Chapter 26
Abdominal Emergencies
Abdominal Emergencies
RLQ
When providing emergency care to an aggressive or hostile patient, what is the highest priority
Performing a scene size-up (Scene safety)
Which of these medications does not interfere with the blood-clotting process
Aspirin, Acetaminophen, Clopidogrel, Warfarin
Acetaminophen
Vessel that does the vital exchange of oxygen, nutrients, and waste
Capillaries
Of the following organs, which is located in the retroperitoneal space
Stomach, liver, uterus, kidneys
Kidneys
When a person acts in a manner that is unacceptable to himself or those around him it is considered a
Behavioral emergency
Your patient is having a difficult time controlling the bleeding from a small laceration to the foot, you suspect your patient is taking
blood thinners
This occurs to a patient's blood pressure when the patient fails to compensate for blood loss
Hypotension
Pain that is felt in a location other than the organ causing it is known as
Referred pain
When a patient or bystander displays fear, anger, or grief this is known as what kind of reaction
Stress reaction
These are responsible for the delivery of oxygen to cells
Red blood cells
The least effective method of bleeding control
Elevation
The detection of a bulging mass through the belly button that is not pulsating may make the EMT suspicious that the patient is suffering from a
Hernia
By gathering this it will alert you to past issues as well as possible medications your patient could be taking
Medical history
The most frequently transplanted organ
Kidney
Another name for shock
Hypoperfusion
Most of the liver, gallbladder, and part of the large intestine all reside in which abdominal quadrant
RUQ
Condition that can be quickly treated by an EMT that may cause a patient to appear to be having a behavioral emergency
Hypoglycemia
When kidneys fail to function as required the disease is known as
Renal Failure
The heart, blood, and blood vessels are all parts of this system
Circulatory
Pain that originates in an organ is called
Visceral Pain
Condition from low oxygen levels that may exhibit abnormal behavior
Hypoxia
One of the most common diseases to affect the renal and urinary system
Urinary tract infections
What is NOT recommended to control epistaxis (nose bleed)
Tilt the head backwards
Most organs of the abdomen are enclosed within the
Peritoneum
Situation that generally allows an EMT to transport a patient with a behavioral emergency against their wishes
When the patient is a threat to themselves or others
In this circumstance the kidneys help retain fluid
Dehydration
These types of vessels have one-way valves to maintain one-way blood flow
Veins
Most abdominal organs are not able to sense tearing with the exception of the
Aorta
This is normally considered to be within the jurisdiction of law enforcement, not an EMT
forcible restraint
One of the most effective and widely available drugs to prevent the aggregation of platelets is
Aspirin
Most effective way to control external bleeding of superficial wounds
Direct pressure
What position should the patient that is complaining of severe abdominal pain be transported in if there are no signs or symptoms of shock
position of comfort
Inadequate breathing or respiratory arrest caused by a body position that restricts breathing
Positional asphyxia
Maintaining blood volume, excreting urea, and balancing electrolytes are all major functions of which organ/organs
Kidneys
This term refers to the delivery of oxygen and nutrients and the removal of wastes at the body's cellular level.
Perfusion
Pain felt in the epigastric region of the abdomen is concerning because it can be a sign of this major medical condition
myocardial infarction
Your patient is experiencing personality changes ranging from irritability to irrational behavior, AMS, amnesia or confusion, irregular respirations, elevated blood pressure, and a decreasing pulse...besides a psychiatric emergency what could be causing this behavior
Head injury
A patient with renal disease, currently on dialysis and missed an appointment may present with dangerously high levels of
Potassium
The function of this is to transport gases and nutrients, aid in excretion, and provide protection and regulation
Blood