AP Notes, Outlines, Study Guides, Vocabulary, Practice Exams and more!

Emergency Care 13th Edition Chapter 29 Flashcards

Terms : Hide Images
4268626858air embolisma bubble of air in the bloodstream. The plural is air emboli. The more accurate term is arterial gas embolism (AGE).0
4268626859ataxic respirationsa pattern of irregular and unpredictable breathing commonly caused by brain injury.1
4268626860autonomic nervous systemthe division of the peripheral nervous system that controls involuntary motor functions.2
4268626861central nervous systemthe brain and spinal cord.3
4268626862central neurogenic hyperventilationa pattern of rapid and deep breathing caused by injury to the brain.4
4268626863cerebrospinal fluidthe fluid that surrounds the brain and spinal cord.5
4268626864Cheyene-Stokes breathinga distinct pattern of breathing characterized by quickening and deepening respirations followed by a period of apnea.6
4268626865concussionmild closed head injury without detectable damage to the brain. Complete recovery is usually expected.7
4268626866contusiona bruise. In brain injuries, a bruised brain caused when the force of a blow to the head is great enough to rupture blood vessels.8
4268626867craniumthe bony structure making up the forehead, top, back, and upper sides of the skull.9
4268626868dermatomean area of the skin that is innervated by a single spinal nerve.10
4268626869foramen magnumthe opening at the base of the skull through which the spinal cord passes from the brain.11
4268626870hematomaa swelling caused by the collection of blood under the skin or in damaged tissues as a result of an injured or broken blood vessel. In a head injury, a collection of blood within the skull or brain.12
4268626871herniationpushing of a portion of the brain through the foramen magnum as a result of increased intracranial pressure.13
4268626872intracranial pressurepressure inside the skull.14
4268626873lacerationa cut. In brain injuries, a cut to the brain.15
4268626874malarthe cheek bone. Also called the16
4268626875mandiblethe lower jawbone.17
4268626876maxillaethe two fused bones forming the upper jaw.18
4268626877nasal bonesthe bones that form the upper third, or bridge, of the nose.19
4268626878nervous systemthe system of brain, spinal cord, and nerves that govern sensation, movement, and thought.20
4268626879neurogenic shockhypoperfusion 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 filled.21
4268626880orbitsthe bony structures around the eyes; the eye sockets.22
4268626881peripheral nervous systemthe nerves that enter and leave the spinal cord and travel between the brain and organs without passing through the spinal cord.23
4268626882pulmonary embolisma blockage in the blood circulation of the lung caused by a blood clot or air bubble.24
4268626883spinal motion restrictionthe immobilization of the spinal column as if it were a single bone to prevent movement of individual vertebrae.25
4268626884spinous processthe bony bump on a vertebra.26
4268626885temporal bonebone that forms part of the side of the skull and floor of the cranial cavity. There are right and left temporal bones.27
4268626886temporomandibular jointthe movable joint formed between the mandible and the temporal bone, also called the TMJ.28
4268626887vertebraethe thirty-three bones of the spinal column (singular vertebra).29

