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Automatic External Defibrillator(AED)◦Analyze the pts cardiac rhythm and determine
if shock is necessary
Head Injury
Indications◦Irritability◦Lethargy◦Slowing pulse rate◦Slowing respiratory rate
Response◦Maintain open airway◦Stop procedure and obtain medical
assistance/vital signs
Medical Emergencies
Oxygen◦ Mask or nasal cannula◦ 3-5L/minute
Suction unit◦ Maintain pt’s airway
Cardiac arrest◦ Cessation of heart function◦ Call code◦ Grab crash cart◦ Perform CPR
Respiratory arrest◦ Cessation of breathing◦ Choking/upper respiratory tract swelling◦ Failure of CNS
Shock
Shock◦ Symptoms
Diastolic less than 50 (hypotension) Systolic less than 30 Dyspnea (shortness of breath or difficulty breathing) Accelerated pulse Confusion Restlessness and apprehension Pale, cool, clammy skin Weakness
Septic shock Toxins in bloodstream cause drop in blood pressure
Neurogenic shock Causes blood to pool in peripheral vessels
Shock
Hypovolemic shock Loss of large amount of blood/plasma
Cardiogenic shock Cardiac failure
Allergic shock◦Anaphylaxis◦Allergic reaction to foreign proteins◦Low pressure/dyspnea◦ Iodinated contrast reactions
Mild reaction◦Urticaria(hives), nausea,vomiting
Serious reaction◦Laryngeal edema, shock, cardiac arrest
Shock
Failure of the circulatory system to support vital body functions◦Hypovolemic-loss of blood or tissue fluid◦Cardiogenic-cardic disorders/myocardial
infarction◦Neuorgenic-damage to spinal cord◦Vasogenic-sepsis,anaphylaxis
Hypoglycemia
Excessive insulin◦Caused by taking insulin and not eating
breakfast◦Hungry, weak, shaky, sweating,
confused,irritable, aggressive◦Administer carbohydrate (OJ, soda,candy)◦Schedule pts first thing in AM
Hyperglycemia
Excessive sugar in bloodExcessive thirst, urination, rapid deep
breathing, drowsiness, confusionCan lead to diabetic comaPt needs insulin/get medical help
Asthma
WheezingDilation of bronchi on inspiration and
collapse on exhalationInhaler or bronchodilator Stop procedure and assist pt to a sitting
position/calm pt down
Minor emergencies
Epistaxis◦Nosebleed◦Lean forward and pinch nostril
Vertigo◦Dizziness
Syncope◦Fainting◦Assist to a seated or recumbent position◦Be careful when having pts sit up after lying on
xray table