Mental Disorders
Define Depression
a persistent mood of sadness, despair and discouragement
What position should the patient be in to apply restraints
supine
You’re dispatched for a “disturbed individual” on a highway overpass during morning rush hour. As your ambulance arrives, you see a man in his early 30s standing on the outside of the guardrail, several feet above traffic. He is crying loudly, swaying slightly, and shouting, “I can’t take it anymore!” A small crowd has gathered nearby, filming on their phones. The man briefly glances at your ambulance but then turns his back and grips the railing tightly. Before stepping out of the ambulance or attempting to make contact, you do this
scene safety
what is an allergic reaction?
a; the body's exaggerated immune response to an internal or surface agent.\
the body's exaggerated immune response to an internal or surface agent.
anaphylaxis
Define PTSD
delayed reaction to a prior incident that involved psychological harm
what are 2 things you should constantly do while applying restraints
talk calmly and check circulation to the persons extremities
You’re dispatched to a private residence for a behavioral emergency. On arrival, you find a 38-year-old woman pacing rapidly in the front yard, talking to herself, and shouting at people who aren't there. She looks to be agitated and has balled up fists. She hasn’t acknowledged your presence. The scene is confirmed is safe. To initiate contact safely and effectively, you do this
speak calmly and introduce yourself
Name 4 common allergen
Bugs bites, Food, Plants, Chemicals
The main drug in an EpiPen is a synthetic form of this naturally occurring hormone.
Epinepherine
Define schizophrenia + 1 symptom
complex, difficult to identify mental disorder, symptoms become more prominent overtime and include delusions, lack of interest/pleasure, and erratic speech
True or False: the caregiver must be trained in applying restraints before do it on a patient
true
You are dispatched to a private residence for a male reportedly “out of control” and “threatening his family.” As your unit pulls up, you hear loud crashes and screaming coming from inside the home. Through the front window, you can see furniture overturned and someone pacing aggressively. The front door is partially open. You do not see any weapons, but the situation appears chaotic, and the behavior inside is escalating. You and your partner have just arrived and are still outside the home. Your immediate action is this.
request law enforcement and wait for the scene to be secured
what is the primary concern when dealing with anaphylaxis
Swelling of the airway
The EpiPen should be injected into this large muscle in the leg for the fastest absorption.
The lateral thigh
Define functional disorder
a disorder in which there is no known psychiatric reason for the abnormal functioning of an organ or organ system
when is it necessary to apply restraints
when the patient is combative and a danger to you or themself
A 19-year-old male is found curled up in a corner, yelling, “They're watching me!” When you approach, he becomes combative. When would restraints be required?
when the patient poses an immediate threat to himself or others and only if safe to do so
What does epi do?
elevates diastolic pressure, improves coronary blood flow, increases cardiac contractility, and relieves bronchospasm
After using an EpiPen, the patient should always do this—even if symptoms improve.
A: Call 911 or seek emergency medical help
Call 911 or seek emergency medical help
Define excited delirium
serious behavioral condition in which a person exhibits agitated behavior, combined with this orientation, hallucinations or delusions
what can improperly applied restraints result in
asphyxia, aspiration and sudden cardiac arrest
You respond to a call for a “violent and confused male” at a convenience store. The store clerk says the man walked in yelling incoherently and knocking over snack displays. Upon contact, you find a disoriented 50-year-old male who is sweating heavily, slurring his speech, and trying to speak but making little sense. He becomes irritable when questioned and says, “They’re all watching me!” There are no signs of trauma or drug paraphernalia. Your first medical intervention after ensuring scene safety and body substance isolation is this.
assess blood glucose level to rule out hypoglycemia
What are histamines
Chemicals released by mast cells that increase the flow of blood and fluids of the infected area during an inflammatory response.
EpiPens come in two standard doses, what are they
0.15 mg and 0.30 mg