Class9.txt

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Author:
dodgybarnet
ID:
103712
Filename:
Class9.txt
Updated:
2011-09-22 20:43:41
Tags:
EMR class
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Description:
EMR Class 9
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  1. ´╗┐Down Syndrome
    • Chromosome 21 is repeated (you have a triplet of it
    • About 25% of children with Down Syndrome have heart defects at birth
    • Many have congenital intestinal disorders, hearing defects and other illnesses
    • Extra time must be allowed for obtaining a history and for performing assessment and patient care procedures
    • Usually calm around familiar faces.
    • may become violent around strangers if they feel uncomfortable
  2. Types of Cerebral Palsy
    • Spastic paralysis: Produces abnormal stiffness and contraction of muscle groups
    • Athetosis: Produces involuntary writhing movements
    • Ataxia: Produces loss of coordination and balance.
    • Hearing defects, epilepsy and other CNS disorders are commonly present with the disease
  3. Cerebral Palsy
    • Is a general term for non-progressive disorders of movement and posture
    • Results from damage to the fetal brain during later pregnancy to early childhood (including birth trauma)
    • Causes unusual or decreased muscle tone
  4. MICS is lead by the?
    incident commander
  5. START Utilizes a 60 second assessment that focuses on:
    • A RPMs
    • Ability to walk
    • Respiratory Effort
    • Pulse/Perfusion
    • Mentation/ Neurological Status
  6. Choking compressions?
    Always ALWAYS do 30:2 compressions no matter what age they are
  7. So CPR is different from choking!
    • 1: Child unconscious Choking: 30:2
    • 2: Blockage pops out
    • 3: Child unconscious CPR: 15:2
  8. compressions on child CPR if there's two of you?
    • 15 to 2
    • Do 10 cycles (2 minutes) - basically they are getting the same # of compressions, but they need extra air
    • If there's only 1 of you, you do 30:2
  9. AED under one year old?
    Cant use it
  10. What color will Neurogenic shock make your pt?
    • bi-color
    • Pale on top, pale, cool, clammy
    • Pink below, pink, warm, dry
  11. If it hurts?
    Splint it!
  12. SA node speed:
    60 -100
  13. AV node speed:
    40 - 60
  14. Purkinje speed:
    20 - 40
  15. Paradoxical motions?
    • This is always flail chest
    • 1. Hand stabilize
    • 2. Finish the rest:
    • 3. Any retractions?
    • 4. Barrel chestedness?
    • 5. Auscultate
    • 6. TIC
    • 7. FIX IT

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