Emergency Care 13th edition. Chapter 28: Musculoskeletal Trauma Flashcards

Terms : Hide Images
5712558843Axial skeletonIncludes the skull, the sternum, the ribs, and the spine including the cervical, thoracic, and lumbar vertebrae.0
5712558844JointPlace where bones articulate or meat1
5712558845Appendicular skeletonThe parts of the skeleton made up of the extremities2
5712558846PeriosteumStrong, white, fibrous material that cover the bones. Blood vessels and nerves pass through this membrane as they enter and leave the bone.3
5712558847PhalangesThere are 28 that make up the toes and 28 that make up the fingers4
5712558848CartilageTough tissues that cover the joint ends of Bones and helps to form certain body parts such as the ear.5
5712558849TendonsTissue that connect muscle to bone.6
5712558850LigamentsTissues that connect bone to bone7
5712558851The three mechanisms that cause musculoskeletal injuriesDirect Force comma indirect force, and twisting force.8
5712558852Traction splintA splint that applies constant pull along the length of a lower extremity to help stabilize the fractured bone and reduce muscle spasm in the limb. Traction splints are used primarily on femoral shaft fractures.9
5712558853FractureAny break in a bone10
5712558854Comminuted fractureA fracture in which the bone is broken in several places11
5712558855Greenstick fractureAn incomplete fracture12
5712558856Angulated fractureFracture in which the broken bone segments are at an angle to each other13
5712558857SprainThe stretching and tearing of ligaments14
5712558858StrainMuscle injury resulting from overstretching or overexertion of the muscle.15
5712558859Closed extremity injuryAn injury to an extremity with no Associated opening in the skin16
5712558860Open extremity injuryAn extremity injury in which the skin has been broken or torn through From the Inside by an injured bone or from the outside but something that has caused a penetrating wound with Associated injury to the Bone. Increased likelihood of contamination and subsequent infection.17
5712558861Compartment syndromeInjury cause when tissues such as blood vessels and nerves are constricted with a space either from swelling or from a tight dressing or cast.18
5712558862CrepitusA grating sensation or sound made when fractured bone ends rub together. Also called grading.19
5712558863The six "PS" assessing compromise to an extremityPain or tenderness Pallor Paresthesia, or the sensation of pins and needles Pulse Paralysis Pressure20
5712558864The object of realignmentTo assist in restoring effective circulation to the extremity and 2 fit into a splint.21
5712558865Guidelines for realigning an extremity1. EMT grasps the distal extremity while partner places one hand above and one hand below the injury site. 2. The partner support the site while the first EMT creates gentle manual Traction in the direction of the long axis of the extremity. If you feel resistance or if it appears that bone ends will come through the skin, stop realignment and splint the extremity in the position found. 3. If no resistance is felt maintain gentle traction until the extremity is properly aligned and splinted.22
5712558866True or false? The method of splinting is always dictated by the severity of the patient's condition and by the priority for transportationTrue23
5712558867Results of applying a splint too tightlyIt can compress soft tissue and injured nerves, blood vessels, and muscles.24
5712558868Traction applied with traction splintEqual to roughly 10% of the patients body weight but should not exceed 15 pounds25
5712558869What are indications for a traction splint?Painful, swollen, deformed mid thigh with no joint or lower leg injury. A traction splint is contraindicated if there is a pelvis, hip, or knee injury.26
5712558870True or false? A rigid splint should be used for injuries to the clavicle, scapula, or the head of the humerus.False27
5712558871Do not tie a sling around the patient's neck if there is a possible...Cervical spine injury28
5712558872Blood at the meatus of the penis is a sign of what?Pelvic fracture29
5712558873What can be used as a substitute for a PASG?Pelvic wrap30
5712558874Anterior hip dislocationThe patient's entire lower limb is rotated outward, and the hip is usually flexed.31
5712558875Posterior hip dislocationThe patient's leg is rotated inward, the hip is flexed, and the knee is bent. Most common.32
5712558876True or false? A traction splint should be applied if you suspect there may be additional injuries or fractures to the area of the knee or tibia or fibia of the same lengthFalse33

Emergency Care 13th Edition Chapter 27 Flashcards

Terms : Hide Images
3337349810Blunt TraumaA blow to the chest that can fracture the ribs, the Sternum, and the (Rib) cartilages. ( concern is internal bleed)0
3337368622Penetrating ObjectsBullets, knives, pieces of metal or glass, steel rods, pipes and various other objects can penetrate the chest wall, damaging internal organs and impairing respiration.1
3337387540Flail chestA fracture of two or more consecutive ribs in two or more places.2
3337418233Paradoxical motionThe movement of the flail segment is opposite to the movement of the remainder of the chest cavity.3
3337453004CompressionOccurs when severe blunt trauma causes the chest to rapidly compress4
3337474699Flail Chest AssessmentMOA that can cause flail chest Pt will have difficulty breathing pain at injury sight Signs of shock Hypoxia Paradoxical Motion ( Late Sign)5
3337506478Flail Chest Patient CarePrimary Assessment for other life threats Administer O2 Monitor pt resp. volume carefully if Resp. gets shallow assist Ventilation6
3337601473Assume All open chest injuries areLife threatening7
3337632133Sucking chest wound Pt SignsOpen wound in chest Sucking sound ( may or may not ) pt gasping for air8
3337650040Open Chest wound Pt Caremaintain and open air way seal open chest wound quickly we possible apply occlusive dressing ( 2 inch wider than wound ) High flow O2 Treat for shock Transport as soon as possible consider ALS intercept9
3376247154Cardiac tamponadeWhen injury to the heart causes blood to flow into the sac surrounding pericardial sac. heart sacs fills up with blood and compresses chambers of the heart to the point where they no longer fill backing up blood into the veins. MOI- Penetrating trauma destended neck vein, narrowing pulse pressure signs of shock10

Emergency Care 13th Edition Chapter 26 Flashcards

Terms : Hide Images
6571467845abrasiona scratch or scrape.0
6571467846amputationthe surgical removal or traumatic severing of a body part, usually an extremity.1
6571467847avulsionthe tearing away or tearing off of a piece or flap of skin or other soft tissue. This term also may be used for an eye pulled from its socket or a tooth dislodged from its socket.2
6571467848bandageany material used to hold a dressing in place.3
6571467849closed woundan internal injury with no open pathway from the outside.4
6571467850contusiona bruise. In brain injuries, a bruised brain caused when the force of a blow to the head is great enough to rupture blood vessels.5
6571467851crush injuryan injury caused when force is transmitted from the body's exterior to its internal structures. Bones can be broken; muscles, nerves, and tissues damaged; and internal organs ruptured, causing internal bleeding.6
6571467852dermisthe inner (second) layer of skin, rich in blood vessels and nerves, found beneath the epidermis.7
6571467853dressingany material (preferably sterile) used to cover a wound that will help control bleeding and prevent additional contamination.8
6571467854epidermisthe outer layer of the skin.9
6571467855full thickness burnsa burn in which all the layers of the skin are damaged. There are usually areas that are charred black or areas that are dry and white. Also called a third-degree burn.10
6571467856hematomaa swelling caused by the collection of blood under the skin or in damaged tissues as a result of an injured or broken blood vessel. In a head injury, a collection of blood within the skull or brain.11
6571467857lacerationa cut. In brain injuries, a cut to the brain.12
6571467858occlusive dressingany dressing that forms an airtight seal.13
6571467859open woundan injury in which the skin is interrupted, exposing the tissue beneath.14
6571467860partial thicknessa burn in which the epidermis (first layer of skin) is burned through and the dermis (second layer) is damaged. Burns of this type cause reddening, blistering, and a mottled appearance. Also called a second-degree burn.15
6571467861pressure dressinga bulky dressing held in position with a tightly wrapped bandage, which applies pressure to help control bleeding.16
6571467862puncture woundan open wound that tears through the skin and destroys underlying tissues. A penetrating puncture wound can be shallow or deep. A perforating puncture wound has both an entrance and an exit wound.17
6571467863rule of ninesa method for estimating the extent of a burn. For an adult, each of the following areas represents 9 percent of the body surface: the head and neck, each upper extremity, the chest, the abdomen, the upper back, the lower back and buttocks, the front of each lower extremity, and the back of each lower extremity. The remaining 1 percent is assigned to the genital region. For an infant or child, the percentages are modified so that 18 percent is assigned to the head, 14 percent to each lower extremity.18
6571467864rule of palma method for estimating the extent of a burn. The palm of the patient's own hand, which equals about 1 percent of the body's surface area, is compared with the patient's burn to estimate its size.19
6571467865subcutaneous layersthe layers of fat and soft tissues found below the dermis.20
6571467866superficial burna burn that involves only the epidermis, the outer layer of the skin. It is characterized by reddening of the skin and perhaps some swelling. A common example is a sunburn. Also called a first-degree burn.21
6571467867universal dressinga bulky dressing.22

Emergency Care 13th Edition Chapter 25 Flashcards

Terms : Hide Images
4707177960arterial bleedingbleeding from an artery, which is characterized by bright red blood that is rapid, profuse, and difficult to control.0
4707177961capillary bleedingbleeding from capillaries, which is characterized by a slow, oozing flow of blood.1
4707177962cardiogenic shockshock, or lack of perfusion, brought on not by blood loss, but by inadequate pumping action of the heart. It is often the result of a heart attack or congestive heart failure.2
4707177963compensated shockwhen the patient is developing shock but the body is still able to maintain perfusion. See also shock.3
4707177964decompensated shockwhen the body can no longer compensate for low blood volume or lack of perfusion. Late signs such as decreasing blood pressure become evident. See also shock.4
4707177965hemorrhagebleeding, especially severe bleeding.5
4707177966hemorrhagic shockshock resulting from blood loss.6
4707177967hemostatic agentssubstances applied as powders, dressings, gauze, or bandages to open wounds to stop bleeding.7
4707177968hypoperfusioninability of the body to adequately circulate blood to the body's cells to supply them with oxygen and nutrients. Also called shock. See also perfusion, shock.8
4707177969hypovolemic shockshock resulting from blood or fluid loss.9
4707177970neurogenic shockhypoperfusion 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 filled.10
4707177971perfusionthe supply of oxygen to, and removal of wastes from, the cells and tissues of the body as a result of the flow of blood through the capillaries.11
4707177972pressure dressinga bulky dressing held in position with a tightly wrapped bandage, which applies pressure to help control bleeding.12
4707177973shockthe body's inability to adequately circulate blood to the body's cells to supply them with oxygen and nutrients, which is a life-threatening condition. Also known as hypoperfusion.13
4707177974tourniqueta device used for bleeding control that constricts all blood flow to and from an extremity.14
4707177975venous bleedingbleeding from a vein, which is characterized by dark red or maroon blood and a steady, easy-to-control flow.15
4707179755Signs of ShockAltered Mental Status- occurs when brain is not receiving enough oxygen Pale Cool Clammy Skin- when blood is diverted from non-important areas Nausea and Vomitting Vital Sign changes- Pulse increase, Respiration increases, Blood pressure drops16
4707184068Hemorrhage ControlFirst apply direct pressure If bleeding continues use tourniquet (extremity wound) or Hemostatic Gauze (Head or Trunk wound)17

Emergency Care 13th Edition Chapter 24 Flashcards

Terms : Hide Images
3222104663anemialack of a normal number of red blood cells in the circulation0
3222104664coagulopathyloss of the normal ability to form a blood clot with internal or external bleeding1
3222104665continuous ambulatory peritoneal dialysisa gravity exchange process for peritoneal dialysis in which a bag of dialysis fluid is raised above the level of an abdominal catheter to fill the abdominal cavity and lowered below the level of the abdominal catheter to drain the fluid out2
3222104666continuous cycler-assisted peritoneal dialysisa mechanical process for peritoneal dialysis in which a machine fills and empties the abdominal cavity of dialysis solution3
3222104667end-stage renal diseaseirreversible renal failure to the extent that the kidneys can no longer provide adequate filtration and fluid balance to sustain life, requires dialysis4
3222104668exchangeone cycle of filling and draining the peritoneal cavity in peritoneal dialysis5
3222104669pyelonenephritisan infection that begins in the urinary tract and ascends up the ureter into the kidney6
3222104670renal failureloss of the kidney's ability to filter the blood and remove toxins and excess fluid from the body7
3222104671sickle cell anemiaan inherited disease in which genetics in the hemoglobin results in abnormal structure of those red blood cells8
3222104672thrilla vibration felt on gentle palpation, such as that which typically occurs within an arterial-venous vistula9
3222104673urinary cathetera drainage tube placed into the urinary system to allow the flow of urine out of the body10
3222108233destruction of the spleenthe spleen becomes blocked by the abnormal RBCs11
3222110257sickle cell pain crisisis caused by sludging of sickled RBCs in capillaries, which results in severe pain in the arms, legs, chest, and/or abdominal pain12
3222115096acute chest syndromeshortness of breath and chest pain associated with hypoxia (low oxygen saturation) when blood vessels in the lungs become blocked13

Emergency Care 13th Ed. Chapter 24 - Hematologic and Renal Emergencies Flashcards

Terms : Hide Images
5184053498Blood is made of up _______ components suspended in a liquid called _______Solid, plasma0
5184053499_______ blood cells make up the majority of the cells in the circulation and give blood its characteristic colorRed1
5184053500Red blood cells contain specialized molecules called ________ that bind to oxygen and are responsible for oxygen delivery to the cellsHemoglobin2
5184053501_______ blood cells are critical blood cells that respond to infection and are major mediators to the body's immune responseWhite3
5184053502_______ are fragments of larger cells that are crucial in the formation clots. Clumping (aggregation) of platelets is the body's most rapid response to stop bleeding from an injured sitePlatelets4
5184053503One of the most widely available drugs to prevent aggregation of platelets is _______Aspirin5
5184053504_______ is the liquid in which the blood cells and platelets are suspendedPlasma6
5184053505___________ are a group of proteins that are produced in the liver and released into the bloodstream. They circulate in the bloodstream in inactive forms but are activated to initiate clotting when damage occurs to the lining of the damaged blood vesselClotting factors7
5184053506________ is the loss of the normal ability to form a blood clot with internal or external bleeding. Can occur when a patient clots too readily or when the patient clots too slowly, resulting in uncontrolled bleedingCoagulopathy8
5184053507Patients with advanced ______ disease, such as cirrhosis, may not make adequate clotting factors to form stable clotsLiver9
5184053508________ have inherited disorders that prevent them from producing certain clotting factorsHemophiliacs10
5184053509____________ disease is the most common inherited blood disorder. Although the patient has a normal number of platelets circulating in the bloodstream, the patient's platelets are functionally defectiveVon Willebrand's11
5184053510Coumadin, Pradaxa, Eliquis, Xarelto, and Lovenox inhibit clotting factors, known as ____________Blood thinners12
5184053511Aspirin and Plavix ______ platelet aggregationInhibit13
5184053512Patients on blood thinners, aspirin, and Plavix are more prone to having ____________ bleeding than patients who are not. Patients are typically upgraded to trauma center transport due to this riskLife-threatening14
5184053513Patients with a history of the dysrhythmia called _____________ are frequently on blood thinnersAtrial fibrillation15
5184053514_______ is the lack of a normal number of red blood cells in circulationAnemia16
5184053515______ anemia may be the result of trauma or sudden massive bleeding in the GI tractAcute17
5184053516_______ anemia occurs over time and can be caused by conditions such as recurrent heavy menstrual periods, slow GI blood loss, or diseases that affect the bone marrow or the structure of the hemoglobin molecule itselfChronic18
5184053517One of the best ways to assess for chronic anemia is to examine the color of the patient's _______ on the lower eyelid, and it will appear very pale as opposed to the normal red/pinkConjunctiva19
5184053518_______________ (SCA) is an inherited disease in which a genetic defect in the hemoglobin results in abnormal structure of the red blood cells, most common in African American patientsSickle cell anemia20
5184053519In SCA patients, the abnormal (sickle) shape of the red blood cells do not survive in the circulation as long as normal red blood cells, resulting in _______ anemiaChronic21
5184053520_______ is caused when the liver becomes overwhelmed by the breakdown in red blood cells, causing a yellowish tint to the skinJaundice22
5184053521Some patients have sickle cell ______, meaning they carry the gene for sickle cell disease, but do not have the diseaseTrait23
5184053522Pain in SCA patients joints are caused by a _____________ crisis where sickled red blood cells block microcirculation, resulting in hypoxia and severe pain in the affected organsVaso-occlusive24
5184053523The renal system is made up of two kidneys, two _______, and a single _______Ureters, urethra25
5184053524_______ carry urine from each kidney to the bladderUreters26
5184053525_______ carry urine from the body to the outside of the bodyUrethra27
5184053526The ________ are responsible for the filtration of the blood and the removal of certain waste products, excessive salts, and excessive fluid from the body. Also helps the body retain fluidsKidneys28
5184053527______________ (UTIs) are the most common disease process that afflicts the renal and urinary system, and are caused by bacteria, with most being limited to the bladder, causing painful and frequent urinationUrinary tract infections29
5184053528________ is an infection that begins in the urinary tract and ascends up the ureter into a kidney. Patients often complain of unilateral flank pain in addition to normal UTI symptoms and generally appear more ill than those without uncomplicated bladder infectionsPyelonephritis30
5184053529A UTI can be a serious and life-threatening disease, especially the elderly, if bacteria spreads into the _______Bloodstream31
5184053530____________ are usually made of calcium and are formed within the kidneyKidney stones32
5184053531A ___________ is a drainage tube placed into the urinary system to allow the flow of urine out of the bodyUrinary catheter33
5184053532The most serious disease of the kidneys is ___________, the loss of the kidneys ability to filter the blood and remove toxins and excess fluid from the bodyRenal failure34
5184053533_______ renal failure can be caused by shock, toxic ingestions, and other causesAcute35
5184053534_______ renal failure can be caused by inherited diseases such as polycystic kidney disease, but is more commonly caused by poorly controlled diabetes or high B/PChronic36
5184053535_________ renal disease is irreversible renal failure to the extent that the kidneys can no longer provide adequate filtration and fluid balance to sustain life, survival with ESRD usually requires dialysisEnd-Stage37
5184053536_______ is the process by which toxins and excess fluid are removed from the body by a medical system independent of the kidneysDialysis38
5184053537In ________, the most common for of dialysis, a patient is connected to a dialysis machine that pumps his blood through specialized filters to remove toxins and excess fluidHemodialysis39
5184053538Hemodialysis patients will either have a specialized two-port catheter that is inserted in one of the major veins of the ______ or a surgically created fistula in one of the _______ that connects arterial and venous blood flowTorso, extremeties40
5184053539A _______ is a vibration felt on gentle palpation, such as that which typically occurs within an arterial-venous fistulaThrill41
5184053540Patients who manage their ESRD with ______________ usually do so in their own homes. Much slower and requires multiple treatments every day for most patientsPeritoneal dialysis42
5184053541Peritoneal dialysis works by using the large surface area inside the peritoneal cavity that surrounds the abdominal organs as a means of removing _______ and excess ________ from their bodyToxins, fluid43
5184053542ESRD patients on peritoneal dialysis have a permanent catheter that is implanted through their _____________ and into the peritoneal cavityAbdominal wall44
5184053543An ________ is one cycle of filling and draining the peritoneal cavity in peritoneal dialysisExchange45
5184053544______________ (CAPD) is a gravity exchange process for peritoneal dialysis in which a bag of dialysis fluid is raised above the level of an abdominal catheter to fill the abdominal cavity and lowered below the level of the abdominal catheter to drain the fluid out. Most common type of peritonial dialysisContinuous Ambulatory Peritoneal Dialysis46
5184053545_________ peritoneal dialysis (CCPD) is a mechanical process for peritoneal dialysis in which a machine fills and empties the abdominal cavity of dialysis solution. Used while person sleepsContinuous Cycle-Assisted47
5184053546The most serious complications of ESRD seen by the EMT occur when patients fail to be ______Dialyzed48
5184053547ESRD patients that have missed dialysis present with similar symptoms to _____, including SOB because of pulmonary edema and dependent edema. Also may suffer ________CHF, dysrhythmia49
5184053548_______ is a bacterial infection within the peritoneal cavity where patients present with abdominal pain, fever, and the telltale sign that their dialysis fluid appears _______ when it is drained rather than clearPeritonitis, cloudy50
5184053549_______ are the most commonly transplanted organsKidneys51
5184053550Patients with kidney transplants spend the rest of their lives on a special class of drugs that prevent organ rejection by suppressing the body's ___________, making them more susceptible to serious infectionsImmune system52

Emergency Care 13th Chapter 23 Flashcards

Behavioral in psychiatric emergencies in suicide

Terms : Hide Images
6872056551Behavioris defined as the manner in which a person acts or performs it involves activities of a person including physical and mental attributes0
6872056552Behavioral emergencyWent to patient's behavior is not typical for the situation when the patient's behavior is unacceptable are intolerable to the patient , when patient may harm himself or others, his family or community, within a given situation1
6872056553Excited deliriumBizarre or aggressive behavior shouting, paranoia, panic, violence towards others, insensitivity to pain, Unexpected physical strength, and hyperthermia, usually associated with cocaine or amphetaamine use, also called (agitated delirium)2
6872056554Positional asphyxiaIn adequate breathing or respiratory arrest calls by bodies position that restricts breathing3
6872056555Physical causes of altered mental statusLow blood sugar, lack of oxygen, stroke, or inadequate blood to the brain, head trauma, mind altering substance, environmental temperature extremes4
6872056556Situational stress reactions, typical stress reactions by an accident or a serious illness or death could be display emotions such asFear, grief, anger5
6872056557Acute psychosisHas a card when the patient develops one or more of the following symptoms hallucination(are inappropriate sensory observations such as visions our voices) delusions( are falsely held beliefs such as paranoia the believe that one is being persecuted when that is not the case) catatonic( is characterized by either an almost complete noninteraction with the environment or wild and completely inappropriate movements and interactions), or a thought disorder(impacting patient's ability to process information into communicate and can calls and usual speech patterns are strange writings)6
6872056558Things to remember in emergency care for behavioral and psychiatric emergenciesIdentify yourself a your role. Speak slowly and clearly. Use a calm and research reassuring tone. Make eye contact with the patient. Listen to the patient. You can show you are listening by repeating part of what the patient says back to him. Do not be judgemental. Show compassion, not Pity. Use positive body language. Avoid crossing your arms are looking uninterested. Acknowledge the patients feelings. Do not enter the patient's personal space. Stay at least 3 feet away from the patient. Making the patient feel closed in can cause an emotional outburst. Be alert for changes in the patient's emotional status. Watch for increasingly aggressive behavior, and take appropriate safety precautions Use restraints to prevent harm if necessary.7
6872056559What are common presentations are signs and symptoms of patients experience psychiatric emergenciesPanic are anxiety, unusual appearance, disordered clothing, poor hygiene, aggravated or unusual activity, such as repetitive motions, threatening, are withdrawn stance, unusual speech patterns, such as to rapid or pressured sounding speech (as if being forced out) , Or an inability to carry on a coherent conversation, breeze Bizzarre behavior or thought patterns, suicidal or self-destructive behavior, violent or aggressive behavior with threats or intent to harm others.8
6872056560What is reasonable force in restraint used for and whyIt's necessary to keep a patient from injuring himself or others it is determined by looking in all circumstances involved including patient strength and size type of abnormal behavior mental status and available methods of restraints9
6872056561What's the purpose of a neurotransmitterTo help the electrical impulses travel from one neutron across the synapse to the next nerve cell10
6872056562Medications like Prozac Paxil and Zoloft or a class of medications called seratonin selective reuptake inhibitor's, what are they used for and whyUsed to treat depression and other mental disorders by elevating the patient's mood,,,,, this is done by preventing the reuptake of the neurotransmitter seratonin11
6872056563What are risk factors of suicideDepression, high current or recent stress levels, recent emotional trauma, AGE 15 to 25 and over 40, (alcohol and drug abuse), threats of suicide, suicide plans, previous attempts of suicide threats, history of self-destructive behavior, sudden improvement from depression.12

