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NUR 2755 Multidimensional Care IV
MDC4 FINAL EXAM
what are the treatments for frostbite in the ED?
- Warm saline, immerse hands/feet in warm water, elevate affected limbs, have them
rub their hands together
Priority treatment for pt with a heat stroke
- Move them out of the sun, into shade
First priority assessment
- Airway
Process called for sorting patients
- Triage
Pt with a heat stroke starts to shiver. Why is this this bad?
- Raises their temp.; give them meds
Pt has an increased temp., what will we tell the UAP to do?
- Strip them down/remove clothing
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Pt w/ heat stroke--what characteristics would we see in the pt?
- Tachycardia, irregular pulse patter, visual disturbance, dec. urine output
Pt being treated for hypothermia & is on a heart monitor. What is the reason that the pt could
have arrhythmias?
- Lactic acid shunted
Pt sustained a blunt trauma to the chest, sign that the pt has a pneumothorax?
- Diminished breath sounds
Low pressure alarms on the ventilator, what do we think happened/what do we do?
- It disconnected; ventilate the pt manually
Pt w/ rib fracture, how would they present?
- Pain on inspiration
Most distinctive sign of flailed chest?
- Paradoxical chest movement
Pt has a high-pressure alarm on the ventilator & absence of breath sounds on the right lower
lobe. what do they have?
- Pneumothorax
Earliest signs of respiratory distress?
- Increased resp rate; >20
Most common symptoms of a pt w/ a PE?
- Sudden chest pain
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