Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
189 Cards in this Set
- Front
- Back
Cullen Sign
|
bruising around the belly button that may indicate intra-abdominal bleeding or PANCREATITIS.
-Cullen's got the belly button tattoos (bruises) and pancreas is in the middle |
|
Kehrs Sign
|
Abdominal pain that radiates to the Left Shoulder, could indicate irritation of the DIAPHRAGM OR SPLEEN INVOLVEMENT
-Steve Kerr shoots the ball goofy and from his abdomen to the left shoulder |
|
Murphy's Sign
|
Press firmly upward into the RUQ and ask the patient to take a deep breath. Arrest of inspiration because of pain is a positive finding. This could indicate a GALL BLADDER OR HEPATIC PROBLEM
-Dale Murphy took a fastball in RUQ and knocked wind out of him (RUQ is where gall bladder is) |
|
Psoa's Sign
|
Place the patient in the Left Lateral Decubitus position, and extend the right leg at the hip. An increase of pain in the RLQ is a positive finding. Commonly associated with APPENDICITIS
(Soooo uhhh let's go for a walk (pregnant woman) on your left lateral recumbent side and if RLQ hurts - appendicitis)) |
|
Rovsing's sign
|
Palpate the LLQ of the abdomen. Pain or tenderness elicited in the RLQ is a positive finding. Suggests APPENDICITIS
-Ruh rov... U pressed on my LLQ and my RLQ began to sing in pain (RLQ is where appendix is) |
|
Trousseaus Sign
|
place a blood pressure cuff around the arm, inflate it to 30 mm above Systolic Pressure, and hold it in place for 3 minutes. Positive sign will show a spasm of the muscles of the hand and forearm (MUSCULAR IRRITABILITY CAUSED BY HYPOCALCEMIA)
-put a bp cuff on the tri-cep and inflate 30 (tri) above systolic. Will cause carpal pedal spasm -calcium is for strength and the spasm occurs due to lack of strength |
|
Chvosteks Sign
|
- tap the facial nerve against the mandibular bone just anterior to the ear, which produces an abnormal ipsilateral spasm of the facial muscles. (MUSCULAR IRRITABILITY CAUSED BY HYPOCALCEMIA)
-ch-eeks. Tap them and another part of the face will twitch. -calcium is for strength and the spasm occurs due to lack of strength. |
|
Babinski Sign
|
Take a pen or similar dull object and run it along the lateral length of the sole of the foot. Normal reaction to this stimulation is for the toes to move downward (plantar flexion). A positive BABINSKI TEST is indicated by abnormal extension of the great toe and fanning of the remaining toes, (dorsiflexion), which suggests NEUROLOGIC DYSFUNCTION.
|
|
Kernings Sign
|
Positive sign when the leg is flexed at the hip and knee and subsequent extension of the knee is painful, leading to resistance and flexion of the torso. A possible sign for MENINGITIS.
-kernel sanders has meningitis and is in pain when on his back and another guy brings his legs to sky. |
|
Brudzinski Sign
|
Involuntary flexing of the legs in response to flexing of the neck. A possible sign—MENINGEAL IRRITATION
-bud bundy does crunches involuntarily by flexing his neck (hands behind head) |
|
Cushings Triad
|
Systolic Hypertension, Bradycardia, Irregular Respiratory Pattern, Indicates INCREASED (ICP)
|
|
Pulsus Paradoxus
|
An irregularity that occurs when systolic blood pressure falls more than 10 mm Hg on inspiration. Its caused by differences in intrathoracic pressure with respiration, such as back flow of blood into the lungs as a result of HEART FAILURE.
|
|
Somatic Pain
|
Well LOCALIZED and described as sharp in nature. comes from skin and muscle as well as joints, ligaments, tendons
-somatic = specific |
|
Visceral Pain
|
- Originates within the chest and abdomen, and is often described as heaviness, pressure, aching, or burning that is NOT EASY TO PIN POINT! Visceral pain may also radiate to other areas of the body. It comes from organs inside the body with injury or illness.
