ecchymosis on scrotum and labia

A

Coopernail:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

BITES AND STINGS NURSING MANAGEMENT

A
  1. Wash the wound gently with soap and water.
  2. Apply pressure if bleeding continuously.
  3. Apply sterile bandage to the wound.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

SNAKE VENOM
Snake venom is highly modified saliva
MECHANISM OF TOXICITY

A

Cytotoxic effects on tissues
● Hemotoxic
● Neurotoxic
● Systemic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Local envenoming (swelling etc) with
bleeding/clotting disturbances
- VIPERIDAE

A

SYNDROME 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Ptosis, external ophthalmoplegia, facial paralysis etc
and dark brown urine
- =Russell’s viper, Sri Lanka and South India

A

SYNDROME 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Local envenoming (swelling etc) with paralysis
- =Cobra or king cobra

A

SYNDROME 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Paralysis with minimal or no local envenoming
- Krait, Sea snake

A

SYNDROME 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Paralysis with dark brown urine and renal failure:
Russle viper

A

SYNDROME 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

No evidence of envenomation
● Suspected snake bite
● Fang mark may be present

A

GRADE 0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Moderate envenomation
● Severe pain
● Edema spreading towards trunk

A

GRADE 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Severe envenomation
● Within 12 hours edema spreads to the extremities and
part of the trunk

A

GRADE 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Minimal envenomation
● Fang wound & moderate pain present
● 1-5 inches of edema or erythema

A

GRADE 1

41
Q

Envenomation very severe
● Sudden pain rapidly
● Progressive swelling which leads to ecchymosis all
over trunk

A

GRADE 4
● Env

42
Q

Blow up a blood pressure cuff to 80 mm Hg and leave
it on for 5 minutes.
● If a crop of purpuric spots appears below the cuff, the
test is positive.

A

HESS’ TEST

43
Q

DON’TS in bites

A

● No Tourniquet
● No Suction apparatus to be used(Sawyers)
● Do not run
● No role of Ice application

44
Q

begins at
the time of injury and concludes with restoration of
capillary permeability

A

Emergent Phase/Resuscitative Phase

45
Q

when the person is hemodynamically
stable, capillary permeability has been restored and
diuresis has begun

A

Acute Phase

46
Q

begins during the acute
hospital stay, after the patient is stable.

A

Rehabilitative Phase

47
Q

individual fascicles of the
heart beat independently rather than the usual
coordinated, synchronized manner that produces
rhythmic heartbeat.

A

Ventricular Fibrillation

48
Q

the heart has stopped beating

A

Cardiac Standstil

49
Q

enters the body by passing through
the skin or membranes. No cut or tear is required for
them to enter a body

A

Absorbed Class

50
Q

they are generally in the form of a
liquid, powder or syrup that has either no taste or a
pleasant taste

A

Ingestive Class

51
Q

are airborne toxins that must be
introduced into the respiratory system in order for
them to work

A

Inhaled Class

52
Q

these poisons have color,
once applied to a surface, they tend to fade into the
material they’re applied to, making them hard to
notice.

A

Insinuative/injective Class

53
Q

the treatment of choice to
prevent absorption of the poison.

A

Activated charcoa

54
Q

Within minutes of injury
- Due to major neurological or vascular injury
- Medical treatment can rarely improve outcome

A

FIRST PEAK

55
Q

Occurs during the “golden hour”
- Due to intracranial hematoma, major thoracic or
abdominal injury

A

SECOND PEAK

56
Q

Occurs after days or weeks
- Due to sepsis and multiple organ failure

A

THIRD PEAK

57
Q
  • No. of patients and the severity
    of their injuries do not exceed the ability of the facility
    to provide care.
A

Multiple Casualties

58
Q
  • The no. of patients and the
    severity of their injuries exceed the ability of the
    facility to provide care.
A

Mass Casualties

59
Q

Segmental separation of chest wall causing inability to breath
and ventilate the lungs

A

SEVERE FLAIL CHEST

60
Q

Does not begin until the primary survey is completed,
resuscitative efforts are established and patient is
demonstrating normalization of vital functions.

