unit 4 test Flashcards
(33 cards)
What happens when a patient refuses a physical exam
Sign a refusal form if AOX4
How to treat a patient with inadequate ventilation and breathing
Apply oxygen and watch for chest rise and fall
Signs and symptoms of hypoglycemia and what it mimic
Hypoglycemia mimics a stroke and the s/s are altered or decreased levels of consciousness
Difference between a stoke and hypoglycemia and vary
stroke is an interruption of blood flow to an area within the brain that results in the loss of brain function
hypoglycemia is low blood glucose levels
If a women is crowning and the head delivers what do you do once the heads delivered
As the shoulder appear guild the head down slightly by applying gentle downward traction to deliver the shoulder
What regulates blood flow and how blood flows through the body
blood vessels//////The heart pumps the blood through those vessels
Prolong transport of over 20 minutes what do you need:
you only should be on scene for no more then 10 minutes
Whats the next step if CPR is in progress
Continue until the AED arrives and is ready for use
What patients does OPQRST and SAMPLE refer to
OPQRST refers to pain and SAMPLE refers to history taking
All causes of shock
Pump failure, Poor vessel functions, and low fluid volume
Every aspect of the APGAR score and how to score a baby
aspects
Appearance/score 2= entire newborn is pink/ scorer 1= body is pink hand and feet are blue/score 0 = entire newborn is blue
Pulse/ score 2 = more than 100 beats per min/ score 1 = fewer then 100 beats per min/ score 0 = absent pulse
Grimace or irritability/ score 2 = Newborn cries and tries to move foot away from finger snapped against sole of foot/ score 1 = newborn gives a week cry in response to stimulus/ score 0 = newborn does not cry or react to stimulus.
Activity or muscle tone/ score 2 = newborn resists attempt to straighten hips and knees/ score 1 = newborn makes weak attempting to resist straightening/ score 0 = newborn is completely limp, with no muscle tone.
Respiration / score 2 = rapid respirations/ score 1 = slow respirations/ score 0 = absent respirations.
Steps 1-5 of delivering a baby
step 1: crowing is the definite sign that delivery is imminent and transport should be delayed until after the child has been born
step 2: use your hands to support the boney parts of the head as it emerges. the body will naturally rotate right or left continue to support the head to allow it to turn in the same direction.
step 3: as the upper shoulder appears, guild the head down slightly by applying gentle downward traction to deliver the shoulder
step 4: support the head and upper body as lower shoulders deliver, guild the head up if needed.
step 5: Handle the new born firmly but gently, supporting the head and keep the neck in neutral position to maintain the airway. consider playing the newborn on the mothers abdomen with the umbilical cord still intact, allow skin to skin contact to warm the newborn. otherwise keep the newborn approximately at the level of the vagina until the cord has been cut off.
Signs, and symptoms, treatment, and difference of: previa, eclampsia, preeclampsia, abrupto, and pro laps corp
s/s for preeclampsia server hypertension(high blood pressure), server headache
First thing to do in a primary survey
scene safety or general impression
Signs and symptoms of STD’s (3)
Chlamydia = low abdominal pain, lower back pain, nausea, fever, pain during sexual intercourse
Bacterial vaginosis= itching, burning, or pain, also “fishy smell”
Gonorrhea = painful urination, burning or itching, yellowing or bloody vagina discharge with a foul oder
Signs and symptoms of ICP
high blood pressure, low pulse, nausea, vomiting, vomiting, pupils non reactive to light, unequal pupils
How to treat a rape victim patient
Being professional, respectful, and sensitive is very important / is she physically injured? are their any life threatening injuries present? Does the patient report any pain?
Which organs are more susceptible to bleeding
liver
How to treat a patient with respiratory insufficiency
Oxygen therapy aka CPAP
Cause of premature birth
Vaginosis can lead to premature birth
Steps in how to handle a cardiac arrest patient
- Recognition and activation of the emergency response system
- Immediate, high-quality CPR
- rapid defibrillation (AED)
Signs and symptoms of ICP
High blood pressure, low pulse, nausea, vomiting, pupils non reactive to light,
What epi is and what it does to your body
What epi is = The main hormone that controls the body’s flight or fight response and is the primary medication that you will be administering IM.
What it does = Increase the heart rate and blood pressure and dilate passages in the lungs
Difference of appendicitis, cholecystitis, peptic ulcers, pancreatitis
All present with a certain thing but have 1 specific diffraction.