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29 Cards in this Set
- Front
- Back
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pnuemothorax is...
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air collecting between the lung tissue and the chest wall
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Tourniquets are rarely used as a last resort.
A tourniguet is useful is a pt. is bleeding severly from a_______ or _____amputation |
partial or complete
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The first s/sx of hypovolemic schock is...
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decreased mental status, such as anxiet restlessness or combativeness
** in non-trauma pts. weakness,faintness,dizzieness |
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Late s/sx of hypoperfusion shock suggesting internal bleeding
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tachycardia
weakness,fainting,dizziness thirst cold,moist clammy skin shallow rapid breathing dull eyes low bp weak, rapid, thready pulse dilated pupils infant peds with cap refill >2sec |
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s/sx of serious internal bleeding are
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vomitting blood (hematemesis)
black tarry stools (melena) coughing up blood (hemoptysis) distended abdoment broken ribs |
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3 basic causes of shock
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Pump failure
low blood volume blood vessel dilate excessively |
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Hypovolemic Shock caused by hemmorghe is called
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hemorrhagic shock
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Hypovolemic shock
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shock caused by fluid or blood loss
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Septic Shock
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Shock caused by sever infection, usually bacterial infection.
*toxins damage vessel walls, causing a leak out of the vessels |
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what is a late sign of anaphalytic shock
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cyanosis
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neurogenic shock is described as
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circulatory failure, leads to widespread dilation, seen in spinal cord injuries
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Symptoms of nuerogenic shock
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absense of sweating below level of injury dilated vessels, loss of body temp (hypothermia)
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nuerogenic shock is the only type of shock that causes this
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slow pulse (brachycardia)
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Compensated shock is described as this
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early stage body can still compensate for blood loss
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Decompensated shock is described as this
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the late stage of shock when pressure is falling
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You should "expect" shock if a patient has any one of the 6 conditions
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Multiple severe fx
adb or chest injury severe infections major heart attack anaphylaxis |
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Signs when a pt. is in decompensated shock (late stage)
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low bp
labored/irreg breathing cyanotic skin thready absent, perifpheral pulse dilated pupils poor urinary output |
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anaphayltic shock is described as
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a person reacting violently to a substance that he/she has been sensitized
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Never remove a impaled object
TRUE OR FALSE |
TRUE
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REMEMBER
A systolic BP less that 100 mg Hg with weak rapid pusle should suggest... |
shock/ hypoperfusion if accomipanied with bleeding
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Perfusion shock is indicated by this
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cool,moist, pale or gray skin
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Cardiogenic shock is described as
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inadequate funtion of the heart (develops when the heart muscle cant generate enough pressure to circulate blood to all organs)
* back up blood from cardiogenic shock in the lungs causes pulmonary edema |
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Mycoardial infarction
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when a blood clot prevents blood flow to an area of the heart muscle
**infarction means death of a tissue |
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phneumothorax is..
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an accumulation of air or gas in the plueral cavity
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a bruise of the heart muscle is
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mycardial contusion
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the most severe form of blunt chest injury causing fx of 3 or more ribs each in 2 spaces
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flail chest
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collection of air under steadily increasing pressure in the plueral space
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tension pnuemothorax
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hemothorax
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a collection of blood in the plueral cavity
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index of suspicion
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that unseen life-threating injuries may exsist
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