D.o.e.

Front 1

SYNCOPE

Back 1

PRE-SYNCOPE
Signs: pallor, diaphoresis
Symptom: hot, dizzy, nauseated

SYNCOPE
Signs: death-like appearance, shallow gasping breaths, dilated
pupils, possible convulsive movements

TX:
Place Pt in supine, maintain open airway, use ammonia capsule, give oxygen, take vitals, determine success.

Call EMS if Pt doesn't recover within 15-20 min.

Front 2

HYPERVENTILATION

Back 2

Cardiovascular symptoms: tacycardia, chest pain
Neurological symptoms: dizziness, lightheadedness, tingling in mouth or extremities
Signs: can't breath, diaphoresis
TX:
Remove cause, position the Pt most comfortable, count to 10 in 1 breath with pursed lips, take vitals
Slow down respirations to correct alkalosis

Front 3

HYPOGLYCEMIA

Back 3

Symptoms: weakness, dizziness headache, confusion
Signs: pale, moist skin
TX: EVALUATE LEVEL OF CONSCIOUSNESS
TX: (conscious)
semi-upright, maintain open airway, take & record vitals, give oral carb or 20g oral glucose
Signs Pt is recovering: more alert
Signs Pt is deteriorating: unstable vitals,loss of consciousness
TX: (unconscious)
Place Pt in supine, call 911, ABC's of CPR, take vitals, have Doc give 20 ml. 50% dextrose or glucagon

Front 4

OXYGEN ADMINISTRATION:
E CYLINDER/RESUSCITATOR & BAG-VALVEMASK

Back 4

TX:(E cylinder)
Check for responsiveness, place Pt in supine, open airway, determine if breathing (L.L.F.), clear visible debris, place mask with E-C Clamp
How to determine success: condensation
TX:(Bag)
Place Pt in supine & open airway, determine if breathing (L.L.F.), remove visible debris, place mask (E-C clamp), compress bag 1 full sec.
How to determine success: rise & fall of chest, condensation, feel breath
Compare systems:
Tank/Resc ↑21% Bag valve mask 21%

Front 5

Airway Obstruction

Back 5

Signs(partial): wheezing, coughing
Signs(complete): can't talk, cyanosis
VISIBLE OBJECT:
trandelangburg, forceps or suction
PARTIAL OBSTRUCTED:
place Pt where comfortable and let cough
COMPLETE OBSTRUCTED:
position the Pt upright, heimlich
ASPIRATION:
Signs: wheezing,cyanosis
Evaluate consciousness, supine if unconscious, activate ABC's, call EMS

Front 6

ANGINA

Back 6

Symptoms: ↑pulse rate, cold clammy skin, chest tightness
Signs: pallor
Signs(STABLE): gradual pain, last 1-15 min.,relieved by nitro & rest
Signs( UNSTABLE): pain more than 15 min., more nitro needed
Tx: remain calm, stop dental Tx, place Pt where comfortable, help Pt take nitro (2 sprays under tongue within 1-2 mins. or 1 pill every 5 mins.), give oxygen,give more nitro. if needed (max 3 within 15 mins.)
Success: vital signs stable and pain stops.
CALL EMS: pain doesn't go away or no history of angina

Front 7

MYOCARDIAL INFARCTION

Back 7

Symptoms: sudden onset of pain, dizziness, weakness, nausea
Signs: levin sign, sweating, shortness of breath
Tx:
remain calm, stop Tx, call EMS & give nitro., keep Pt quiet & calm, position upright, give oxygen, ABS'c of CPR take & record vitals

Front 8

VITAL SIGNS

Back 8

PALSE: ( rate, rhythm, quality)
60-100/ 70-130

BP: systolic/diastolic
120/80 normal
↑159/59 no Tx

Respirations: ( rate, rhythm, quality, depth)
12-20/16-22

Temp:
97-99.6 (98.6)
96↓ or 103↑ no Tx

Front 9

tacycardia, chest pain, dizziness,lightheadedness,tingling in mouth or extremities, can't breath, diaphoresis

Back 9

Hyperventilation
Tx:
remove cause, place Pt in comfortable position, have Pt count to 10 in one breath with pursed lips, take vitals

(alkalosis is corrected by slowing down respirations)

Front 10

weakness, dizziness, headache, confusion, pale moist skin

Back 10

Hypoglycemia
Tx:(conscious)
place Pt semi-upright, maintain open airway, take & record vitals, give oral carb or 20g oral glucose
signs Pt is recovering: more alert
signs Pt is deteriorating: unstable vitals or loss of consciousness
Tx:(unconscious)
place Pt in supine, call 911, activate ABC's, take vitals, have Doc give 20ml. 50% dextrose or glucagon

Front 11

↑pulse rate, cold clammy skin, chest tightness, pallor
gradual pain lasting 1-15 min.?
pain lasting more than 15 min. needing more nitro?
(stable or unstable?)

Back 11

Angina
Tx:
remain calm, stop dental Tx., place Pt where comfortable, help Pt take nitro, give oxygen, give more nitro if needed.
call EMS if pain does not stop or no history of angina.
(success=vital signs stable & pain stops)

Front 12

sudden onset of pain, dizziness, weakness, nausea, levin sign, sweating, shortness of breath

Back 12

MI
Tx:remain calm, stop Tx, call EMS, position Pt upright, give Pt nitro, administer oxygen, Be ready to activate ABC's, take & record vitals

Front 13

wheezing, coughing

Back 13

Partial Obstruction
Tx:
place Pt in comfortable position & let cough

Front 14

can't talk, cyanosis

Back 14

Complete Obstruction
Tx:
position Pt in upright position, do heimlich
If Pt goes unconscious: call EMS, place Pt in supine & activate ABC's of CPR

Front 15

wheezing, cyanosis

Back 15

Aspiration
Tx:
call EMS & have Pt get chest x-ray

Front 16

pallor, diaphoresis, hot, dizzy, nauseated

Back 16

Pre-Syncope
Tx: place in supine

Front 17

death-like appearance, shallow gasping breaths, dilated pupils, possible convulsive movements

Back 17

Syncope
Tx:
Place in supine , maintain open airway, use ammonia crush, administer oxygen, take vitals
Call EMS if Pt doesn't recover within 15-20 min