ORAL BOARD Q's Flashcards
(48 cards)
HOW DO YOU MAP A NUMB SPOT?
IDENTIFY NUMB SPOT, MARK NUMB SPOT, ANNOTATE TIME, CONTINUE TO MONITOR NUMB SPOT FOR CHANGE IN SIZE.
Q’S FOR PT WHEN ASSESING PAIN.
WERE YOU ACTIVELY WORKING UNDERWATER? DID YOU WORK OUT TODAY? DID YOU INJURE IT UNDERWATER? IS THIS A PRE-EXISTING CONDITION? ARE YOU COLD AND IS THAT WHY YOU ARE NUMB?
STRENGTH SCALE 0-5:
P
P
S
M
M
N
0: PARALYSIS, NO MOTION POSSIBLE
1: PROFOUND, FLCIKER OR TRACE OF MUSCLE CONTRACTION
2: SEVERE, ABLE TO CONTRACT MUSCLE BUT NOT AGAINST GRAVITY
3: MODERATE, CAN OVERCOME GRAVITY BUT NOT THE EXAMINER
4: MILD, ABLE TO RESIST SLIGHT FORCE OF THE EXAMINER
5: NORMAL: EQUAL STRENGTH, BILATERALLY, ABLE TO RESIST EXAMINER
CAN YOU PRESS A PULSELESS DIVER?
NO. UTILIZE CPR AND AED. IF THAT FAILS, ACLS IS A HIGHER PRIORITY THAN RECOMPRESSION.
THERMOMETERS ALLOWED IN CHAMBER:
E
L
A
B
- ELECTRONIC
- LIQUID CHRYSTAL
- ALCOHOL
- BIMETALLIC
NOTE: NEVER USE A MERCURY THERMOMETER INSIDE A CHAMBER!
VITALS:
P
P
B
R
T
PP O2: 96 AND HIGHER
PULSE: 60-100 BPM
BLOOD PRESSURE: SYSTOLIC/DIASTOLIC: 120/80 mmHg
RESPIRATIONS: 12-16 / MIN
TEMPERATURE: 98.6 F
WHEN TAKING BLOOD PRESSURE, WHEN DO YOU GET YOUR SYSTOLIC READING? DIASTOLIC READING?
WHEN YOU HEAR THE FIRST KOROTKOFF SOUND IN THE SPHYGMOMETER, AND WHEN YOU HEAR THE LAST KOROTKOFF SOUND IN THE SPHYGMOMETER.
COURSE OF ACTION FOR CNSO2 TOXICITY IN CHAMBER
“OFF O2!” REMOVE MASK, WHEN SX ARE GONE AND PT IS RELAXED AND BREATHING NORMALLY, DECOMPRESS 10FSW AT 1FSW/MIN, RESUME O2 BREATHING AT POINT OF INNTERUPTION. IF IT HAPPENS AGAIN, FINISH DECOMPRESSION ON AIR.
IT RESPONSIBILITIES:
1: RELEASING DOOR LATCHES
2: COMMS W/ OUTSIDE PERSONNEL
3: PROVIDE FIRST AID
4: MONITOR VITALS
5: ADMINISTERING TX GAS
6: MONITOR PT FOR O2 TOX
7: EAR PRO
8: PT IS LAYING DOWN FOR FREE BLOOD CIRCULATION.
CHAMBER MANNING:
EMERGENCY: 2 CHAMBER SUP/ IT
MIN: 3 CHAMBER SUP/ IT/ OUTSIDE TENDER
IDEAL: 7 DIVING O/ MDV/ CHAMBE SUP/ UMO/ IT/ LOGS/ OUTSIDE TENDER
TWO MATTRRESSES AUTHORIZED INSIDE THE CHAMBER
SUBMARINE MATTRESS
DURETT PRODUCT
ENCLOSE IN FLAME PROOF COVERS AND USE 100% COTTON SHEETS/PILLOWCASES.
WHY HAVE CHAMBER RATED MATTRESSES?
NON AUTHORIZED ITEMS CAN CAUSE ATMOSPHERIC CONTAMINATIONS OR BUILD UP STATIC ELECTRICITY.
HOW DEEP CAN THE IT BREATHE O2?
45 FSW AND SHALLOWER
WHAT ARE THE SURFACE INTERVALS FOR AN IT?
18 HOURS OR 48 HOURS FOR TTs 4, 7, & 8
WHEN SHOULD A PT BE KEPT AWAKE?
WHEN PT IS ON O2 AT DEPTHS GREATER THAN 30 FSW
WHAT IS THE DRIP RATE OF AN IV IN A PT?
75-100 cc/HOUR
WHAT ARE THE TWO AUTHORIZED IV FLUIDS?
LACTATED RINGER’S SOLUTUTION
NORMAL SALINE
URINE OUTPUT?
.5 cc/kg/hr CLEAR/COLORLESS URINE IS A GOOD INDICATOR OF HYDRATION.
WHEN SHINING LIGHT IN ONE EYE, WHAT DO YOU LOOK FOR?
PERRL
PUPILS
EQUAL
ROUND
REACTIVE TO
LIGHT
WHAT IS AN AGE?
ENTRY OF GAS BUBBLES INTO ARTERIAL CIRCULATION AS A RESULT OF PULMONARY OVER INFLATION SYNDROME. ONSET IS SUDDEN AND DRAMATIC, OFTEN MINUTES AFTER SURFACING. THIS IS WHY WE MONITOR FOR 10 MIN AFTER DIVING. IF UNTREATED CAN RESULT IN DEATH OR SEVERE NEUROLOGICAL DAMAGE.
SX OF AN AGE
-FATIGUE
-TROUBLE THINKING
-VERTIGO
-NAUSEA/VOMITING
-HEARING ABNORMALITIES
-BLODDY SPUTUM
-LOSS OF CONTROLL OF BODILY FUNCTIONS
-TREMORS
-LOSS OF COORDINATION
-NUMBNESS
-PERSONALITY CHANGES
-A BLOW TO THE CHEST SENSATION
TX OF AN AGE
-PRESS TO 60 FSW
-IF SX IMPROVE WITHIN THE FIRST O2 PERIOD, CONTINUE TO TT6, IF NO IMPROVEMENT, PRESS TO DEPTH OF RELIEF NOT TO EXCEED 165 FSW.
WHAT ARE THE RESULTS OF DIRECT AND INDIRECT BUBBLE EFFECTS?
-DRIRECT: PRESSURE ON NERVE ENDINGS, HEMORRHAGING, REDUCED OR STOPPED BLOOD FLOW, VENIOUS OBSTRUCTION, TISSUE HYPOXIA, CELL INJURY, AND DEATH
-INDIRECT: THICK AND DIFFICULT TO PUMP BLOOD, BLOOD CLOTS, TISSUE HYPOXIA, AND RESPITORY DISTRESS
WHAT CLOTHING IS ALLOWED IN THE CHAMBER?
100% COTTON
65% POLYESTER, 35% COTTON BLEND
