Medical Emergancies

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darbydo88
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54301
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Medical Emergancies
Updated:
2010-12-08 07:08:26
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Medical emergancies
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medical emergancies
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  1. normal pulse rates
    Normal Pulse Rates for Various Age Groups

    • Age Group
    • Pulse Rate

    • Adults
    • 60-100

    • Teenagers
    • 80-100

    • Toddlers
    • 100-120

    • Infants
    • 120-140
  2. 3 assesments of pulse
    • strength
    • rate
    • regularity
  3. blood pressure classifications
    • Normal
    • 120/80 or lower

    • Pre-hypertension
    • Between 120-139 systolic and/or 80-89 diastolic

    • Hypertension
    • Anything over 140 systolic and/or 90 diastolic
  4. Average resp. rates
    • Adults
    • 12-20

    • Teenagers
    • 15-20

    • Toddlers
    • 20-30

    • Infants
    • 25-40

    Figure 9.
  5. What 3 things to note for respirations
    • rate
    • depth
    • regularity
  6. Syncope, hyperventilation, seizures, asthma attacks, and angina are some of the more common emergencies and they share one common thread
    stress and anxiety
  7. signs and symptoms of airway obstruction or athsma
    • Sensation of obstruction,
    • stridor,
    • coughing,
    • dyspnea,
    • cyanosis
  8. mixture of emphasema and bronchitis
    copd
  9. signs and symptoms of cardiac arrest
    • Unresponsiveness,
    • apnea,
    • pulselessness
  10. signs and symptoms of cerebrovascular accidents
    • Altered level of consciousness,
    • confusion
    • Aphasia
    • Unilateral muscle weakness or paralysis
  11. treatment for cerebrovascular accidents
    • Maintain airway
    • Keep patient supine, turned on side to prevent aspiration
    • Suction as necessary
    • Monitor vital signs
    • Calm and reassure patient
    • Call 911
  12. signs and symptoms of angina pectoralis
    • Central, substernal chest discomfort
    • May radiate into shoulders, arms, neck, jaw, or epigastric region
    • Dull, heavy, pressure sensation of short duration (< 5 min)
    • Prompt relief with rest and/or nitroglycerin
  13. treatments of angina
    • Keep patient in comfortable position
    • Administer oxygen
    • Administer nitroglycerin 0.4 mg SL every five minutes
    • Monitor vital signs
    • Call 911 if pain not relieved in five minutes
  14. signs and symptoms of acute myocardial infarction
    • Central, substernal chest discomfort
    • May radiate into shoulders, arms, neck, jaw, or epigastric region
    • Dull, heavy, pressure sensation
    • Dyspnea, syncope, diaphoresis, sudden death
    • Pain not relieved by nitroglycerine or rest; long duration (hours)
  15. treatment of acute myocardial infarction
    • Keep patient in comfortable position
    • Administer oxygen
    • Administer nitroglycerin 0.4 mg SL every five minutes
    • Calm and reassure patient
    • Monitor vital signs
    • Call 911 if pain not relieved in five minutes
  16. pulmonary edema, orthopnea, cough, wheezing, rales, chest pain
    LVF
  17. distended neck veins, ascites, hepatomegaly, pretibial pitting edema
    RVF
  18. Treatments of LVF
  19. Place patient in comfortable position, usually sitting upright
    • Administer oxygen
    • Administer nitroglycerin 0.4 mg SL every five minutes
    • Monitor vital signs
    • Call 911
  20. Treatment of RVF
    call a physician
  21. Headache, confusion, restlessness, bizarre behavior
    Seizures, unconsciousness
    Tachycardia, pale, cool, clammy skin
    hypoglycimia
  22. treatment for hypoglycimia
    • Maintain airway
    • Keep patient supine, turned on side to prevent aspiration
    • Administer glucose in dependent cheek or beneath tongue
    • Monitor vital signs
    • Call 911
  23. Hyperventilation (Kussmaul respirations)
    Acetone odor on breath
    Warm, red, dry skin
    Unconsciousness (late finding
    diabetic ketoacidosis
  24. treatment of diabetic ketoacidosis
    • Maintain airway
    • Keep patient supine; turn on side to prevent aspiration
    • Monitor vital signs
    • Call 911
  25. treatment of allergic reactions
    • Keep patient in comfortable position, usually upright
    • Maintain airway
    • Administer oxygen
    • Monitor vital signs
    • Administer epinephrine 1:1000 0.3-0.5 mg SQ for all reactions
    • Administer Benadryl® 50 mg deep IM for skin reaction or Benadryl® 50 mg PO
    • Call 911 for severe reaction
  26. Ringing or buzzing in ears
    Restlessness, agitation, confusion
    Blurred vision
    Muscle fasciculations, tremors, seizures
    Hypotension, bradycardia
    Respiratory or cardiac arrest
    OD of lidocane
  27. Treatment of lidocane OD
    • Maintain airway
    • Administer oxygen
    • Monitor vital signs
    • Call 911
    • Treat problems as under other sections

    Figure 22.
  28. Air hunger, apprehension
    Rapid respiratory rate (may be subtle)
    Circumoral, hand, and foot numbness or tingling
    Carpopedal spasm
    Syncope
    hyperventilation
  29. Treatment of hyperventilation
    • Make patient aware of how fast they’re breathing
    • Coach the patient to take slower breaths
    • Calm and reassure the patient
    • Use partial rebreathing mask at low O2 flow rate (2-3 L/m)
    • Use paper bag cautiously for rebreathing
    • Call 911 if attack cannot be broken

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