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Clinic EmerencyFinal

Recording Temperatures Your temp is highest in the evening and lowest in the morning or while sleeping
Normal temp reading 98.6F
Febrile with fever
Afebrile without fever
Pyrexia fever over 99.5F
Hyperthermia fever about 105.8F
Hypothermia fever below 96.0F
What is a normal paulse for an adult 60-100beats/min
tachycardia increased pulse over 100beats/min
bradycardia decreases pulse below 50 beats/min
how to take a pulse on the radial artery with the palm down, use three fingers and excert light pressure, count for one min
normal respiration 14-20 per minute
Prolonged bleeding symptoms spurting blood-artery, oozing blood-vein
Prolonged bleeding procedures compression with gauze, elevate injury, pressure point pressure, if in shoke EMS
Bleeding from a tooth socket procedures pack with gauze, and patient bites down, wet tea bag, dont rinse
Bleeding from an extremity EMS, elevate, tourniquet only in severe cases, dont remove
Nose Bleed seat patient upright, breath through mouth, cold application to nose, press on nostril, dont blow nose, wet cotton roll if needed
Hematoma from local anesthesia injection cause nicking a vein or artery during injection, ex-Posterior superior alveolar nerve block is the most common
Procedure for a hematoma digital pressure to the mucobuccal fold for at least 2 minutes, ice extra orally, take analgestic, heat after 24 hours, hematoma will be present for 7-14 days
Respiratory Failure symptoms labored or weak respirations or cessation of breathing, pupils dilated, loss of consciousness
Respiratory Failure procedures place patient flat on back, clear debris from mouth, rescue breathing
Rescue Breathing adult- 2 breaths then one every 5 seconds child- shallow breaths, 2 breaths then one every three seconds
Choking symptoms ineffective or no cough, poor air exchange, gasping, unable to speak
Choking procedure ask are they choking, place fist below sternum and pull in and up, if unconcious call EMS, try to remove debris, compressions, 2 breaths, check pulse
Asthma Attack symptoms difficulty breathing, wheezing, chest pressure, sweating
Asthma attack procedure EMS, put patient upright, bronchodilator, basic life support
Shock causes sharp pain, needles, sight of blood, uncomfortable environment, severe infection, anxiety, hemorrhage, vomiting, inadequate fluid intake
Shock symptoms moist skin, cold/ clammy, thirst (polydipsia), EVENTUAL unconciousness
Shock procedures EMS, Trendelenburg position, open airway, keep warm, check vitals, do not give fluids
Anaphylactic shock is an allergic rxn of the body to an overwhelming sensitization by a foreign protein
Anaphylactic shock symptoms swelling,dysphagia (trouble swallowing), urticaria (wheals, itching), dypsnea (shortness of breath), cardiac arrest
Anaphylactic shock procedures EMS, supine position, oxygen, Epi-Pen
Epinephrine.. peripheral vasocontrictor, vasodilator to muscles, bronchial dilator. Also known as adrenaline
Whats a stroke interruption of the blood supply to the brain
Cerebral thrombosis blood clot in the brain
Intracerebral embolism blood clot that has traveled from somewhere in the body to the brain
Ischemia "little strokes" decreased blood flow to the brain
Cerebral hemorrhage from a accident, aneurism, high BP, arteriosclerosis
Stroke symptoms speech defects, hemiplegia (paralysis one side of the body, hemiparesis (slight or incomplete paralysis on one side of the body)
Stroke procedures EMS, turn patient on paralyzed side, elevate head slightly, keep patient calm, O2 when needed, convulsion treatment, clear airway, CPR
Syncope symptoms SUDDEN loss of consciousness,cold perspiration
syncope procedure trendelenburg position, cold damp towel, crush ammonia vaporole under nose, then put in supine position, 24 hour recovery
Congenital heart disease abnormalities in the anatomic structure of the heart due to development
Rheumatic heart disease a complication of rheumatic fever
Mitral valve damage regurgitation of the blood and back flow into the left atrium
Infective endocarditis infection of the heart valves or endocardium
Hypertensive heart disease increased load on the heart because of elevated artieral blood pressure
Ischemic heart disease insufficient blood flow to the myocradium(heart muscle)
Atherosclerosis formation of plaque(atheromas) in the arteries which is reversible
Arteriosclerosis thickening, loss of elasticity and calcification of the artery wall
Monckeberg's arteriosclerosis calcium deposits found in the media of arterial walls, not reversible
Angina Pectoris symptoms sudden pain in the substernal area, crushing in chest
Angina pectoris procedures place nitroglycerin tablet under tongue, which is a vasodilator, EMS if not relief
Ammonia increases respiration
Myocardial Infarction heart attack caused by coronary embolism or coronary thrombus (blood clot in heart), that casues coronary occlusion (coronary thrombosis)