-visceral = vague pain |
|
Melena
|
black tarry feces that contains digested blood - (UPPER GI BLEEDING).
|
|
Feculant Vomiting
|
- Foul Smelling vomit with a feculent odor- (BOWEL OBSTRUCTION)
|
|
Coffee Ground Emesis
|
Vomiting of partially digested blood - (GI BLEEDING)
|
|
Hematochezia
|
bright red blood in the stool. (LOWER GI BLEEDING)
|
|
Petechia and Purpura
|
red or purple discolorations of the skin. can be indicative of ___________________
|
|
Hemataemesis-
|
vomiting of blood-(UPPER GI BLEEDING)
|
|
Parenteral
|
Meds given as IV's or infusions
|
|
Thrombocytopenia
|
blood has low number of platelets
|
|
Exophthalmos
|
bulging of the eye anteriorly out of the orbit (bug eye)
|
|
Toxidrome
|
S/S associated with exposure to a particular substance.
|
|
Cheyne-Stokes Respirations
|
gradually increasing rate and depth followed by a decrease of respirations with intermittent periods of apnea- indicative of a brainstem insult.
-chain links gradually increase in size and eventually skip a link (chain is the brainstem) |
|
Biots Respirations
|
Irregular pattern, rate, depth with periods of apnea
that bitch is irregularly crazy and she keeps going apneic |
|
Kussmauls Respirations
|
deep, rapid respirations seen in patients with DKA
|
|
Nosocomial Infection
|
An infection Acquired while at the hospital.
|
|
Lou Gherigs Disease (ALS)
|
disease of the nerve cells in the brain and spinal cord that control voluntary muscle movement
-last years of Lou's life he lost voluntary muscle movement |
|
Korsakoff Syndrome
|
neuro disease caused by a lack of THIAMINE. linked to alcohol abuse and malnutrition.
|
|
Wernicke Encephalopathy
|
lesions of the brain caused by THIAMINE deficiency
|
|
Subdural Hematoma
|
blood below the inner layer of the Dura Mater
|
|
Epidural Hematoma
|
blood between the skull and the Dura Mater
|
|
Sub-Arachnoid Hemorrhage
|
bleeding in the area between the brain and the thin tissues that cover the brain
|
|
Meningitis
|
infection of the membranes covering the brain and spinal cord. Bacterial is the worst!
|
|
Seizures
|
Abnormal electrical activity in the brain.
|
|
Febrile Seizures
|
seizure brought on by a spike in body temperature, usually occurs in young children (6mo-6 y/o)
|
|
Simple Febrile Seizures
|
brief, generalized tonic-clonic seizures (lasting less than 15 minutes) that occur in a child without underlying neurologic abnormalities
|
|
Complex Febrile Seizures
|
longer lasting (longer than 15 minutes), focal, or occur in a child with baseline developmental or neurologic abnormality. may also be associated with serious illness
|
|
Status Epilepticus
|
hisotrically defined as any seizure lasting more than 20 minutes or two or more seizures without return to neurologic baseline between seizures
|
|
Absent Seizures (Petit Mal)
|
generalized seizures that involve a brief loss of attention without abnormal body movement. (staring to space briefly)
|
|
Grand-Mal Seizures
|
generalized tonic-clonic seizures, which involve jerking of both arms and/or legs
|
|
Simple Partial Seizures
|
Focal motor jerking WITHOUT loss of consciousness
|
|
Complex Partial Seizures
|
Focal Motor Jerking WITH loss oc consciousness
|
|
Guillian Barre Syndrome
|
Bodys defense system attacks part of the nervous system, leaving the patient paralyzed usually - procare patient
|
|
Acute Respiratory Distress Syndrome
|
lung condition that prevents enough o2 from getting to the lungs and into the blood
|
|
Angioedema
|
a sudden swelling, usually of a head or neck structure such as the lip (especially the lower lip, earlobes, tongue, or uvula. It is considered to be an allergic reaction and is treated as such. (unknown cause).