A

SECONDARY SURVEY

61
Q

Rapid assessment of neurologic status to identify
life-threatening injury
● Pupil size and response
● Mental status (GCS)
● Motor and Sensory exam

A

DISABILITY OR DYSFUNCTION OF THE CNS

62
Q

Head to toe examination of the patient for injury
● Pitfalls
- Maintenance of spine precautions
- Prevention of heat loss

A

EXPOSURE

63
Q

RUQ PAIN
SIGNS OF HYPOVOLEMIC SHOCK
HX OF BLUNT OR PENETRATING ABDOMINAL TRAUMA

A

LACERATED OR FRACTURED LIVER

64
Q

MUSCLE SPASM & RIGIDITY IN LUQ
KEHR’S SIGN
COMPLAINTS OF ABDOMINAL TENDERNESS, IF CONSCIOUS
S/SX OF HYPOVOLEMIC SHOCK
ENLARGED SPLEEN WITH MEDIAL DISPLACEMENT

A

RUPTURED SPLEEN

65
Q

Signs of hypovolemic shock
Mild epigastric tenderness
Absence of bowel sounds
Involuntary abdominal muscle spasm
Possible elevated serum amylase

A

LACERATED OR FRACTURED PANCREAS

66
Q

Lower abdominal rigidity with spasms
Appearance of blood in NGT
Epigastric tenderness
Hx of penetrating trauma to upper abdomen or lower thorax

A

PERFORATED GASTROINTESTINAL TRACT

67
Q

Signs of hypovolemic shock but if pt has retroperitoneal hematoma, he may not have signs of shock
Hx of penetrating abdominal wound

A

LACERATED INFERIOR VENA CAVA

68
Q

Abdominal tenderness and rigidity
Signs of hypovolemic shock
Hx of penetrating abdominal wound

A

LACERATED ABDOMINAL AORTA

69
Q

Gross bleeding or dried blood at urethral orifice
Perineal ecchymosis
Suprapubic pain
Difficult urination, accompanied by distended bladder; urge to urinate

A

URETHRAL TRANSECTION

70
Q

Signs of hypovolemic shock
Pain in abdomen and back, paralytic ileus
Absent or diminished bowel sounds, vomiting
hematuria
Hx of blunt abdominal/pelvic trauma

A

FRACTURED PELVIS

71
Q

Pain in midback or flank
abdominal pain
Hematuria, oliguria or anuria
Local ecchymosis
Tenderness to touch

A

RENAL TRAUMA

72
Q

Pain
Signs of hypovolemic shock
Difficulty with bowel movement
Hematuria
Ecchymosis
Large suprapubic mass

A

PERFORATED BLADDER

73
Q

Radiograph Chest

A

Pneumothorax, Hemothorax, Fractured Ribs, Pulmonary Contusion, Tracheobronchial Injury, Great Vessel Injury

74
Q

Pelvis
Extremeties
Angiogram

A

Fracture
Great vessel injury, renal injury, vascular injury of the extremities

75
Q

Abdominal Injury, Retroperitoneal Injury, Thoracic Injury, Renal Injury, Pelvic Fracture

A

Computed Tomography

76
Q

Duodenal Hematoma or Laceration

A

Upper GI Series

77
Q

Intarvenous Pyelogram (IVP)

A

Renal Injury

78
Q

Urethral Injury

A

Retrograde Urethrogram

79
Q

Bladder Injury

A

Retrograde Cystogram

80
Q

Paracetamol/Acetaminophen

A

Acetylcysteine or Mucomyst

81
Q

Benzodiazepine

A

Flumazenil

82
Q

Coumadin

A

Vitamin K

83
Q

Curare

A

Endrophonium

84
Q

Cyanide Poisoning

A

Methylene Blue

85
Q

Digitalis

A

Digibind

86
Q

Ethylene Glycol/ Methanol

A

Ethanol/Fomepizol

87
Q

Heparin

A

Protamine Sulfate

88
Q

Iron

A

Deferoxamine Mesylate (Desferal)

89
Q

Lead

A

Edetate Disodium (EDTA), Dimercaprol (BAL), Succimer

90
Q

Lovenox

A

Protamine Sulfate

91
Q

Magnesium Sulfate

A

– Calcium Gluconate

92
Q

Morphine Sulfate

A

Naloxone Hydrochloride

93
Q

Methotrexate

A

Leucovorine

94
Q

Mestinon

A

Atropine Sulfate

95
Q

Neostigmine

A

Pralidoxime Chloride (PAM

96
Q

Penicillin

A

Epinephrine

97
Q

Isoniazid

A

Pyridoxine

98
Q

Atropine

A

Physostigmine

99
Q

Organophosphates

A

Atropine & Pralidoxime

NCM 118: Life Threatening Conditions (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions