問題一覧
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the science of right and wrong, of moral duties, and of ideal behavior
Ethics
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part of ethics that deals with Ethical Responsibilities the health care of human beings
Medical Ethics
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Protects a person from liability for acts performed in Instructions written in advance docmenting the wish good faith unless those acts constitute gross of the chronically or terminally ill patient not to be negligence.
good samaritan law
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*Bill of rights
considerate and respectful care, refuse treatment, confidential, expect continuity of care
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Means that one stopped providing care for the patient without ensuring that equivalent of better care would be provided
abandonment
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The care of one provider deviates from the accented standad of care and results in further injury to the patient.
negligence
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stiffening of body muscles
rigor mortis
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gravitational settling of blood; bluish purple skin
livor mortis
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The growth of an organism in a susceptible host with or without the signs or symptoms illness.
infection
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Any disease tat can be spread from one person to person or from person to contaminated objecis.
Communicable disease
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interval betweer entrance and pathogen into body and appearances of first symptoms.
Incubation Period
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interval from onset of non specific signs and symptoms to more specific symptoms.
Prodomal Stage
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interval when patient manifest signs and symptoms specific to type of infection.
Illness Stage
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interval when acute symptoms of infection disappears.
Convalescence
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imaginary straight-line divisions of the body
anatomical planes
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imaginary straight-line divisions of the body
anatomical plane
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this life draws the body into right plane and left plane
midline
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this divides the body into the anterior plane (the patient's front) and the posterior planes (the patient's back)
midaxillary line
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this divides the body into the superior plane (above the waist) and the inferior plane (below the waist)
transverse line
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colume of breath that does not participate in gas exchange
respiratory/anatomical dead space
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Dont give O2 to
watussi, paraquat, zinc phosphide
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premature neonate below 2.5kg what o2
conc not exceed 30-40%
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elderly chronic bronchitic not exceed o2 of
30%
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Retrolental fibroplasía in premature infants exposed I to oxygen concentrations
greater than 40%
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D
350; lbs per sq inch 0.16
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E
625 L; lbs per sq inch 0.28
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M
3,000; lbs per sq inch 1.56
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G
5,300; lbs per sq inch 2.41
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H
9,600; lbs per sq inch 3.14
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K
; lbs per sq inch 3.14
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respiration are abnormally deep but regular similar to hyperventila-tion.
Kussmaul respiration
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respiratory rhythm is irregular characterized by alternating periods of apnea and hyperventilation.
Cheyne stroke's respiration
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condition of the CNS causes shallow breathing interrupted by irregular periods of apnea
Biot's respiration
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an alternative advice that provides a very limited oxygen concentration
nasal cannula
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has no reservoir and can only deliver up to 60% oxygen
pediatric simple face mask
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has an oxygen reservoir bag attached to the mask with a one-way valve between them that prevents the patient's exhaled air from mixing with the oxygen. in the reservoir bag, Oxygen requirement • 15 lpm
Adult non-rebreather mask
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has an oxygen reservoir bag attached to the mask with a one-way valve between them that prevents the patient's exhaled air from mixing with the oxygen in the reservoir bag, Oxygen requirement SLPM.
pediatric nonrebreather mask
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very similar to non-rebreather mask but is equipped with a two-way) valve that allows the patient to rebreathe about one third of his exhaled air. Can provide oxygen concentration of about(35% to 60%.
partial rebreather mask
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a ow flow oxygen system that provides precise concentrations of oxygen through an entertainment valve connected to the face mask.
venturi mask
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Devices to keep the airway open and are used to artificially ventilate the patient.
airway aadjucts
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Refers to any mood of mechanical ventilation wear a regular series of breath are scheduled but the ventilator senses. Patient effort and reschedules mandatory, breath based on the calculated need a patient.
Intermittent, mandatory ventilation
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SAMPLE
S/Sx, Allergies, Medication, Past Medical History, Last Oral Intake, Events leading to emergency call
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DCAP BTLS trauma
deformities/disability, contusion, abraision, puncture, burn, tenderness, laceration, swelling
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AVPU
awake/alert, verbal, pain, unresponsive
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VVAPE 4 deadly dysrythmias
V-Fib, V-Tach, asystole, Pulseless electrical activity
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APCHIN HUEA acute abdominal medical condition
appendicitis, pancreatitis, cholecystitis, hernia, Inguinal obstruction, Ulcer, esophageal varices, adbminal aortic aneurysm (elderly)
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OPQRST
onset, provocation, quality, radiate, severity, time
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AEIOU TIPS
Alcohol and other drugs, Epilepsy, Endocrine and Exocrine (Liver), Insulin, Hypo/Hyperglycemia, Oxygen, Overdose, and Opiates, Uremia (renal failure), Trauma and Temperature, Infection (sepsis, meningitis), Poison and Psychiatric, Shock or Stroke
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3 wks bby
zygote/fertilize ovum
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4-8 wks bby
embryo
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9 to 3rd trimester
fetus
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0-29 days bby
neonate
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amount of blood loss during labor
500 ml
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premature separation of placenta before labor or delivery
Abruptio placenta
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placenta partially or completely covers the cervicai opening
Placenta previa
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edema, extreme swelling of face, hands and feet, excessive weight gain and hypertension, headache, sensitive to light, visual blurring, pain in upper abdomen
Pre-eclampsia
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Trauma during pregnancy
Control bleeding, Adequate airway, Assist breathing, Administer oxygen, Lateral recumbent position
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bleed after 28 wks
antenatal bleeding/ antepartum
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bleeding before 28 wks 7 mos
abortion
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fetal death/ abortus
below 28
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prevent seizure meds
mg so4
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rescue neonate
neonate
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complication if pregnancy
abortion, preeclampsia, eclampsia, hydatidiform mole, incompetent cervix (cervical cerclage), hyperemesis gravidarum
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causes of antenatal hem
abruptio placenta, placenta previa, uterine rupture
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pediatric assessment triangle 12 and below
child appearance, work of breathing, circulation of blood (rate rhythm quality)
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12-29 days old
abc
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deteriorating LOC
head to toe assessment
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high pitch cry
hypogly/IICP
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weak cry
premature
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hoarse cry
laryngeal stridor
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causes neonatal shock
low birth weight, maternal sepsis, prolapsed cord
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kind of breathing tongue obstruction of child
stertorous breathing
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foreign obstruction in child
stridor
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12 above
head tilt chin lift
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0-1 y/o
sniffing position
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internal organs to die at
55 mins
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muscle to die at
5 hrs
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*assessment of pt in resp stat (adult) breathing
rate rhytmn quality and dept
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crowing
like stridor but longer
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stridor
upper airway prob
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fluid in lungs what sounds
crackles
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breathing inadequate
*LOC, *resp rate, *breath sounds, child (pres of retraction), 12 below (nasal flaring) baby, tracheal tugging (12 and early adult) indrawing external notch, *skin color condition , *spo2 etco2
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6 and below
capillary refill
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child circu
skin temp color and condition as 1, bp for 3 and above, spo2 etco2 (capno measure waste prod of co2), trauma DCAP BTLS
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breathing inadequate
child (pres of retraction) 12 below (nasal flaring) baby tracheal tugging (12 and early adult) indrawing external notch
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28 below where to check pulse 29-1 y/o stable or unstable
brachial