|
|
Ludwigs Anginia
|
infection of the floor of the mouth under the tongue
|
|
Disseminated Intravascular Coagulation
|
small clots that happen throughout the body
|
|
Mean arterial Pressure
|
The average pressure within an artery over a complete cycle of one heartbeat DBP + (1/3 x (SBP-DBP))
|
|
Cardiac Output
|
volume of blood being pumped by the heart in one minute
(CO = SV x HR) |
|
Unstable Angina
|
Occurs at REST, and is more severe than normal episodes of angina. It may also be caused by coronary artery spasms. If left untreated, can lead to an AMI
|
|
Stable Angina
|
usually comes on WITH EXERCISE OR STRESS and lasts 3-5 minutes, sometimes up to 15 minutes. Relieved by rest an/or nitroglycerine.
|
|
ST Sement MI
|
Coronary Artery is totally blocked by a blood clot
|
|
Cardiogenic Shock
|
Heart cannot circulate enough blood to maintain adequate peripheral oxygen delivery (pump problem)
|
|
Obstructive Shock
|
blood flow becomes blocked in the heart or great vessels
|
|
Hypovelemic Shock
|
circulating blood volume is insufficient to deliver adequate oxygen and nutrients to the body
|
|
different types of Distributive Shock
|
1. Anaphylactic Shock-
2. Septic Shock- 3. Neurogenic Shock |
|
Anaphylactic Shock
|
Widespread dilation (systemic)
|
|
Septic Shock
|
Systemic Infection
|
|
Neurogenic Shock
|
Spinal cord injury
|
|
Compensated Shock?
|
kjhk
|
|
Decompensated Shock?
|
lkjl
|
|
Cardiac Tamponade
|
Excessive Fluid accumulates within the pericardium
|
|
Pericarditis
|
inflammation of the pericardium
|
|
Pulmonary Embolism
|
any blockage that compromises pulmonary circulation
|
|
Addisons Disease
|
an endocrine disease caused by a deficiency of corticosteroid hormones produced by the adrenal cortex. The disease is characterized by n/v, abd pain and tanning of the skin.
|
|
Diabetic Ketoacidosis
|
cells are forced to switch to begin metabolizing fatty acids for energy-ketones by product is very acidic
|
|
HHNS
|
metabolic derangement that occurs principally in patients with type 2 diabetes
|
|
Myxedema
|
Adult Hypothyroidism
|
|
Adrenal Crisis
|
Life-threatening condition when there is not enough CORTISOL produced by adrenal glands.
|
|
Thyroid Storm
|
thyroid suddenly releases large amounts of THYROID HORMONE in a short time period
|
|
Graves Disease
|
aka diffuse toxic goiter, is the most common form of Hyperthyroidism (bug eyed)
-an autoimmune disorder in which antibodies that mimic the role of TSH produce an increase in secretion of thyroid hormones |
|
Cushings Syndrome-
|
Exposure to high levels of CORTISOL "buffalo hump" or "moon face"
|
|
Rhabdomyelosis
|
breakdown of muscle fibers that leads to release of muscle fiber into the bloodstream. Causes kidney damage (lactic acid build-up follows)
|
|
Heat Exhaustion
|
caused by volume depletion from excessive sweating in hot temperatures. if left untreated, will lead to heat stroke.
-weakness, headache, vertigo, n/v, NORMAL LOC muscle cramps |
|
Heat Stroke
|
A syndrome in which the body loses its ability to regulate temperature, resulting in ALTERED MENTAL STATUS, elevated core body temp (up to 108 degrees), and multiorgan failure. worse than heat exhaustion. damage depends how high temp gets.
|
|
Peptic Ulcer
|
defect in the lining of the stomach or the first part of the small intestine.
|
|
Mallory Weiss Syndrome
|
bleeding from tears in the mucosa at the junction of the stomach and esophagus (Cardiac Sphincter), caused by alcoholism, retching, coughing or vomiting.
