D. Assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg. Your assessment reveals that her breathing is severely labored and her blood pressure is very low. To ensure the best experience, please update your browser. Pharmacology: An Introduction. Patients typically have hypotension, muffled heart tones, and distended... read more and tension pneumothorax Pneumothorax (Tension) Tension pneumothorax is accumulation of air in the pleural space under pressure, compressing the lungs and decreasing venous return to the heart. Medications encased in a gelatin shell that are taken by mouth are called: A. caplets.
Tension pneumothorax should be considered in a patient who has achieved return of spontaneous circulation after prolonged CPR, and subsequently becomes difficult to ventilate, or who is hypoxic and suddenly rearrests. However, procainamide is not recommended for pulseless arrest in children and is no longer recommended by American Heart Association guidelines for treatment of post-arrest ventricular arrhythmias. Chapter 12 quiz and vocab. Postresuscitative Care. ISBN: 9780323087896. Jing-F002-Wwang-1000-1027-1029 Essay. She is conscious and alert, but anxious.
Despite some laboratory evidence to the contrary, it is not recommended to delay defibrillation to administer a period of chest compressions. Intraosseous lines (see Intraosseous Infusion Intraosseous Infusion A number of procedures are used to gain vascular access. While assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to: A. administer drugs via the IV route to achieve the fastest effect. Medical direction approval. Chapter 12, Shock EMT. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. What should you do if you are not able to make contact with medical control? However, it may be helpful in patients with torsades de pointes Torsades de Pointes Ventricular Tachycardia Torsades de pointes ventricular tachycardia is a specific form of polymorphic ventricular tachycardia in patients with a long QT interval. Chest compression should be interrupted as little as possible and for no more than 10 seconds at a time for defibrillation.
To maximize the likelihood of a good outcome, clinicians must provide good supportive care (eg, manage blood pressure, temperature, and cardiac rhythm) and treat underlying conditions, particularly acute coronary syndromes Overview of Acute Coronary Syndromes (ACS) Acute coronary syndromes result from acute obstruction of a coronary artery. 0 mg IV repeated every 3 to 5 minutes, followed by 500- to 1000-mL (20 mL/kg for children) infusion of 0. They may be particularly helpful in some circumstances, such as during patient transport or in the cardiac catheterization laboratory. Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or nicotine patch? In patients known to be hypertensive, a reasonable target is systolic blood pressure 30 mm Hg below prearrest level. The balloon inflates during each diastole, augmenting coronary artery perfusion, and deflates during systole, decreasing afterload. The epinephrine auto-injector delivers a preset amount of the drug. Nielsen N, Wetterslev J, Cronberg T, et al: Targeted temperature management at 33°C versus 36°C after cardiac arrest. A. paramedic-administered. It is crucial that even untrained bystanders begin and maintain continuous chest compressions until skilled help arrives. If a person has collapsed with possible cardiac arrest, a rescuer first establishes unresponsiveness and confirms absence of breathing or the presence of only gasping respirations. Upload your study docs or become a. Based on the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The lake has no outlets; water leaves only by evaporation.
Anyone answering is directed to activate the emergency response system (or appropriate in-hospital resuscitation personnel) and, if possible, obtain a defibrillator. Caution is necessary because calcium exacerbates digitalis toxicity and can cause cardiac arrest. Activated charcoal is an example of a(n): A. elixir. The following W3C XML Schema XMLSCHEMA12 section 21 fragment specifies the.
When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes atorvastatin (Lipitor) and amlodipine (Norvasc). However, palpation of pulses during chest compression is difficult, even for experienced clinicians, and often unreliable. Then, the rescuer calls for help. Its primary value is as a temporizing measure when the cause of shock is potentially correctable by surgery or percutaneous intervention (eg, acute MI with major coronary obstruction, acute mitral insufficiency, ventricular septal defect).
Airway and Breathing. In __________ administration, you are administering medication to yourself or your partner. What medication form does oral glucose come in? Postresuscitative care references. Defibrillating paddles or pads are placed either between the clavicle and the 2nd intercostal space along the right sternal border and over the 5th or 6th intercostal space at the apex of the heart (in the mid-axillary line). Another invasive method for cooling uses an extracorporeal device that circulates and cools blood externally then returns it to the central circulation. Clinical Reasoning Cases in Nursing.