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26 Cards in this Set
- Front
- Back
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When confronted with a patient that depends on advanced equipment that you don't understand, what should you do?
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Ask questions! You can ask caregivers, family, and patient. Questions such as "has this happened before, and if so what fixed it," "have you been taught how to fix this," and "what have you tried so far?" are good starting points.
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Define "congenital disease."
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A disease or condition that's present at birth
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Define "acquired disease."
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A disease or condition that occurs after birth
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Are COPD, AIDS, and traumatic spinal cord injury defined as congenital or acquired?
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Acquired
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Define "continuous positive airway pressure (CPAP) device."
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A device that exerts constant pressure through a tube and mask worn by a patient to keep airway passages from collapsing at the end of a breath.
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How do you care for a patient using a CPAP machine at night?
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Care for them as you would care for any patient. If they want to bring their CPAP machine, that's OK.
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Define "tracheostomy."
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A surgical opening in the neck into the trachea.
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Define "stoma"
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A surgically created opening into the body, as with a tracheostomy, colostomy, or ileostomy
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What is the most common problem with stomas and tracheostomies?
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Mucus buildup
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How do you remove a tracheostomy or stoma blockage?
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Carefully insert a whistle-tip catheter and suction. Measure depth of suctioning by measuring the obturator, if possible.
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Define "ventilator."
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A device that breathes for a patient. If it fails, a patient must be transported and ventilated via BVM
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Define "pacemaker."
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A device that uses electrical impulses to regulate rhythms of the heart, which is usually implanted under the skin.
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What is a pacemaker's purpose?
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It sends a series of low-level electrical impulses to a patient's heart in order to keep it from beating too slowly.
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Define "Automatic implanted cardiac defibrillator (AICD)"
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A device implanted under the skin that can detect a life-threatening cardiac dysrhythmia and respond by delivering one or more shocks to correct the rhythm.
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Can an EMT be shocked by a patient's pacemaker or AICD?
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Nope
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Should you ever use an AED on a patient with a pacemaker or an AICD?
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Yes! Just like with a normal patient
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Define "left ventricular assist device (LVAD)"
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A batteyr-powered mechanical pump implanted in the body to assist a failing left ventricle in pumping blood to the body.
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What are common problems associated with an LVAD
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Infection, air leakage, battery failure
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What must you keep in mind when transporting a patient with an LVAD?
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Plug it in if you can. Don't let it get tugged around. If the electrical pump fails, it has a foot or hand pump you can use.
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Define "feeding tube"
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A tube used to provide delivery of nutrients to the stomach. A nasogastric feeding tube is inserted through the nose and into the stomach; a gastric feeding tube is surgically implanted through the abdominal wall and into the stomach.
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Define "urinary catheter"
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A tube inserted into the bladder through the urethra to drain urine from the bladder.
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What are some common complications surrounding feeding tubes?
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Dislodgement
Infection Clogs |
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How do you assess and transport a patient with a feeding tube?
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Ensure that the tube is secured to the patient's body with tape.
Hang nutrients like an IV bag if nutrients are being administered during transport If nutrients aren't being administered, cap the tube. |
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Where should you put a catheter bag during transport?
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Lower than the patient, but NOT on the ground, and don't let it break or get tangled, unless you love pee.
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Define "ostomy bag"
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An external pouch that collects fecal matter diverted from the colon or ileum through a surgical opening in the abdominal wall.
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Define "dialysis."
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The process of filtering the lood to remove toxic or unwanted wastes and fluids.
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