|
|
Boerhaaves Syndrome
|
rupture of the esophageal wall
|
|
Pancreatitis
|
inflammation of the pancreas
|
|
Appendicitis
|
inflammation of the appendix
|
|
Hepatic Encephalopathy
|
confusion, LOC, Coma, as a result of liver failure
|
|
Liver Abscess
|
puss-filled mass inside the liver
|
|
Cholitis
|
swelling of the large intestine
|
|
Diverticultis
|
small, bulging sacs of the inner lining of the intestine that become inflammed or infected with feces
|
|
Pyelonephritis
|
inflammation of the renal parenchyma, calyces, and pelvis
|
|
Cholangitis
|
infection of the common biile duct; the tube that carries bile from the liver to the gall bladder
|
|
Measles
|
A virus that can be found in an infected persons blood, urine. highly contagious resp disease
|
|
Mumps
|
aka infectious parotitis, is an acute communicable, systemic illness caused by the mumps virus. A disease that leads to painful swelling of the salivary glands.
|
|
Rubella
|
aka German measles, is also caused by a virus found in respiratory secretions. Infection where there is a rash on the skin
|
|
HIV
|
a virus that affects and attacks the immune system
|
|
Epidemic
|
widespread transmission of a disease
|
|
Pandemic
|
a worldwide transmission (spread) of a disease
|
|
Pertussis
|
bacterial disease that causes uncontrollable violent coughiing (whooping cough)
|
|
RSV
|
Respiratory virus that affects the lungs and breathing passages. can cause Pneumonia and Bronchiolitis in small children
|
|
Tuberculosis
|
Bacterial infection of the lungs
|
|
Tetanus
|
infection of the nevous system with the potentially deadly bacteria clostridium tetani
|
|
Epiglottitis
|
inflammation of the tissue that covers that covers the trachea. Bacteria Infection
|
|
Rocky Mountain Spotted Fever
|
disease carried by ticks. Bad juju
|
|
Lyme Disease
|
spread by deer ticks. look for a bulls-eye
|
|
Myasthenia Gravis
|
neuromuscular disease leading to fluctuating muscle weakness and fatigue
|
|
Lupus
|
immune system attacks normal healthy tissues
|
|
H1N1
|
Swine flu that can lead to pneumonia and Respiratory Failure
|
|
Anthrax
|
disease caused by bacillas anthracis (powder) and is lethal
|
|
Botulism
|
rare, fatal, paralytic illness. get from eating bad foods
|
|
Ricin
|
A cytotoxic protein derived from the beans of the castor plant. (aerosol, powder, or pellet form). Within 8 hrs of inhalation, an exposed person will develop severe respiratory compromise. Hypoxia will develop within 36-72 hours of exposure.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Acute Myocardial Infarction
|
chest pain, sudden dyspnea, pulmonary edema, drop in BP, confusion nausea, lighthead, epigastric burning, tiredness, sweating Tx: 12 lead, o2, aspirin, nitro, morphine
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Anaphylaxis
|
warm,flushed, itching, respiratory (systemic) hives,dyspnea,stridor,wheezes,crackles,n/v,bloating,cramping sneezing, dysrhythmia,hypotension, tachycardia, headache, ALOC TX: Benadryl, o2, epi, solu-medrol, glucagon
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Angina Pectoris
|
chest pain TX: treat as a MI
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Appendicitis
|
periumbilical pain. n/v, low grade fever, loss of appetite. Pain rlq, rebound tenderness TX: pain and anti nausea meds
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Asthma
|
runny nose, slight fever, wheezing,coughing,tachypnea,tachycardia Tx: o2, breathing tx, steroid, and supportive care
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Bowel Obstruction
|
S/S: crampy abdominal pain, constipation or diarrhea, inability to pass flatus, distended abdomen, absent or high-pitched bowel sounds.
tx: administer oxygen, place pt in comfortable position, establish iv, give nothing PO |
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Bronchiolitis
|
runny nose, slight fever, wheezing,coughing,tachypnea,tachycardia Tx: o2 and supportive care
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Carbon Monoxide Poisoning
|
headache,n/v, pressure in the head, roaring in the ears Tx: maintain airway, o2, IV,ECG,
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Cardiac Tamponade
|
chest pain, drop in systolic BP, narrowing pulse pressure, JVD, muffled heart sounds Tx:airway, breathing, O2, IV
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Chicken Pox (Varicella)
|
slight fever, raised fluid-filled vesicles Tx: surgical mask for you, supportive care
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Chronic Bronchitis
|
______________tachypnea o2, cpap
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: COPD
|
________________breathing treatment, o2, cpap
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Clostridium Dificile (C-Diff)
|
n/v, foul smelling, watery, green, diarrhea, fever, loss of appetite, abd pain Tx: PPE, IV clean all equipment very good
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Cocaine Overdose
|
excitement, delirium, tachycardia, hypertension, fast pulse rate Tx: o2, IV, ECG, pulse ox, capnometer, benzo, transport
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Cyanide Poisoning
|
ALOC, headache, palpitations, dyspnea, vomiting, seizures Tx: amyl nitrate, o2
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Deep Frostbite
|
extremity looks white, yellow-white, or mottled blue-white. Hard, cold, without sensation. Tx: opt to leave if frozen, get out of cold, do not rub or massage, elevate, pain meds, cover blisters with dry sterile dressing, rewarm appropriately
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Diabetic Keotacidosis
|
polyuria, polydipsia, polyphasia, n/v, tachycardia, deep rapid resp, dry mucous membrane, fruity odor on breath, abd pain, hypotension, fever Tx: begin rehydration, monitor T waves- sodium bicarb
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Ectopic Pregnancy
|
abd pain, referred shoulder pain, vaginal bleeding, Cullen or grey turners sign Tx: Airway, highflow 02, left lateral recumbent, IV, p warm, monitor, transport
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Encephalitis
|
fever, flu like symptoms, photophobia, lethargy, aloc, stiff neck Tx: place mask on them, follow local protocol.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Epidural Hematoma
|
- injury to temp bone tx: supportive care, transport, pt will prob need surgery.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Subdural Hematoma
|
d
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Epiglotitis
|
fever, sore throat, painful swallowing, stridor resp distress tx: immed transport, maintain airway.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Gastrointestinal Bleed
|
hematemesis, melena tx: supportive, treat hypotension
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: H1N1 Influenza
|
- fever,shaking, chills, muscle pain, kalaise, loss of appetite, dry cough tx: mask, IV, supportive care
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Hyperosmotic Hyperglycemic Non-/Ketoacidotic Syndrome
|
infection, hypothermia, cardiac disease, pancreatitis, stroke, blood sugar > than 500, acute confusion, dehydration, dizziness, polydipsia tx: vitals, 12 lead, capnography
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Hypoglycemia
|
blood sugar< than 45 mg/dl tx:IV, D50, glucagon if unable to obtain IV
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Hyperglycemia
|
-blood sugar between 120 and 400. Treat for dehydration 1L of NS during first half hour.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Left-Sided Heart Failure
|
extreme restlessness and agitation, confusion, severe dyspnea and tachypnea, tachycardia, elevated BP, crackles, possibly wheezes, frothy pink sputum, cannon A waves, distended neck veins, pedal edema Tx: 100 % 02, cpap, monitor, IV, morphine, nitro, diuretics
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Right-Sided Heart Failure
|
abd distention, neck veins, distention of veins on surface of body Tx: make pt comfortable, semi-fowler, monitoring
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Malaria
|
fever, chills, headache, seats, fatigue, n/v tx: supportive, transport
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Meningitis
|
upper resp infection, headache, nuchal rigidity, fever and chills, photophobia, vomiting, seizures, confusion, kernig and brudzinski sign. Tx: mask for them and you, supportive, follow up. If bacterial, pmdc may need to go on antibiotics.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Methicillin-Resistant Staphylococcus Aureas (MRSA)
|
- localized skin abscesses and cellulites, empyemas, endocarditis Tx: supportive and PPE!!