Emergency Care 13th Ed. Chapter 23 - Behavioral and Psychiatric Emergencies and Suicide Flashcards

Terms : Hide Images
5184050004________ is the manner in which a person performs or actsBehavior0
5184050005A ______________ is when a patient's behavior is not typical for the situation, when the patient's behavior is unacceptable or intolerable to the patient, his family, or the community, or when the patient may harm himself or othersBehavioral emergency1
5184050006Behavioral conditions require full ____________, including primary and secondary assessments, just as with any other emergencyPatient assessment2
5184050007It is helpful to consider patients who are exhibiting crises or unusual behaviors to be having an AMS from a __________ cause until proven otherwiseNonpsychiatric3
5184050008Many medical and traumatic conditions are likely to alter a patient's behavior, including lack of _______, low ____________, stroke, ______ trauma, mind-______ substances, and environmental ________ extremesOxygen, blood sugar, head, mind-altering, and temperature4
5184050009____________ has occurred when the patient develops one or more of the following symptoms: hallucinations, delusions, catatonia, or a thought disorderAcute psychosis5
5184050010_______ are inappropriate sensory observations such as visions or voicesHallucinations6
5184050011_______ are falsely held beliefs such as paranoia, the belief that one is being persecuted when that is not the caseDelusions7
5184050012_______ is characterized by either an almost complete noninteraction with the environment or wild and completely inappropriate movements and interactionsCatatonia8
5184050013______________ impact a patient's ability to process information and to communicate and can cause unusual speech patterns or strange writingThought disorders9
5184050014To avoid getting into a patient's personal space, stay at least ___' away from the patient3'10
5184050015The nervous system works through the use of ________Neurotransmitters11
5184050016Electrical impulses travel along neurons until they reach a _______ - a space between nerve cellsSynapse12
5184050017Neurotransmitters are chemicals within the body that transmit the message from the distal end of one neuron (________ neuron) to the proximal end of the next neuron (_______ neuron)Presynaptic, postsynaptic13
5184050018After the impulse is transmitted, the neurotransmitter goes through a process called _______, in which the neurotransmitter is returned to the presynaptic neuronReuptake14
5184050019A commonly prescribed class of drugs is the __________________ _______ (SSRI), which is believed to elevate mood by preventing the reuptake of the neurotransmitter serotonin in the synapseSelective serotonin reuptake inhibitor15
5184050020Suicide is the third leading cause of death in the age group ranging from _____ years old, and is at a high rate for patients over ___15-24, over 4016
5184050021A patient who has a detailed ___________ is more likely to commit suicideSuicide plan17
5184050022A patient who has made the decision to commit suicide may actually appear to be coming out of ________Depression18
5184050023Never let a patient come between you and the ______Door19
5184050024_____________ is the force necessary (minimum) to keep a patient from injuring himself or othersReasonable force20
5184050025Handcuffs and plastic "throwaway" criminal restraints should not be used on patients because of the __________ damage they can inflictSoft-tissue21
5184050026____________ is bizarre and/or aggressive behavior, shouting, paranoia, panic, violence toward others, insensitivity to pain, unexpected physical strength, and hypothermia, usually associated with _______ or ________ useExcited (agitated) delirium, cocaine or amphetamine22
5184050027Approach a patient that needs to be restrained should be approached with a minimum of _____ persons, one assigned to each limb, all to act at the same timeFour23
5184050028Patients should never be restrained in a ______ position or any other position that threatens movement of the chest wallProne24
5184050029_____________ is inadequate breathing or respiratory arrest caused by a body position that restricts breathingPositional asphyxia25
5184050030The heart and lungs working at their highest capacity in an extremely excited/delirious patient can cause rapid ________ as the ability to fight burns through energy stores. ALS should be contacted if this patient is encounteredDecompensation26
5184050031If a patient is spitting on rescuers, place a ___________ on the patient if he has no breathing difficulty or likelihood of vomiting, or have rescuers wear protective masks, eyewear, and clothingSurgical mask27
5184050032Reassess a restrained patient's _______ circulation frequently, and adjust restraints as safe and necessaryDistal28

