Test 3.6 Flashcards

(34 cards)

1
Q

What’s hyper-resosnant sound

A

Excessive air accumulation; indicative of pneumothorax

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2
Q

What’s a dull sound

A

Excessive fluid; may be indicated if hemothorax

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3
Q

What does the pale, ashen skin, or cyanotic skin mean

A

Respiratory collapse

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4
Q

What does red, dark-red, or blue head and neck mean

A

Traumatic asphyxia

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5
Q

What’s the management for thoracic injury

A

High flow of supplement oxygen

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6
Q

What does a fracture of thoracic include

A

Significant force is require
Crepitus at site
Compression of rib cage
Prevents athlete to take full breath

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7
Q

Does a single rib fracture with no internal injury require a emergency?

A

No

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8
Q

What is a sternum fracture

A

Require a significant force
Severe dyspnea, point tenderness
Sternal deformity requires emergency
Can be life threatening

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9
Q

What is Sternoclavicular dislocation

A

Posterior Dislocation can cause respiratory distress as clavicle places pressure on trachea

Be concerned with C-spine injury

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10
Q

What’s the treatment for Sternoclavicular dislocation

A

Treat with air many revers and oxygen

If no improvement attempt reduction
Draw clavicle anterior and laterally

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11
Q

What does a flail chest consist of

A

Fractures of 2 or more adjacent ribs

Result in paradoxical chest movement during breathing

Must be concern with pneumothorax

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12
Q

What’s the management with a flail chest

A

Athlete can be placed on side of injury cause body weight serves to support and splint chest wall

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13
Q

What’s the treatment for pneumothorax

A

Transport to ER
hug a pillow
Avoid coughing
Monitor vital signs

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14
Q

What does a open pneumothorax consist of

A

Opening in chest wall allowing air to enter pleural space

Tx: create one-way valve which is sealed on 3 sides allowing air to leave during exhalation

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15
Q

What is tension pneumothorax

A

Expands to point of compressing heart
Life threatening condition
Build up pressure causes mediastinum and trachea to be pushed away from affected side

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16
Q

During tension pneumothorax what happens when pressure is on superior vena cava

A

Causes jugular vein distention

17
Q

What causes decreases CO, drop in BP and declining mental status during tension pneumothorax

A

Pressure on aorta and heart

18
Q

What is the cause of hemothorax

A

Blood entering pleural cavity

Pleural cavity can hold 2-3L of blood

Shock will quickly develop

19
Q

What’s the treatment for hemothorax

A

Oxygen and respiratory support
IV fluid resuscitation
Endotracheal intubation
Transport to ER

20
Q

What is pulmonary embolism

A

Blood clot that enters venous system and becomes lodged in lungs

If not treat will cause tissue death

21
Q

How much blood do fault have

A

6L or 12.6 pts

22
Q

What is Class 1 blood loss

A

Up to 15% blood loss ( 1-2 pts

Effects on patient; remains alert & vitals remain WNL

23
Q

What’s Class 2 blood loss and what are the effects

A

Up to 30% blood loss (3-4 pts)

Effects on patient :confusion, restlessness, skin pale, weak and rapid BP

24
Q

What does Class 3 blood loss and what are the effects

A

Up to 40% loss and (5 pts)

Effects: more confused, restless and signs of shock

25
What is Class 4 blood loss and what are the effects
More than 40% loss and (5+ pts) Effects: patient lethargic, drowsy, death
26
What does arterial blood look like
Bright red, spurting, pulsating flow
27
What does venous blood look like
Darker blood, steady and slow flow
28
What does capillary blood look like
Dark red, oozing flow Easy to control High skin infection due to break in skin
29
What are the methods to control bleeding
Direct pressure Elevation and cold application Pressure point/indirect pressure Tourniquet
30
What does cold application promote?
Vasoconstriction
31
What are the common pressure points
Brachial artery Femoral artery Popliteal artery Avoid pressure points if possible
32
What does internal bleeding cause and when should you suspect it
Causes hypoperfusion (shock) and death Suspect with cases of unexplained shock
33
What may hypo perfusion lead to
Organ failure and to death | Theses organs are: heart, lungs, brain, kidney
34
What's the assessment for thoracic injuries
Ask about onset of symptoms Note demeanor, anxiety levels, abilitiyu to speak Mental status and relationship to hypoxia Check vital signs Check auscultation