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Mild, Moderate, Severe Hypothermia
|
stumbles, mumbles,fumbles, grumbles mild: >93.2 passive rewarming. Remove wet clothes, blankets and warm fluids mod- 86-93.2 warm IV fluids and commercial warming devices severe<86 warming at hospital
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Mononucleosis
|
- sore throat, fever, secretions from pharynx, swollen lymph glands, malaise, anorexia, headache, muscle pain, enlarged liver and spleen Tx: supportive, gloves, wash hands
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Pancreatitis
|
pain to epigastric area or RUQ, radiate to back, n/v fever, tachycardia, hypotension, muscle spasms to ext, Cullen, grey turners Tx: IV, pain management.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Paroxymal Nocturnal Dyspnea
|
dyspnea that comes on during the night. Left sided heart failure
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Pneumonia
|
mild dyspnea, diminished or absent breath sounds, pulsus paradoxus, low pulse ox, tachypnea, fever, tachycardia Tx; cover open wounds, maintain ABCs, high flow 02.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Pneumothorax
|
mild dyspnea, diminished or absent breath sounds, pulsus paradoxus, low pulse ox, tachypnea, tachycardia Tx; cover open wounds, maintain ABCs, high flow 02.
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Tension Pneumothorax
|
absent breath sounds on affected side, unequal chest rise, pulsus paradoxus, tachycardia, dysrhythmias, JVD, narrow pulse pressure, JVD, tracheal deviation tx: needle decompression
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Pulmonary Edema
|
- crackles in the bases of the lungs, progresses to higher lung fields, cough up pink sputum. Tx: cpap
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Pulmonary Embolus
|
sudden dyspnea and cyanosis, sharp pain the chest, cyanosis does not resolve with 02 therapy. Tx:supportive, 02, immediate transport
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Seizure
|
tonic-clonic(grand mal) - jerking of both arms and/or legs
Absence(petite mal) loss of attention Simple Partial- focal mototr jerking without loss of consciousness Complex Partial-focal motor with loss of consciousness tx:02, iv, meds (benzos) |
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Sepsis
|
l
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Stroke (Ischemic)
|
blockage, s/s slurred speech, aphasia, agnosia, apraxia, hemiparesis, hemiplegia, arm drifting, facial droop, tongue deviation, swallowing difficulties, ptosis, ataxia, headache, sudden blindness, sudden unilateral paresthia, decreased loc, siezures, coma, hypertension Tx: ABCs, stoke assessment, time of onset, transport to ED or stroke center
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Stroke (Hemorrhagic)
|
bleed, s/s slurred speech, aphasia, agnosia, apraxia, hemiparesis, hemiplegia, arm drifting, facial droop, tongue deviation, swallowing difficulties, ptosis, ataxia, headache, sudden blindness, sudden unilateral paresthia, decreased loc, siezures, coma, hypertension Tx: ABCs, stoke assessment, time of onset, transport to ED or stroke center
|
|
Identify the Signs/Symptoms and Treatment for the following medical condition: Tuberculosis
|
- persistent cough for more than 3 weeks plus one or more of the following: night sweats, headache,fever, fatigue,weight loss, hemoptysis, hoarseness, chest pain tx: mask, 02, vent support, transport.
|
|
Identify the complications of Meningitis
|
l
|
|
Identify a systematic approach to treatment for Altered Mental Status Presentations
|
Alcohol, anaphylaxis, AMI
Epilepsy, Endocrine, Electrolytes Insulin Opiates Uremia Trauma Intercranial infection (tumor, hemorrhage, htn) Poisoning Seizure, Sepsis |
|
Identify the etiologies (causes) and classifications of shock (Cardiogenic, Obstructive, Distributive)
|
;
|
|
Differentiate between presentations (signs/symptoms) of the classifications of shock
|
l
|
|
Comopare and Contracst the signs and symptoms and treatment for hypoglycemia, hyperglycemia, DKA and HHNS?
|
k
|
|
Compare and contrast the signs and symptoms and treatment for Respiratory distress and respiratory failure
|
k
|
|
Identify the Signs/symptoms of Organophosphate Poisoning
|
l
|
|
Define and give examples of various types of abdominal pain (Visceral, Somatic, Referred, Pleuritic)
|
k
|
|
Identify the components of theh AMLS Pathway as it relates to patient assessment
|
k
|
|
Discuss the importance of the Medical History as it relates to the AMLS Pathway
|
k
|
|
Identify the differences in the Signs/Symptoms and treatment for an acute Myocardial Infarction (AMI) and Angina Pectoris presentations. Identify which parts of the histroy are most important.
