Shock and resuscitation Decision making case for BLS: patient with sepsis Quizlet

Which of the following listings of techniques and devices represents the correct order of preference for providing artificial ventilation?
A. Pocket mask, one-person BVM, two-person BVM, flow-restricted oxygen-powered ventilation device.
B. Pocket mask, two-person BVM, flow-restricted oxygen-powered ventilation device, one-person BVM
C. One-person BVM, pocket mask, two=person BVM, flow-restricted oxygen-powered ventilation device
D. Two-person BVM, one-person BVM, flow-restricted oxygen-powered ventilation device, pocket mask

Care for an alert 4-year old child with a mild airway obstruction, who has respiratory distress, a strong cough, and normal skin color includes

A. back blows, abdominal thrusts, transport
B. oxygen, avoiding agitation, transport
C. assisting ventilations, back blows, transport
D. chest thrusts, finger sweeps, transport

increased respiratory eefort with retractions, breathing less than 10 per minute, head bobbing, grunting, accessory muscle use, absent or shallow chest wall movement, limp muscle tone, altered mental status, slow or absent heart rate, poor skin perfusion, and altered mental status.

Transmitted through the bite of an infected mosquito. Severe signs and symptoms; high fever, headache and stiff neck, confusion and disorientation to coma, seizures, muscle weakness, numbness, paralysis, vision loss. Mild signs and symptoms: fever, headache and body ache, nausea and vomiting, skin rash to chest, stomach, and back, soreness to neck from swollen lymph gland

anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out, "pursed lip breathing", coughing, does not respond to usual treatment

anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out, "pursed lip breathing", coughing,

anxiety, may "tripod, dsypena, has trouble getting air in, accessory muscle use, pursed lip breathing, prolonged expiratory phase, abnormal breath sounds (wheezes, or rhonci), cyanosis or ruddiness, barrel chest

usually severe agitiation, anxiety or fright, hyperventilation, progressive signs and symptoms of alkalosis, (light headedness dizziness, numbness, feeling of tightness, muscle twitching, carpal-pedal spasms, tetany, seizures, loss of consciousness

brought on by exercise, activity or stress (but sometimes nothing), feels like pressure or chest tightness , a weight on the chest, usually feels substernal or epigastric (usually on the left), usually lasts 30 minutes or longer, nausea, diaphoresis, dyspnea or orthopnea, irregular pulse, sudeen onset of weakness or lightheadedness, Denial

Constricted Pupils, Diarrhea, urination, Muscle weakness, Bradycardia, Bronchospasm, Bronchorrhea, Emesis, Lacrimation, Sweating, Salivation, Seizures, GI cramping

Fatigue, malaise, drowsiness, headache, confusion, weakness,dizziness, syncope, rapid thread pulse, hypotension, pale,soaked skin, usually cool, thirst, muscle cramps, abdominal cramps, nausea/vomiting/possibly diarrhea

Join pain- May be "bent" over, "Diver's itch" Paresthesias, Headache, general fatigue, malaise, dyspnea, dysarthria, ataxia, nausea, Vomiting, vertigo (dizziness)

Usually no reaction, little or no redness or pain, symptoms delayed 1/2 to 2 hours, systemic muscle pain, extreme abdominal pain, muscle cramping, chest tightness, dyspnea, abdominal rigidity, may develop hypertensive crisis, seizures

Respiratory arrest, cardiac arrest, heart attack, stroke, shock, blood loss, lung diseases, broken bones, head injuries, drug overdose, severe chest injuries, and more.

Hypovolemia- trauma, hemorrhage, burns, dehydration, diarrhea
Cardiogenic- myocardial infarction, dysrhythmia
Obstructive- tension pneumothorax, cardiac tamponade,
pulmonary embolus, dissecting aortic aneurysm
Distributive- spinal cord trauma, sepsis = widespread infection,
anaphylaxis, drugs/overdose (especially barbiturates)

(Congestive Heart Failure/Pulmonary Edema)-
(left-sided heart failure) from chronic heart disease or M.!.
SOB, Pale, cool, diaphoretic, Hypertension, Neck vein distention, Jugular Vein Distention, Pedal edema,Productive sputum (foaming from mouth)
Transport in Fowler's with legs down, over edge of gurney,
dependent and high oxygen

Hvpothermia - general lowering of body temperature. Apathv, shivering, delayed capillary refill, altered LOC, Bradycardia, Hypotension, dilated pupils. Remove wet clothing, cover patient with blankets, Warm ambulance, Handle patient gently, oxygen.

in child, drooling, fever, stridor, tripod position, inability to swallow, history of recent illness, (put nothing in mouth, transport immediately and quietly, 02 it tolerated, do not intervene if not necessary- crying may cause further obstruction of airway)

Integrity, Empathy, Self-motivation, Professional appearance and hygiene, Self-confidence, Effective time management, Good verbal and written communication skills, Teamwork and diplomacy, Respect for patients; coworkers; and other health care professionals, Patient advocate, Careful delivery of service

Respiratory complaints: Moderate/severe dyspnea, tightness in chest
Respiratory sounds: Wheezing, muffled voice, stridor
Skin texture: Generalized hives
Skin color: Generalized pallor or flushed skin
Swelling: Swelling of face, lips, eyes, tongue, mouth, injection site
Vital signs: Tachycardia, hypotension, tachypnea, decreased oxygen saturation
Mental status: Feeling of impending doom

Something that all allergic reactions share is that people do not have them the first time they are exposed to an allergen. This is because the body's immune system has not "learned" to recognize the allergen yet. The first time someone is exposed to an allergen, the immune system forms antibodies in response. These antibodies are the body's attempt to attack the foreign substances. A particular antibody will combine with only the allergen it was formed in response to (or another allergen very similar to the original one). The second time the person is exposed to the allergen, the antibodies already exist in the person's body. This time, the antibody combines with the allergen, leading to the release of
histamine and other chemicals into the bloodstream. Together, these substances have several effects that may lead to a spectrum of allergic reactions including, at times, the life-threatening condition known as anaphylaxis: They dilate blood vessels, decrease the ability of capillaries to contain fluid, cause bronchoconstriction, and promote the production of thick mucus in the lungs.

The dilation of blood vessels reduces the amount of blood returning to the heart, leading to decreased cardiac output and an increased risk of shock. Skin also becomes flushed as blood vessels near the surface open up. When capillaries become leaky, fluid moves into the tissue and appears as swelling, especially around the site of an injection (or sting) and the face, including the eyes, lips, ears, tongue, and airway. If the area around the vocal cords becomes swollen, the patient may have a muffled voice or display stridor on inspiration. Urticaria, also called hives—red, itchy, possibly raised blotches on the skin— is another result of the release of histamines and related substances in response to allergens. Bronchoconstriction causes decreased movement of air in the
lungs, leading to wheezing and difficulty breathing. Thick mucus worsens this effect. Irritation of nerve endings results in itching.

one sided weakness, someone with right sided weakness - has a problem on the left side of the brain, drop on face, headache caused by bleeding, difficult to communicate, high blood pressure, impaired vision, nausea, seizures, unequal pupils, difficult respiration