Card Set Information
pt with disaster/bioterrorism response
essential to nursing
ability to recognize an emergent condition, prioritize, and provide quick(rapid) assessment and interventions.
for appropriate level of care.
dont flex or extend neck.
components of primary survey
neuro logic test is preformed
a condition of acute peripheral circulatory failure, decreasing b/p and failing tissue perfusion.
4 types of shock
hypovolemic-decrease blood volume.
obstructive-blocked blood flow outside heart,reduced oxygen.
distributive-dilation of venules and artyerioles, decreased b/p.
maintain open airway
give iv fluid
give no food or drinks till no surgery
injury to spleenand liver can cause rapid loss of blood leading to hypovolemic shock.
intra abd. hemorrhage
glasgo coma scale (GCS)
used to rate a pt level of consciousness.
score lower then 13 may indicate the need for immediate treatment.
dialated or nonreactive pupils indicate increased ICP and a need for immediate intervention. INTER CRANIAL PRESSURE
score 8 or lower is death
partial thickness burn
: superficial(epidermas of skin) or deep(entire epidermal layer& dermis).
-clean w/steralsaline, cover with 1/8inch layer of anti infective cream(silver sulfadiazine), cover w/dry bulky fluffy dressing.
full thickness burn
: involves all skin layers and subcutaneous tissue.
occurs when the body looses so much water and electrolytes thru heavy sweating that hypovolemia occurs.
lead to heat stroke if heat exhaustion not treated.
s/s cool clammy skin, grey face,irritability,poor judgment.
body temp is normal or slightly elevated 100.4-102.2
other signs dizzy vomit diarrhea weak and fiat.
heat exhaustion not treated.
sign unable to sweat.
can develop seizures.
hot dry flush skin.
seizues, cerebral ischemia, renal failure,late cardic decoprensation and GI bleeding. (effects heart,renal, brain, intestines.)
1/3caused by cleaners,soaps, insecticides,acids,alkalis
cant make pt vomit d/t burning of gastric poison.
syrup to make you vomit, no longer recommended.
servour cases use activated charcoal.
anxiety lead to panic
complete disorganization/loss of control.
pt in panic is terrified and needs external controls to avoid harm.
most common result is manic depressive(bipolar) disorder.
exhibits bizarre, extreme, hyperactive behaviors.
high risk of injury to self and others.
drug Haldol 5
heighten psychiatric emergency
use of alcohol and illicit drugs.
bio terrorism small box
breakout in community, disease3.
small pox caused by variola virus, an orthopoxvirus unque to humans.
small pox fatality 30%.
rash occurs 2-3 days later first on face and for arms.
pustules(airborne) wear N95 mask.