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146 Cards in this Set

  • Front
  • Back
The smaller vessels that carry blood away from the heart and connect the arteries to the capillaries are:
Arterioles
perfusion is defined as
circulation of blood within an organ in adequate amounts to meet the body's metabolic needs
What organ can tolerate inadequate perfusion for up to 2 hours
muscles
hypoperfusion is another name for
shock
significant vital sign changes will occur if the typical adult loses greater than what percent of his or her total blood volume
20 percent
The ability of a persons cardiovascular system to commpensate for blood loss is related to
how rapidly he or she bleeds
hypovolmic shock occurs when
the body cannot compensate for rapid blood loss
external bleeding from a cein is relatively easy to control because
veins are undera lower pressure
the pneumatic antichodk garmennt would most likely be effective in
controlling severe bleeding associated with pelvic fractures
exteranl bleeding to an extremity can be controlled by
applying local direct pressure
if dressing because socked with blood you should
place additional dressings over the wound
conscious, restless and rapid pulse , large area of bruising to the right upper quadrant of his abdomen : treatmen is
preparing for immediate transport
shock is the result of
hypoperfusion to the cells of the body
when perfusion to the core of the body decreases
blood is shunted away from the skin
pulmonary edema ad imparied ventilation occur during
cardiogenic shock
Neurogenic shock occurs when
failure of the nercous system causes widespread vasodilation
hyppovolemic shok caused by severe burns is the result of a loss of
plasma
result of hemorrhagic shock
lever laceration
anaphalactic shock
subsequent exposure following sensitization often produces more severe reactions
temporary widespread vasodilation and syncope caused by a sudden nervous system reaction describes
psychogenic shock
assessing a person with signs of shock most important to remember that
blood pressure may be the last measurable factor to change in shock
clininal signs of compensated shock don't include
absent peripheral pulses
female struck the steering wheel, signs of shock, introthoracic bleeding, what is the next intervention
rapid transport to a trauma center
severe leg injury, chainsaw, male, lying supine, partial amputation to leg actively bleeding, consious, breathing adequatly, diaphoretic
apply direct pressure to the wound
severe vomiting and diarrhea for 3 days, confused diaphoretic, weak puse after applying oxygen
prepare for immediate transport
layer o the skin that forms watertight protective seal for the body
epidermis
the dermis contaings
hair follicsle, sweat glands, and nerve endings
what body structure is not lined with mucous membranes
lips
not one of the functions of the skin
production if jey antibodies
when a person is exsposed to a cold environment
peripheral vessels constrict and divert blood away from the skin
Neurogenic shock occurs when
failure of the nercous system causes widespread vasodilation
hyppovolemic shok caused by severe burns is the result of a loss of
plasma
result of hemorrhagic shock
lever laceration
anaphalactic shock
subsequent exposure following sensitization often produces more severe reactions
temporary widespread vasodilation and syncope caused by a sudden nervous system reaction describes
psychogenic shock
assessing a person with signs of shock most important to remember that
blood pressure may be the last measurable factor to change in shock
clininal signs of compensated shock don't include
absent peripheral pulses
female struck the steering wheel, signs of shock, introthoracic bleeding, what is the next intervention
rapid transport to a trauma center
severe leg injury, chainsaw, male, lying supine, partial amputation to leg actively bleeding, consious, breathing adequatly, diaphoretic
apply direct pressure to the wound
severe vomiting and diarrhea for 3 days, confused diaphoretic, weak puse after applying oxygen
prepare for immediate transport
layer o the skin that forms watertight protective seal for the body
epidermis
the dermis contaings
hair follicsle, sweat glands, and nerve endings
what body structure is not lined with mucous membranes
