Quiz 2 Flashcards
(34 cards)
CPCR
Cardiopulmonary Cerebral Resuscitation
ABCD
Airway: Agonal breathing/apnea=intubate
Breathing: Positive pressure ventilation at 4-16 BPM
Circulation: Chest compressions at 80-100 BPM
Drugs: Diuretics, opioids, tranquilizers
A CRASH PLAN
Airway
Cardiovascular
Respiratory
Abdomen
Spine
Head
Pelvis
Limbs
Arteries/Veins
Nerves
LOC
Level Of Consciousness
A
V
P
U
Alert
responds to voice or visual stimuli
responds to painful stimuli only
coma, unresponsive
< 5% dehydrated
< 5% dehydrated: clinical signs not detectable
5-6% dehydration
5-6% dehydration: slight increase in skin turgor; MM tacky
6-8% dehydration
6-8% dehydration: slow return of skin back to normal; MM dry; CRT may be increased
10-12% dehydration
10-12% dehydration: skin remains tented; increased CRT; sunken eyes; tachycardia, weak pulses
12-15% dehydration
12-15% dehydration: prominent signs of shock and/or death
How long will you keep “Over the needle” catheter in a patient?
Typical days of use is 3-7 days with proper care.
Often closer to 3 than 7
How long will you keep “Thru the needle” catheter in a patient?
Typical days of use is up to 14 days.**
Used when fluid therapy and serial blood draws are needed for the long term care of the patient.
Shock
Hypovolemic perfusion
MODS
Multiple Organ Dysfunction Syndrome
SIRS
Systemic Inflammatory Response Syndrome
Septic Shock
systemic inflammatory response
Ex. Heat stroke,
Severe Pancreatitis,
Autoimmune diseases
Obstructive Shock
a physical obstruction in the circulatory system
Ex. Heartworm
Gastric torsion
Hypovolemic Shock
lack of tissue perfusion due to blood volume loss leading to an inadequate stroke volume
Ex. Trauma/Hit by car
Distributive Shock
relative or functional hypovolemia due to vasodilation
Ex of cause: Anaphylaxis
Cardiogenic Shock
inability of the heart to pump blood resulting in decreased cardiac output
Ex. Heart Disease, damage from Chemotherapy drugs
Sepsis
Systemic inflammatory response to an infection
Stroke volume 3 determinants:
Preload: force stretching the ventricles, and filling just before contraction (blood volume)
Afterload: resistance at the vasculature that the heart must overcome for blood to leave the heart
Contractility: strength for the heart to contract
Shock
clinical state in which cellular energy production has fallen to a critically low level
Impaired oxygen delivery to tissues
Lab Indicators of dehydration
Increased PCV
Increased Total Protein
Increased Urine Specific Gravity