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Emergency Care 13th Ed. Chapter 25 - Bleeding and Shock Flashcards

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5221854801________ is the supply of oxygen to and removal of wastes from the body's cells and tissues as a result of the flow of blood through the capillariesPerfusion0
5221854802_________ is the body's inability to adequately circulate blood to the body's cells to supply them with oxygen and nutrientsHypoperfusion1
5221854803The _______ system is responsible for the distribution of blood throughout the bodyCirculatory2
5221854804The three main components of the circulatory system are the __________________, and the _______ that flows through themHeart, blood vessels, blood3
5221854805The _______ is a muscular organ that lies within the chest, behind the sternum, and is responsible for pumping bloodHeart4
5221854806The ________ carry oxygen-rich blood (minus pulmonary) away from the heartArteries5
5221854807The _______ carry de-oxygenated (minus pulmonary) blood to the heart. Also have ________ valvesVeins, one-way6
5221854808The _______ are where oxygen rich blood is emptied and carbon dioxide is picked upCapillaries7
5221854809________ of blood vessels increases blood flow to the skin, which increases heat loss from the skin surfaceDilation8
5221854810________ of blood vessels decreases blood flow to the skin, which decreases heat loss so the core temperature can be preservedConstriction9
5221854811Having good _______ indicates adequate circulation of blood to the bodyPerfusion10
5221854812_________ is the proper medical term for shockHypoperfusion11
5221854813________, or severe bleeding, is the major cause of hypoperfusion in traumaHemorrhage12
5221854814The cells and tissues of the _______, the ___________, and the _______ are most sensitive to inadequate perfusionBrain, spinal cord, and kidneys13
5221854815________ bleeding occurs outside the bodyExternal14
5221854816________ bleeding is characterized by bright red blood that is rapid, profuse, and difficult to control (Spurting)Arterial15
5221854817Spurting arterial wounds will decrease in pressure as the blood _______ decreasesVolume16
5221854818________ bleeding is characterized by dark red blood and a steady, easy to control flowVenous17
5221854819________ hemorrhage occurs where the appendages of the body connect to the trunk, where large arteries and veins are less well-protected (Neck, armpits, groin)Junctional18
5221854820________ bleeding must be controlled before assessing the airwayMassive19
5221854821________ bleeding is characterized by a slow, oozing flow of bloodCapillary20
5221854822____________ are commonly prescribed to patients with a history of stroke, atrial fibrillation, heart attack, or artificial heart valves, and can cause life-threatening bleeding from relatively minor injuriesBlood thinners21
5221854823The colder a patient gets, the more _________, or impaired ability to clot, will be a concernCoagulopathy22
5221854824Most external hemorrhage is "_________" meaning it can be controlled by providing direct pressure"Compressible"23
5221854825No matter how small blood loss appears to be, if the patient shows any signs or symptoms of ________, the bleeding must be considered seriousHypoperfusion24
5221854826The major methods of controlling external bleeding are: ______________________________ agent, and _________Direct pressure, elevation, hemostatic agent, and tourniquet25
5221854827Never ________ a dressing after it has been placed on a woundRemove26
5221854828Bleeding through a dressing is a sign that what you are doing is ________, and more aggressive actions are neededIneffective27
5221854829A _______ dressing is a bulky dressing held in position with a tightly wrapped bandage, which applies pressure to control bleedingPressure28
5221854830After using a pressure dressing, always check for a ______ ______ to ensure it is not too tightDistal pulse29
5221854831______________ is usually the quickest and most effective method of controlling external bleedingDirect pressure30
5221854832_______ agents are substances applied as powders, dressings, gauze, or bandages to open wounds to stop bleedingHemostatic31
5221854833Hemostatic agents aid ___________ but do not replace itDirect pressure32
5221854834A ________ is a device used for bleeding control that restricts all blood flow to and from an extremityTourniquet33
5221854835Place a tourniquet approximately ___" above the bleeding wound, and not over a joint2"34
5221854836The tourniquet should always be between the wound and the ______Heart35
5221854837Attach a notation with the time a tourniquet was applied, and ensure that you do not _______ the tourniquetCover36
5221854838If you are directed to remove a tourniquet, have your partner hold ____________ while you release the tourniquetDirect pressure37
5221854839Since the sharp ends of broken bones may cause tissue and vessel injury, stabilizing them with a _______ and preventing movement of the bone ends prevents additional damageSplint38
5221854840______ splints are most effective for venous and capillary bleeding, but are not effective for arterial bleedingAir39
5221854841__________ minimizes swelling and reduces the bleeding by constricting blood vessels. Do not leave in place for more than ___ minsCold packs, 20 mins40
5221854842Do not attempt to stop blood or fluid loss involving ____ as it may cause an increase pressure in the skullCSF41
5221854843_______ is the medical term for a nosebleedEpistaxis42
5221854844In an area of the body that is doing more work, the blood vessels ______ to allow more blood flow to that areaDilate43
5221854845In an area of the body that is not working, the blood vessels will _______ to distribute more blood to working areasConstrict44
5221854846_______ shock is when the patient is developing shock but the body is able to maintain perfusion. Increased H/R, increased R/R and pale, cool skin are signsCompensated45
5221854847_______ shock is when the body can no longer compensate for low blood volume or lack of perfusion. A falling B/P is a late signDecompensated46
5221854848_______ shock is shock resulting from blood or fluid lossHypovolemic47
5221854849_______ shock is brought on not by blood loss, but the heart's inadequate pumping action. Often the result of a heart attack or CHFCardiogenic48
5221854850________ shock is hypoperfusion due to nerve paralysis (sometimes caused by spinal cord injuries) resulting in the dilation of blood vessels that increases the volume of the circulatory system beyond the point where it can be filledNeurogenic49
5221854851_______ shock is caused by an infection spreading throughout the body via the bloodstream, leading to dilation of blood vessels and loss of integrity (leakiness) of the blood vessels. Often the result of UTI, postsurgical infection, or pneumoniaSeptic50
5221854852The _____________ is the optimal time from the infliction of a traumatic injury until the patient receives definitive treatment in a hospitalGolden hour51
5221854853The goal for on-scene time when caring for a trauma or shock patient has been stated as a maximum of ___ mins (Platinum ___)10 mins, Platinum 1052
5221854854Pulse oximetry may not be accurate in shock patients, due to the body ______ blood to the coreShunting53
5221854855____________ pupils, and sometimes ________ around the lips and nail beds are late signs of shockThirst, dilated, cyanosis54
5221854856Your most significant treatment for a shock patient may be early ________ of the problemRecognition55
5221854857If a patient with fractured bones is in shock, splinting should occur in the _______Ambulance56

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