lips
not one of the functions of the skin
production if jey antibodies
when a person is exsposed to a cold environment
peripheral vessels constrict and divert blood away from the skin
a closed soft-tissue injury characterized by swelling and ecchymosis is called
contusion
a hemetoma develops when
large blood vessels beneath the skin are damaged
a laceration is a
jagge cut caused by a sharp object or blunt force trauma
an open soft tissue injurie is limited to the superficial layer of the skin and results in the least amount of blood loss
abrasion
penetrating injuries external bleeding may be minimal but internal injuries
can be extensive
what is an abdominal evisceration
when organs protrude through an open wound
when caring for an amputated body part
kepp it cool without aallowing it to freeze
most life threatening complication associated with an open neck injury is
an air emobolism
burns are most appropriatly classified according to
depth and extent
burn taht is classified by redness and pain
first-degree burn
partial thickness burn involves the outer layer of skin and a portion of the
dermal layer
not a sign and syptoms of an airway bur
chest pressure
why are burns to pediatric patients considered more sever than adults
pediatric patients have more surface area relative to total body mass
male, evisceration to the ldft lower quadrant of his abdomen , after airway, care for his wound is
covering it with moist, sterile dressings secured in place with bandages
male incomplete avulsion to his right forearm, after controlling any bleeding from the wound, you should
replace the avulsed flap to its original position and coer it with a steril dressin
burns to the anterior aspect of both arms and to his anterior chest, rule of nines this burn covers what percentage
18%
burns to face and chest, nasal hairs are singed and he is coughing up sooty sputum, most concerned with
the potential for airway swelling
4 year old, superficial burs to her head and anterior trunk , what percentage
36%
blood bubbling from evtrance chest wound you should
apply an occlusice dressing to the wound and continue your assessment
the eyeball itself is refered to as the
globe
opening at the center of the iris, that allows light to move to the back of the eye is called
pupil
inner surface of the eyelids and the exsposed surfacce of the eye itself are covered by a delicate membrane called the
conjunctiva
the white portion of the eye is called
sclera
approximately 80% of the eyeball is protected by the
orbit
the palm of the patients hand is equal to
1% ot the body's surface area
the anterior trunk of anult is is equal to
18% of the body surface area
the legs of a pediatric are proportionally what than an adult
smaller
in order for electricity to flow through the body and cause damage
a complete circuit muct exist between the electrical source and the ground
tennage boy involved in a bicycle accident has a punter wound in which the kickstand is impaled in his leg you should
unbolt the kidkstand from the bikee and stabilize it with bulky dressings
abnormal variations in pupil size and reaction would likely be observed in a patient with
head injuries
when light is shone into the pupil
it should become smaller in size
the conjunctiva is kept moist by fluid produced by the
lacrimal gland
40 year old man sudden sharp pain in his left eye, small splinter of wood emedded in his cornea you should
cover both of his eyes and transport to the hospital
factory worker spashed in the eye with a strong acid chemical , no sterile saline or water you should
irrigate both eyes continuouslly for 20 minutes with plain water
most significan complication associated with facial injuries is
airway compromise
the skin and underlying tissues of the face
have a rich blood supply and bleed profusely
signicant trauma to the face should increase the index of suspicion for an
basilar skull fracture
frequent ongoing assessments in the patient with facial or throat injuries are most important because
such injuries can affect the respiratory system
when transporting a person with facial injury it is most important to be descriptive as plssible with the hospital because
maxillofascial specialists my need to be called
anterior epistaxis usually originates from the ? and bleeds fairly?
