Exam (elaborations)
FCCS (Recognition and assessment of seriously ill patient) (DETAILED ANSWERS) Semester 2 2024
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FCCS (Recognition and assessment of seriously ill patient) (DETAILED ANSWERS) Semester 2 2024
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FCCS (Recognition and assessment of seriously ill patient)Jeremiah
Terms in this set (16)
Tachypnea Single most important indicator of critical illness
Kussmaul breathing Increase in depth of respirations,? Metabolic acidosis
Cheyenne-stokes respirations Periodic breathing, brainstem injury or cardiac dysfunction
May be a late sign of cardiovascular disturbance signaling failure of the compensatory
Drop in BP
mechanism.
Weakening or disappearance of pulse with deep inspiration, causes hypovolemia,
Pulses paradoxus
constrictive pericarditis, cardiac tamponade, asthma and COPD.
Left ventricular impulse changes possible LVH, CHF, cardiac enlargement, severe mitral and aortic regurgitation
with
Palpable thrill with Stenotic heart valve or septal defect
Essential measurement in critically ill pts Accurate measure of urine
One of the most important indicators of Metabolic acidosis
critical illness
Evidence of metabolic acidosis Decreasing total serum carbon dioxide and/or an increased anion gap
Acute deterioration occurs more abruptly Younger individuals
in?
Precedes definitive diagnosis and treatment Resuscitation and physiological stabilization
of the underlying cause
Patients seldom deteriorate abruptly, true or True
false?
Assessment of seriously ill patient Primary and secondary survey
Primary survey or phase I Initial contact, first minutes, what is the physiological problem?
Secondary survey or phase II Subsequent reviews, what is the underlying cause?
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