Reading...
Play button
Play button
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;
12 Cards in this Set
- Front
- Back
|
**CONFUSION/ANXIETY/IMPAIRED JUDGEMENT
*DRENCHING SWEAT OR COLD *CLAMMY SKIN *TACHYCARDIA *HEADACHE -SYNCOPE -HYPERVENTILATION LEADING TO RESPIRATORY ALKALOSIS |
HEAT EXHAUSTION
S/S |
|
|
-MAY PROGRESS TO HEAT STROKE IF SWEATING CEASES
-MOVE TO A COOL AREA WITH FEET ELEVATED IN A SUPINE POSITION -REPLACE FLUIDS AND SALT -SALTED TOMATOE JUICE -SALTED WATER -1/2 LITERS/ 2-4 HOURS -ACTIVE COOLING (ICE PACKS UNDER ARMPITS/GROINS, FAN) -REST x 24 HOURS |
HEAT EXHAUSTION
T/X |
|
|
*CONFUSION, DELIRIUM, BIZARRE BEHAVIOR
*COMA *SEIZURES *HOT, DRY FLUSHED SKIN *CNS DYSFUNCTION -ABSENCE OF SWEATING -BODY TEMP HIGHER 105 f |
HEAT STROKE
S/S |
|
|
*REDUCE BODY TEMP TO 102 F WITHING ONE HOUR
*REMOVE ALL CLOTHING *HYPOTHERMIA BLANKET -Cold packs to pressure points -Hypothermia blanket - check history of ETOH or drugs |
HEAT STROKE
T/X |
|
|
in exposure to cold, fluid freezes in tissues and causes vascular damage in feet, hands, nose and ears
|
FROSTBITE
|
|
|
Epidermis only
-pain hyperemia, edema, ice crystals on skin, sub Q crystallizing, numbness/tingling |
FROSTING
|
|
|
pale waxy skin with doughy consistency
|
FULL THICKNESS
|
|
|
damage to the bone and muscles
pale, lifeless, hard & sensitive grangrene, risk for losing extremity |
DEEP INJURY
|
|
|
*REWARM EXTREMITY: controlled and rapid rewarming in whirlpool until fingertips flush (pink)
*DO NOT RUB AND AVOID DRY HEAT (would cause increase tissue damage) -Sterile gause between fingers and toes -Analgesic (NSAIDS work well b/c decrease inflammation (local) can use combination of NSAIDS & Narcotics |
FROSTBITE TREATMENT
|
|
|
-Core temperature less than 95 F (35 C)
-VF occurs at temp <90 F -Temp <77 F = no pupil reaction or reflexes |
INCIDENTAL HYPOTHERMIA
|
|
|
-bleeding b/c clotting factors & platlets, decrease d/t decrease temp
*Hyperkalemia d/t tissue destruction -bradycardia -hypotension -ataxia -poor judgement -skin blue and puffy |
ACCIDENTAL HYPOTHERMIA
S/S |
|
|
*ACTIVE EXTERNAL VRS INTERNAL WARMING
(WARMED UP TO 2 DEGREES/ HR) *PROPHYLACTIC ANTIBIOTICS USED ONLY WITH NEONATES, ELDERLY AND IMMUNOSUPPRESED PATIENTS *REWARD TO DEFRIB (LESS THAN 31 (88F) CANT DEFIB -warm IVF -blankets -warm room -warm o2 by humidification -warm peritoneal or gastric lavage or enema |
ACCIDENTAL HYPOTHERMIA
T/X |
