Chapter 9 Flashcards Preview

Complex Care Concepts > Chapter 9 > Flashcards

Flashcards in Chapter 9 Deck (36)
Loading flashcards...
1
Q

Heat exhaustion

A

Heavy perspiration

Inadequate fluid and electrolyte intake

2
Q

Heat exhaustion symptoms

A

HA
Weakness
N&V
Temp not up

3
Q

Heat exhaustion tx

A

Ice packs
Sports drinks
No salt tablets

4
Q

Heat stroke— emergency!

A

Body temp 104

High mortality rate

5
Q

Excertional heat stroke

A
Not used to heat 
Confusion 
Seizures coma
Skin: hot, dry or wet 
Low BP
Tachypnea 
Elevated troponins 
Organ failure
6
Q

No excertional heat stroke

A

Elderly

No air conditioning

7
Q

Heat stroke tx

A
ABCs
Strip away clothing 
Ice in groin, axils, cold water 
Internal cooling 
Iced lavage 
Benzodiazepines 
I&O
ICU
8
Q

Heat stroke complication

A
Organ dysfunction 
Renal impairment 
Liver impairment 
Coagulopathy 
Pulmonary edema 
Cerebral edema 
Increase troponins
9
Q

Brown recluse bite

A

Red white and blue

Will sluff off

10
Q

Brown recluse hospital care

A

Topical antiseptic/ sterile dressing
Antibiotics?
Skin graft?
Wound culture

11
Q

Brown recluse pre hospital

A

Cold compress

Elevate

12
Q

Loxoscelism

A

Brown recluse systemic

13
Q

Brown recluse loxoscelism

A
Fever
Chillls
Kidney failure 
Hemolytic anemia 
Thrombocytopenia 
DIC
Death
14
Q

Bees and wasps stinger removal

A

Ice pack
Tweezer
Credit card

15
Q

Bees and wasps hospital care

A
Oxygen
Cardiac monitor
IV fluid
ACLS drugs 
Epi
Albuterol
Antihistamine 
Steroids
16
Q

Flash over phenomenon

A

Current goes over body rather than through it
More likely if wet
Produces feather like pattern

17
Q

Lightening injury priorities

A

Cardiac

Defibrillation is best chance

Burns are secondary

18
Q

Lightening injury prehospital

A

CPR. 12 lead
Burns
Skeletal- ICP? Hemorrhage
Tentanus

19
Q

Hypothermia

A

Less than 95F or 30c

20
Q

Mild hypothermia

A

90-95F

32-35c

21
Q

Moderate hypothermia

A

82.4-90F

28-32c

22
Q

Severe hypothermia

A

82.4

28

23
Q

Mild hypothermia symptoms

A
Shivering
Dysarthria
Decrease muscle coordination 
Impaired cognition 
Cold diuresis
24
Q

Drink

A

Warm fluids
Increased carbs
NO ETOH or caffeine

25
Q

After drop

A

Drop in temp after rewarming

Cold is sent internal
Warm body first

26
Q

Moderate hypothermia symptoms

A
Muscle weakness
Apathy 
Loss of coordination 
Incoherence
Stupor 
Decreased clotting
27
Q

Severe hypothermia

A
Bradycardia 
Hypotension 
Decrease respiration
Cardiac dysrhythmias 
Decrease neuro
Decreased pain responsiveness 
Acid-base imbalance
28
Q

Rules for hypothermia

A

No one is dead until they are warm and dead

May be found in VFIB or asystole

29
Q

Treatment of hypothermia

A

ABC

Active external and internal rewarding

30
Q

Defibrillation and medications in hypothermia

A

Defibrillation may not work until temp is above 30c

Medication with caution- can develop toxic levels

31
Q

Frost bite risk factors

A
Decreased insulation. 
Wet clothing 
Dehydration 
Low BMI
Previous Hx 
Already has impaired vascular system
32
Q

Appearance of frost bite

A

White, waxy

33
Q

Care of frost bite

A
Recongnition 
Rapid rewarming 
Analgesic 
IV rehydration 
Strike dressings
Tetanus 
Antibiotics 
NO RUBBING
NO DRY HEAT
34
Q

Water temp for frost bite

A

104-108

35
Q

Drowning and near drowning

A

Prevent
ABC
Spinal injury?

36
Q

Drowning causes of asphyxiation

A

Laryngospasm
Surfactant washed out
Water quality