Name that Shock
Fluids fall
Bleeding, burns, dehydration call
Pressure's dropping, skin is cold
Give them fluids, don't withhold
Hypovolemic
May be a stroke? Think FAST.
Face
Arms
Speech
Time
Popping Low
Fluid's in the lungs, you know
CHF, pulmonary edema, or pneumonia near
Listen close, the sound is clear
Crackles
What vitals do you need to take note of?
Which heart's problems do you shock, and which heart's problems to you start CPR?
Shock V-fib and V-tach
CPR Asystole, PEA
Heart's too weak
Pump can't push, perfusion bleak
Crackles, chest pain, lungs may fill,
Support the heart, but go with skill
Cardiogenic
OPQRST
Onset, Provokes or Paliates, Quality, Radiates, Severity, Time
High and tight
Asthma, anaphylaxis, COPD at night
Airways narrow, hear them squeak
Bronchodilators are what they seek
Wheezes
? means the heart beats fast; shock or fever, it won't last.
? means slow and low, oxygen or pacing may help it go.
Tachycardia
Bradycardia
What medications can you give?
Albuterol, Aspirin, Glucose, Narcan, Epinephrin (patient's EpiPen), Nitroglycerin (patient's prescribed), Glucagon, Oxygen
There's a block
Tamponade or tension shock
Pulmonary emboli too
Clear the cause to pull them through
Obstructive
Just get there? Take a SAMPLE.
Signs/Symptoms, Allergies, Medication, Past Medical History, Last Oral Intake, Events Leading Up
Rumble coarse and deep
Mucus in the airway creep.
Coughing clears it, that's the trick
Think of secretions (bronchitis/pneumonia) moving thick
Rhonchi
Angina pain with effort, gone with rest,
Nitro works, but rule out the chest.
? is the fight,
Crushing pain both day or night
Myocardial Infarction
What types of oxygen delivery methods are there?
OPA-Oropharyngeal Airway
NPA-Nasopharyngeal Airway
NC-Nasal Canula
NRB-Non Re-breather
BVM-Bag Valve Mask
Vessels wide
Blood just pools, can't move inside
Anaphylaxis, sepsis, psychogenic, spine,
Vasodilation every time
Distributive
DCAP-BTLS
Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, Swelling
It's grating pain
Pleurisy, pneumonia or TB's the game
Inflammation makes it rough
Breathing sounds a little tough
Pleural Rub
Lungs sound wet,
Edema, crackles, can't forget.
Pressure rising, fluid back
Oxygen, upright, and meds to track...what could this be?
Congestive Heart Failure
What are the common types of burns and what is the most common?
Sunburn, Chemical Burns, Electrical Burns, Thermal Burns, and Inhalation Injuries.
Most common type are thermal burns
Which type of shock should not get fluids?
Cardiogenic
CHF is what?
Congestive Heart Failure
Scary, harsh and loud
Upper airway blocked or crowd
Foreign body, croup, anaphylaxis, swelling too
Rapid airway help is due
Stridor
Blood pressure high, hypertension strain,
Risk of ? or cardiac pain.
Too low pressure, shock's at play,
Fluids, cause, and treat the way
Stroke
What is tidal volume?
The amount of air that moves in and out of the lungs during a normal, quiet breath.