Mycocardial infarction symptoms sudden pain but in longer duration
Myocardial infarction procedures EMS, keep patient up right, make patient comfortable
Congestive Heart Failure the heart is no longer able to circulate the amount of blood required for the body
Congestive heart failure symptoms of the left side of the heart back up of serous fluid into the lungs, dyspnea (cant breath), cough and expectoration, nocturia (excessive urination at night), diastolic BP increases
Congestive heart failure symptoms of the right side of the heart systemic venous congestion with edema, swelling, prominent jugular veins
Congestive heart failure procedures position patient up right, EMS
Sudden Death clinical dealth that occurs within 24 hours after onset of symptoms
Cardiac Arrest Symptoms no heart beat, no breathing
Cardiac arrest procedures supine postion, EMS, check pulse, pulse = no breathing = rescue breath. no pulse = 30 cardiac compressions (100permin), 2 breaths, AED, push hard and fast, may need shock, continue till EMS arrive
Hypoglycemia/Insulin Rxn too much insulin and too little food
Hypoglycemia symptoms sudden onset, sweating, nervousness, anxiety, shallow respirations
HYpoglycemia procedures conscious-give sugar cubes, apple juice unconscious-EMS, supine position, cake icing inside vestibules, administer intramuscular glucagon
Diabetic Coma too little insulin, to much food
Diabetic coma causes Type 1 insulin production is decreased because of lack of insulin producing beta cells in pancreas
hyperglycemia glucose increases in the circulating blood until the threshold is reached
glycosuria the spilling over of sugar in the blood into the urine
polyuria increases glycosuria induces osmotic diuresis with excretion of large amounts of urine
polydipsia fluid loss signals excessive thirst to the brain
polyphagia cells starving for glucose may cause the patient to increase food intake
Type 1 diabetes ketones accumualte in the blood = acidic
Type 2 diabetes receptors of cells are defective
Diabetic coma symptoms slow onset, skin dry and flushed, dry mouth (polydipsia), fruity breath, rapid sighing
Diabetic coma procedures EMS, fluids is conscious, insulin injection
Partial Seizure symptoms involve only one part of the brain, cessation of activity, staring spell, jerking muscles, no loss of consciousness
Partial seizure procedures assist patient to avoid injury
Complex partial seizure symptoms trance few min to an hour, confusion, incoherent speech, temper
Generalized absence symptoms and procedure attack ends as abruptly as it begins, 5 to 30 seconds, rhythmic twitching -remove objects from patients hand
Generalized tonic clonic symptoms tonic phase with clonic movements follow muscle contractions, loss of consciousnss, saliva is foay, last 1-3 min, bites tongue
Generalized tonic clonic procedure place in supine position, open airway, prevent injury, place pillow under head, let patient sleep afterwards
Status Epilepticus one or more seizures that last longer than 30 minutes
First degree burns skin redden, swelling, pain
Second degree burns skin reddens, blisters, swelling, wet surface, PAIN, sensitivity to touch
Third degree burns severe damage, skin burned off, lethery look, insensitive
Procedures for first and second degree burns EMS, do not give food or liquids, look for shock, put in cool water, clean with antiseptics, no ointment, dress lightly, elevate
Procedures for third degree burns EMS, no not remove clothes, shock, maintain airway, cover loosely, elevate, no sedative, no food or liquids
Procedures for chemical burns of the oral mucosa flush with water for 30 minutes, rinse wit bicarbonate soda if acid and ammonia with water if basic, bland diet
Symptoms of internal chemical burn nausea, vomiting, cramps, corrsive burns, empty container
Procedures for internal chemical burn EMS, poison control, do not give wter milk or ipecac, do not induce vomiting
Foreign body in eye symptoms and procedures tearing, blinking - wash hands, reglove, pull upper eye lid over lower, remove particle with moist cotten roll, use eye wash station
Chemical solution in eye tears, stinging - irrigate with lots of water for 15-20 minutes
Dislocated Jaw patient cant close mouth, hot wet compress out side of jaw, chloromethane spray outside and inside jaw, stand in front of patient, place thumbs on occlusal surface and push down and back and remove fingers fast, bandage head to support jaw
Facial Fracture symptoms ecchymosis (diffusion of blood into tisssue spaces), crepitus, depression of cheek, abormal occlusion
Facial fracture procedures EMS, place patient on side, bandage around face
Tooth forcibly avulsed symptoms/ procedures swelling, bruising - avoid touching root, rinse gently, place in milk or moist cloth, you havve 30 minutes to get to a dentist
flow of oxygen 2-3 low, 4-7 moderate, 8-10 high
emphysema small amounts of oxygen
Created by: samfuller10