2950923
Description
Flashcards by Michelle John, updated more than 1 year ago
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Created by Michelle John
almost 9 years ago
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| Question | Answer |
| What is the angle Intramuscular injection should be injected? | 90 degrees |
| What is the angle a Subcut injection should be injected? | 90 degrees for a higher skin fold 45 degrees for a low skin fold |
| what is the angle an intradermal injection should be injected? | 15 degrees |
| When gathering cardiac history what info do you need to be seeking? | *smoker/ex-smoker (Pack year) *alcohol/drug use *exercise habits *medications (cardiac) *pre existing cardiac conditions *family history *co-morbidities (diabetes etc) |
| What does PQRST mean when assessment a patient who has pain? | P - precipitating events (What were you doing at the time) Q - quality of pain (dull, stabbing, sharp etc) R- radiation of pain (does the pain spread) S - Severity of pain ( out of 10?) T- timing ( how frequent is the pain presenting) |
| What is a heart attack | Blood flow to a part of the heart is blocked for a period of time it is damaged or dies. |
| What is a Cardiac arrest | When there is a defeat in the fibres that carry electrical signs to the heart muscles. Can happen without warning and often has an irregular heartbeat. |
| Define Atypical chest pain | non- cardiac chest pain |
| Which coronary artery is involved with a posterior wall infarct? | Mainly left circumflex CA or RCA |
| Which coronary artery is involved with a lateral wall infarct? | Left anterior descending and Left circumflex |
| How do you take Postural BP | *take BP in supine position after 2-3 mins rest sit patient up. *Take BP sitting up with legs dangling take bp within 1-2 minutes *Ask patient to stand up and retake BP within 1-2 mins |
| 20 beats/minute increase is an acceptable increase in heart rate when standing TRUE OR FALSE | TRUE |
| How do you determine the rate of rhythm from a 6 sec strip. | 30 boxes = 6 secs 6 secs X 10 = 60 sec/min |
| What are the Acronyms for basic life support? | D - danger R - response S - send for help A - airway B - breathing C - compressions D - defibrillator Continue CPR until unresponsive or normal breathing returns |
| Regular sinus rhythm No action is required | |
| Artial Fibrillation | |
| Artial Flutter | |
| Ventricular Fibrillation: Lethal Rhythm Not measurable and irregular Action - CPR and Defibrillator | |
| Ventricular Tachycardia: Lethal Rhythm Action - CPR and Defibrillator | |
| What are the general management pathways for chest pain | *oxygen *aspirin *IV access *pain relief *pathology (troponin) *chest x-ray |
| What patient stimulation is it when you press into fingers? | Peripheral stimulation |
| Central Stimulation is when you ? | Squeeze a patients Trapezius for a pain stimuli |
| In a conscious person how do you assess motor function? | *ask them to raise their arms * ask them commands |
| In an unconscious patient how do assess motor function | central stimulation painful stimuli |
| Should vital signs be taken in conjunction with neurological assessment and why? | yes, because they work in conjunction with each other. For example; increased intracranial pressure normally accompanied by an increased respiratory rate and pattern. |
| What are the indicators for suctioning a patient? | *Visible secretions in ET tube * Suspected aspiration for secretions *Sudden onset of respiratory distress * Auscultation of adventitous breath sounds over bronchi/trachea *increased peak of airway pressures * increased respiratory rate and sustained cough *Sudden or gradual decrease in Pa03 and SPo2 *Patient is unconscious and produces secretions |
| Regular and routine suctioning is encouraged. TRUE OR FALSE | FALSE Patients should be monitored frequently and suctioned only if required. |
| How do you measure the correct size of gruedel airway for your patient ? | Distance from the corner of the mouth to the angle of the jawline below the ear. |
| If the tongue is not held in the anterior position the guedel is ? | Too small |
| If the guedel is too large what might happen ? | It may force the tongue towards the epiglottis and obstruct the airway. |
| What is the contra-indication for a nasopharyngeal airway? | Suspected or actual fracture of the base of skull |
| List three complications that can arise around an IV cannula site | *Infiltration - local oedema * Extravasations - Ulcer like wound *Phlebitis - Inflammation and redness surrounding IV cannula site |
| What is the minimum IV flow rate to keep the vein open ? | 10-15 mL/hr micro drip infusion |
| Define Isotonic | Extracellular volume replacement Fluid and electrolyte replenishment (o.9% Sodium Chloride) |
| Define Hypertonic | Pull Fluid out of the cells into the vascular space. Expands the volume of extracellular fluids (Mannitol Solution) |
| Define Hypotonic | Pulls fluid into the cells from the vascular space. Dilutes extracellular fluids, has more water than electrolytes (0.45% Sodium Chloride) |
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