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Inside tender > VITALS > Flashcards

VITALS Flashcards

1
Q

True or false: Unconscious patients should always be given IV fluids.

A

True

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2
Q

IV drip rate

A

75-100 cc/min

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3
Q

Types of IV

A

Normal saline/ lactated ringers

Avoid fluids containing glucose

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4
Q

Three IT breathing requirements

A

1: All chamber occupants may breathe 100% O2 at 45fsw or shallower
2: Tenders should not strap O2 to their face
3: Deeper than 45 fsw, at least one chamber occupant must breathe air.

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5
Q

Gas mixture at 0-60 fsw

A

100% O2

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6
Q

Gas mixture between 61-165 fsw

A

50/50 (O2/AIR)

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7
Q

Gas mixture between 166-225

A

64/36 (HeO2 only)

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8
Q

Normal Blood pressure

A

90/60-120/80 (Systolic/ Diastolic) (Measured in millimeters of mercury)

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9
Q

Normal Respiratory rate(RR)

A

12-18

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10
Q

Normal Pulse

A

60-80 BPM

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11
Q

Normal temperature

A

97.8-99.1

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12
Q

Normal SPO2 (Peripheral capillary oxygen saturation)

A

95-100%, (Under 90 considered very low)

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13
Q

12 Cranial nerves(OOOTTAFAGVSH)

A

1: Olfactory
2: Optic
3: Oculomotor
4: Trochlear
5: Trigeminal
6: Abducens
7: Facial
8: Acoustic
9: Glossopharyngeal
10: Vagus
11: Spinal Accessory
12: Hypoglossal

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14
Q

Strength scale

A

0- paralysis
1- profound weakness(flicker or trace muscle contraction)
2- Severe weakness, able to contract muscle but unable to move against gravity
3- Moderate weakness, able to overcome gravity, but not force of examiner
4- Mild weakness, able to resist slight force of examiner
5- normal

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15
Q

Using a tourniquet

A
  1. Don’t use a tourniquet unless you can’t control bleeding by any other means.
  2. Only use tourniquet for bleeding on limbs.
  3. Always apply tourniquet above the wound and not below the knee or the elbow except for complete amputations
  4. Do not make tourniquet any tighter than necessary to stop the bleeding
  5. Do not loosen a tourniquet once it has been applied, transport to medical facility.
  6. Do not cover tourniquet with dressing, make tourniquet obviously identifiable.
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16
Q

Urinary output

A

0.5 cc(ml) per kilogram (of patient) per hour

17
Q

What should you do if your patient develops CNS O2 Toxicity during the following treatment tables? TT5, TT6, TT6A?

A
  • Remove mask
  • After all symptoms have completely subsided, decompress 10 feet at a rate of 1 fsw/min. For a convulsion, begin travel when the patient is fully relaxed and breathing normally.
  • Resume O2 breathing at the shallower depth at the point of interruption.
  • If another oxygen symptom occurs after ascending 10 fsw, contact an Undersea Medical Officer to recommend appropriate modifications to the treatment schedule.
18
Q

What should you do if your patient develops CNS O2 Toxicity during the following treatment tables? TT4, TT7, TT8?

A
  • Remove the mask
  • Consult with a UMO before administering further oxygen breathing. No compensatory lengthening of the table is required for interruption in oxygen breathing.
19
Q

Loss of O2 during a treatment (if we get O2 back within 15 min)

A
  • Maintain depth until we get O2 back

- After O2 is restored, resume treatment at point of interruption

20
Q

Loss of O2 during a treatment (if repair takes between 15 min to 2 hours)

A
  • maintain depth until we get O2 back
  • After O2 is restored.
    - TT5, TT6, TT6A
    - Complete the treatment table with the maximum number of O2 extensions.
    - TT4, TT7, TT8
    - when O2 is restored continue treatment from where it was stopped.
21
Q

What do you do if O2 breathing can not be restored in 2 hours?

A

Switch to comparable air treatment table at current depth for decompression if 60fsw or shallower. If symptoms get worse and we need to go deeper. use treatment table 4.

22
Q

CNS O2 Hits

A

A CNS O2 hit is when a patient experiences a symptom of CNS 02 toxicity while breathing o2 at depth.
-Further explanation
If a patient experiences a non-convulsive CNS o2 hit, simply remove the mask and and wait 15 minutes to resume o2 breathing at the point of interruption
For a second sign or if the first symptom is a convulsion
-Remove the mask and decompress 10fsw at a rate of 1fsw/min. For a convulsion wait until the patient is relaxed and breathing normally.
Resume o2 at the shallower depth at the point of interruption.
If another o2 symptom occurs after ascending 10fsw. Notify UMO to recommend appropriate modifications to the treatment schedule.

23
Q

Flying after treatment

A
  • Patients with residual symptoms should fly only with the concurrence of UMO
  • Patients treated for DCS or AGE should not fly for 72 hours
  • Tenders on treatment tables 5, 6, 6a, 1a, 2a, and 3 should have a 24 hour surface interval
  • Treatment tables 4, 7, and 8 should wait 72 hours before flying
24
Q

Eating and sleeping

A

The only time that a patient should be kept awake during a treatment is when when they are breathing oxygen deeper than 30fsw
Food may be consumed by patient at any time. Fluid intake must be maintained.

25
Q

Fluid intake

A

One to two liters of water, juice, or non-carbonated drink, over the course of a
Treatment Table 5 or 6, is usually sufficient.
Patients with Type II symptoms, or
symptoms of arterial gas embolism, should be considered for IV fluids. Stuporous
or unconscious patients should always be given IV fluids, using large-gauge
plastic catheters.

26
Q

Type 1 DCS and Treatment plan

A

Pain
Marbling
Swelling
If full recovery in less than 10 minutes at 60 ft switch to treatment table 5, otherwise complete treatment table 6.
If a full neurological exam is not
completed before initial recompression, treat as Type II DCS

27
Q

DTR scale(NHHA)

A

Grade: Normal, Hypoactive, Hyperactive, Absent

28
Q

O2 levels are climbing. What could be going on?

A

Bibs may not be fully seated

29
Q

Loss of power to the chamber

A

Remove bibs. If you cant monitor O2 then bibs can not be on patient. Sound powered coms after that.

30
Q

Prerequisites for a squeeze

A 
Gas filled spaces
Rigid walls
Ambient pressure change
Vascular penetration
Enclosed spaces
31
Q

Hypoxia

A 
Cyanosis
Increased pulse and B/P
Lack of concentration
Lack of of muscle control
Inability to perform difficult

Inside tender (1 decks)

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