septal area , slowly
30 female, robbed, assulted, massive fascial trauma and slow gurgling respirations , as partner stabalizes the head you should
suction her oropharynx for up to 15 seconds
44 male laceration to left ear, minimal bleeding, appropriate care
padding beween the ear and the scalp
29 male , an anterior nosebleed . conscious and alert adaqueate breething.care should be
placing him supine and pinching his nostrils together
laceration to the neck during robbery, bright red blood spurting from the laceration, you should
apply direct pressure below the lacerateed vessel
pleural fluid is contained between the
visceral and parietal pleurae
the thoracic cavity is seperated from the abdominal cavity by the
diaphragm
the ? nerves control the diaphragm
phrenic
hemoptysis is defined as
coughing up blood
pneumothorax is defined as
accumulation of air in the pleural space
and open pneumothorax occurs when
air enters the pleral space from outside the body
definitive are for a tension pneumothorax involves
inserting a needle through the rib cage into the pleural space
subcutaneous emphysema is an indication that
air is escaping into the chest wall from a damaged lung
patients with rib fractures will commonly
breathe rapidly and shallowly
a flail chest occurs when
a segment of the chest wall is detatched from the thoracic cage
a rapid irregular pulse following blunt trauma to the chest is suggestive of a
myocardial contusion
19 male acute onset of shortness of breath and pleuritic chest pain, conscious aler stable vital signs, diminished breath counds over the left side of the chest
administer oxygen and transport to the hospital
28 male struck in the chest, conscious and alert severe chest pain, ecchymosis over the sternum and a rapid irregular pulse
prepare for immediate transport
the presence of tachycardia following a significant abdominal injury should be assumed to be a sign of
shock
bruising to the right upper quadrant of the abdomen following blunt trauma is most suggestive of injury to the
liver
early bruising following abdominal trauma is often indicated by
red areas of skin
mesentery is
membranous folds that attach the intestines to the walls of the body
airbags are most benefit when a person is involoved in a
head on crashq
when a hollow organ is punctureed during a penetrating injury to the abdomen
peritonitis may not develop for several hours
protuding organs should be kept
warm and moist
what organ is at most risk for injury as the result of a pelvic fracture
urinary bladder
placing a pregnant patient in a suping position during the third trimester of pregnancy
may decrease the amount of blood that returns to the heart
you should never give a patient who is diaphoretic and thirsty
small sips of water
football player struck in the right flank area just below the posterior rib cage , small amount of blood in his underwear
blunt injury to the kidney
the musculoskeletal system refers to the
bones and voluntary muscles of the body
skeletal muscle is also referred to as
straited muscle
smooth muscle is not found in what organ
myocardium
skeletal mucle is attached to the bone by tough ropelike fibrous structures alled
tendons
bones are connected to other bones by tough fibrous tissues called
ligaments
in moving joints the ends of the bones are covered with
articular cartilage
a fracture is mos accurately defined as a
break in the continuity of the bone
the disruption of a joint in which the bone ends are no longer in contact is called a
dislocation
musculoskeletal injury in which there is partial temporary separation of the bone ends as well as partial stretching or tearing of the supporting ligaments
sprain
an open fracture is
a fracture in which the overlying skin is no longer intact
musculoskeletal injuries most lkelt result in deformities are
dispalced fracture
afrature that occurs in the growth section of a child's hone and may lead to bone growth abnormalities
epiphyseal
most reliable indicator of a fracture is
point tenderness
crepitus and false motion are
positve indicators of a fracture
comprtment syndrome is
pressure within the fascial compartment is increased
least svere musculoskeletal injuries
nondisplaced pelvic fracture
assessing a persons nerovascullar status following an injury should not be
evaluating proximal pulses
applying ice and elevating an injured extremity are performed in order to
reduce pain and swelling
musculoskeltal injuries should be splinted before moving the patient unless
the patient is clinically unstable
primary prupose for splinting is
prevent further injury
prior to splinting an open extremity frature you should first
cover all bleeding or open wounds
when should you splint an injured limbe in the position of the the deformity
when distal circulation and neurological functions are absent
the most significan hazard associated with splinting is
delaying transport of a criticallly injured patient
a colles fracture involves a fracture of apply gntle manual tracture in line with the limb and eassess for a pulsethe
distal radius
the hand should be placed in what position when splintin
a functional position
bilateral femur fractures can result in up to ? ml of internal blood loss
2,000
a hip fracture is actually a fracture of the
proximall femur
a person who experiences a calcaneus fracture after jumping and landing on his or her feet would likely experience an accompanying fracture of the
lubar spin
dislocated shoulder, you should
assess distal pulse,motor, and sensory functions
deformity to her left elbow unable to palpate a radial pulse, transport time to hospital is 40 min. you should
apply gentle manual traction in line with the limb and reasses for a pulse
49 male, fell 20 feet landed on his feet, severe pain to bothe of his hells and to his lower back prior to transport the patient you should
fully immobilize the spinal collumn
22 female ejected from car, closed deformities to both of he femurs, not moving and appear to be conscious you should
stabalize her head and perform an initial assessment
19 femal, multiple trauma, bilateral humeral deformities and deformity to the left midshaaft femur, skin is diaphoretic and her pulse is rapid and weak. partner has appropriatly managed the patients airwat andis maintaining manual stabilization of her head.most appropriate treatment
immobilization to a backboard and rapid transport