Blank ER 25-31

  1. Fill in step by step chart for Basic Life Support
    Know the chart in the back of the packet
  2. Predisposing factors for isulin reaction
    • a. too much insulin(hyperinsulinism)
    • b. too little food: delayed or omitted
    • c. Loss of food by vomiting or diarrhea
    • d. Excessive exercise
    • e. stress
  3. Symptoms for isulin reaction
    • *sudden onset
    • *sweating:possinle drooling
    • -hunger
    • *nervousness;trembling
    • *restlessness, anxiety
    • -weakness
    • -headache
    • -dizziness
    • -pallor
    • -dilated pupils
    • *normal to shallow respirations
    • -fast, irregular pulse
    • -transient period of unconsciousness
    • -possible convulsions
    • -eventual coma and death
  4. Treatment procedures for isulin reaction
    • 1. when conscious feed patient sugr cubes, apple juice, candy or cake icing, or glucose
    • 2. when unconscious
    • -activate ems
    • -provide basic like support
    • -place in supine position
    • -maintain open airway
    • -administer oxygen by non-rebreathable oxygen mask
    • - monitor vital signs
    • -Place cake icing in vestibule of maxillary and mandibular arch, give sugar water via rectum, if possible
    • -administer intramuscular glucagon, or administer intravenous glucose
  5. Predisposing factors of diabetic coma
    • - too LITTLE insulin: omitted dose or failed to increase does when requirements increased
    • - too much food- particularly carbohydrates
    • - less exercise than planned
    • -infection, illness of an sort
    • - trauma, drugs, alcohol abuse
    • - stress
  6. Symptoms of diabetic coma
    • *slow onset in comparison with insulin reaction
    • *skin flushed and dry
    • -dry mouth, thirst(polydipsia)
    • -nausea, vomiting
    • - abdominal pain
    • -lack of appetite with nausea or hunger(polyphagia) because of body cells starving for glucose
    • *breath with fruity odor
    • *drowsiness, weakness, lethargy(lack of ambition┬áto do anything, sleepiness)
    • *abnormally deep very rapid sighing respirations (Kussmaul breathing)
    • - weak, rapid pulse
    • -increased urination
    • -eventual coma or death
  7. Treatment procedures for diabetic coma
    • - activate EMS: hospitalization
    • - keep patient warm
    • - administer oxygen by nasal cannula
    • - give fluids to conscious patien (not carbohydrates)
    • - insulin injection by physician
  8. Dyspnea
    shortness of breath
  9. Nocturia
    excessive urination, particularly at night
  10. Glycosuria
    Glucose spill (excreted) into the urine
  11. Polyuria
    excretion of large amounts of urine
  12. Polydipsia
    fluid loss signals excessive thirst to brain (Dry mouth)
  13. Polyphagia
    excessive hunger, increased appetite
  14. dysphagia
    difficulty in swallowing
  15. hemiplegia
    paralysis on one side of body
  16. Symptoms for simple partial seizures
    • -cessation of ongoing activity
    • -brief staring spell
    • - jerking of muscles around mouth
    • -no loss of consciousness
  17. symptoms for complex partial seizures
    • -trance-like state with confusion-few minutes to hours
    • -consciousness is impaired to varying degrees
    • -may manifest purposeless movements or action followed by confussion, incoherent speech, ill humor, unpleasant temper; frequently does ot remember what happened during the attack
  18. Treatment procedure for Partial Seizures
    - assist patien to avoid possible injury to himself
  19. Symptoms of generalized absence siezures
    • -brief loss of consciousness(5-30 seconds)
    • -fixed posture, may drop what is being held
    • -rhythmic twitching of eyelids, eyebrows, head, or chewing movements
    • - may be pale
    • -attack ends as abruptly as it begins. Patient quickly returns to full awarenes, resumes activities, unaware of what occured
  20. Treatment procedures of genneralized absence seizures
    take objects from patients hands to prevent dropping
  21. Symptoms of Generalized Tonic-clonic seizures
    • - pale face: may becom cyanotic
    • - breathing is shallow or stops briefly
    • - TONIC phase tension with rigidity, CLONIC movements follow with intermittnet muscular contraction and relaxation
    • -"epileptic cry" from muscles of chest and pharync contracting at the same tim
    • - loss of consciousness- sudden and complete
    • - may bite tongue. possible loss of blasse and raely bowel control
    • - saliva becomes foamy when mixed with air
    • - lasts from 1 to 3 minutes
    • - patient begins to recover, may be confused, tired, complain of muscle soreness or injury, falls into a deep sleep
  22. Treament procedures for generalized tonic-clonic seizures
    • - place in supine position (leave in dental chair)
    • - open airway; apply suction to clear mouth
    • - administer oxygen by nasal cannula
    • - prevent injury: if not in dental chair, move patient to open area, preferably on floor when space and time permit
    • - place pad or pillow under head
    • - allow patient to sleep during post-convulsive period
    • - do not dismiss patient if unaccompanied
  23. Symptoms of 1st degree burns
    • skin reddened
    • swelling
    • pain
  24. Symptoms of 2nd degree burn
    • skinn reddened
    • blisters
    • swelling
    • we surface
    • pain-more than 3rd degree
    • heightened sensitivity to touch
  25. Symptoms of 3rd degree burn
    • severe damage
    • skin burned off
    • leathargy look
    • insensitive to touch
  26. Treatment for 1st and 2nd degree burns
    • activate EMS
    • do not give food or liquids, anticipate nausea
    • be alert for signs of shock
    • immerse or cover with cool water
    • gentl clean with a mild antiseptic such as pHisoHex
    • do not apply ointment, grease, or baking soda
    • dress lightly with dry sterile bandage
    • elecate burned part
  27. Treatment for 3rd degree burns
    • Activate EMS
    • do not remove clothing
    • treat for shock
    • basic life support:maintain open airway
    • cover loosely with nonadherent dressing to protect from air and dust while the patient is being transported
    • elevate burned part
    • do not give sedative
    • do not give food or liquid
Card Set
Blank ER 25-31
blank er 25-31