Emergency Care 13th Edition Chapter 29 Flashcards

Terms : Hide Images
2746017775air embolisma bubble of air in the bloodstream. The plural is air emboli. The more accurate term is arterial gas embolism (AGE).0
2746017776ataxic respirationsa pattern of irregular and unpredictable breathing commonly caused by brain injury.1
2746017905autonomic nervous systemthe division of the peripheral nervous system that controls involuntary motor functions.2
2746018113central nervous systemthe brain and spinal cord.3
2746018324central neurogenic hyperventilationa pattern of rapid and deep breathing caused by injury to the brain.4
2746018325cerebrospinal fluidthe fluid that surrounds the brain and spinal cord.5
2746018476Cheyene-Stokes breathinga distinct pattern of breathing characterized by quickening and deepening respirations followed by a period of apnea.6
2746018477concussionmild closed head injury without detectable damage to the brain. Complete recovery is usually expected.7
2746018478contusiona bruise. In brain injuries, a bruised brain caused when the force of a blow to the head is great enough to rupture blood vessels.8
2746018700craniumthe bony structure making up the forehead, top, back, and upper sides of the skull.9
2746018701dermatomean area of the skin that is innervated by a single spinal nerve.10
2746018793foramen magnumthe opening at the base of the skull through which the spinal cord passes from the brain.11
2746018794hematomaa swelling caused by the collection of blood under the skin or in damaged tissues as a result of an injured or broken blood vessel. In a head injury, a collection of blood within the skull or brain.12
2746018795herniationpushing of a portion of the brain through the foramen magnum as a result of increased intracranial pressure.13
2746018924intracranial pressurepressure inside the skull.14
2746018925lacerationa cut. In brain injuries, a cut to the brain.15
2746018926malarthe cheek bone. Also called the16
2746018927mandiblethe lower jawbone.17
2746019066maxillaethe two fused bones forming the upper jaw.18
2746019067nasal bonesthe bones that form the upper third, or bridge, of the nose.19
2746019068nervous systemthe system of brain, spinal cord, and nerves that govern sensation, movement, and thought.20
2746019156neurogenic shockhypoperfusion 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 filled.21
2746019157orbitsthe bony structures around the eyes; the eye sockets.22
2746019400peripheral nervous systemthe nerves that enter and leave the spinal cord and travel between the brain and organs without passing through the spinal cord.23
2746019401pulmonary embolisma blockage in the blood circulation of the lung caused by a blood clot or air bubble.24
2746019507spinal motion restrictionthe immobilization of the spinal column as if it were a single bone to prevent movement of individual vertebrae.25
2746019696spinous processthe bony bump on a vertebra.26
2746019697temporal bonebone that forms part of the side of the skull and floor of the cranial cavity. There are right and left temporal bones.27
2746019822temporomandibular jointthe movable joint formed between the mandible and the temporal bone, also called the TMJ.28
2746021017vertebraethe thirty-three bones of the spinal column (singular vertebra).29

Pages

Subscribe to CourseNotes RSS

Need Help?

We hope your visit has been a productive one. If you're having any problems, or would like to give some feedback, we'd love to hear from you.

For general help, questions, and suggestions, try our dedicated support forums.

If you need to contact the Course-Notes.Org web experience team, please use our contact form.

Need Notes?

While we strive to provide the most comprehensive notes for as many high school textbooks as possible, there are certainly going to be some that we miss. Drop us a note and let us know which textbooks you need. Be sure to include which edition of the textbook you are using! If we see enough demand, we'll do whatever we can to get those notes up on the site for you!