|
k
|
|
Identify the most common means of prevention of transmission of infectious disease
|
Washing your hands before and after contact with the medical patient.
|
|
Identify communication barriers that affect obtaining thorough medical history?
|
Language Barrier
Altered Mental Status |
|
Identify the Signs/Symptoms of Gastroenteritis
|
;
|
|
Identify the Signs/Symptoms and treatment of Salicylate Poisoning
|
lk
|
|
Identify the Signs/Symptoms of an Opiate Overdose
|
l
|
|
Contrast the Signs/Symptoms of Hypoventilation and Hyperventilation?
|
l
|
|
Identify the LOCATION and FUNCTION of the Lobes of the Brain?
|
l
|
|
Describe the components of The Cushings Triad.
|
Systolic Hypertension, Bradycardia, Irregular Respiratory Pattern, Indicates INCREASED (ICP)
|
|
What is the order of events in the AMLS Patient Assessment Pathway?
|
1) Initial Observations - Scene and Patient
2) First Impression - Sick or Not Sick? 3) Detailed Assessment - Hx, Secondary Ass, Diagnostics 4) Refine Differential Diagnosis (Based on Accumulated Data and Clinical Reasoning) 5) Ongoing Management |
|
In the AMLS Patient Assessment Pathway - What is included in the Initial Observations Section?
|
Scene - Safety threats to crew, and Situation
Patient - Cardinal Presentation, and Primary Survey |
|
In the AMLS Patient Assessment Pathway - What is included in the First Impression Section?
|
-Identify and treat life threats immediately
-Generate Differential Diagnosis |
|
In the AMLS Patient Assessment Pathway - What is included in the Detailed Assessment Section?
|
History - OPQRST, and SAMPLER
Secondary Survey - VS, Physical Exam of Body Systems Diagnostic - Glucose, EKG, O2 sat, etc. |
|
In the AMLS Patient Assessment Pathway - What is included in the Refine Differential Diagnosis Section?
|
-Life Threatening -
-Critical - -Non-Emergent - |
|
In the AMLS Patient Assessment Pathway - What is included in the Ongoing Management?
|
-Reassess, Refine Diagnosis, Modify Treatment
-Patient Disposition |
|
In the AMLS Patient Assessment Pathway - What should you do if you discover new life threats?
|
Treat immediately!!
|
|
What is Ataxia?
|
an unsteady or altered gait due to BRAIN DYSFUNCTION, often of the CEREBRUM, which controls coordination
|
|
Compensated Shock Vitals
|
Normal BP, slightly elevated HR, Tachypnea, delayed CRT.
|
|
Compensated Shock S/S
|
Could present with cool hands and feet, pale mucous membranes, restlessness, anxiety, and oliguria.
|
|
54. Pathophysiology of Compensated Shock
|
Vasoconstriction maintains blood flow to essential organs, but tissue ischemia occurs in less essential areas
|
|
55. Decompensated Shock Vitals
|
BP decreasing, HR >120 bpm, Respiratory Rate >30-40
|
|
56. Decompensated Shock S/S
|
Waxen, cool, clammy skin, pale or cyanotic mucous membranes, profound weakness, metabolic (lactic) acidosis, anxiety, and absent or decreased peripheral pulses.
|
|
57. Decompensated Shock Pathophysiology
|
blood pressure decreases as vascular tone decreases. Dysfunction to all organs is imminent. Anaerobic metabolism ensues, causing lactic acidosis
|
|
58. Irreversible Shock Vitals
|
Profound Hypotension
|
|
59. Irreversible Shock S/S
|
lactate >2 mEq/L????????????
|
|
60. Irreversible Shock Pathophysiology
|
Metabolic Acidosis causes postcapillary sphincters to open and release stagnant and coagulated blood. Excessive potassium and acid causes dysrhythmias. Cellular damage is irreversible.
|