Neurological
Name a scale we use for stroke pts that helps us determine how responsive they are.
GCS
If we give a pt oral glucose and they want to refuse, what does their sugar need to read in order to do so? What other steps should you also complete?
70
Fully inform them and get refusal and witnessed.
Make sure someone is there with them
Feed them!
How many people does it take to take down a combative pt safely?
Five
Narcan works on this drug
What are opiates
What does AVPU stand for
Alert, Verbal, Pain, Unresponsive
Name three common causes of seizures
Epilepsy, Head Injury, Hypoglycima, Hypertensive Crisis, Hypertenson in pregnancy
This type of pt is the more common one that we see. Presents with sudden onset of confusion. Can become unconscious if not treated promptly. Skin will be cool to the touch and sweaty.
Hypoglycemia
Dementia
Signs and Symptoms of Opiate OD. Name three and when do we give Narcan?
PinPoint pupils, fresh needle marks, Slurred speech, Depressed breathing, depressed pulse rate, unconscious...
When they are not able to breath for themselves
What is the first thing you must check with ALL altered pts
A blood sugar
Happens from head trauma. Pt will usually lose consciousness then regain it followed by losing it again. Be specific!
Epidural bleed
Type 1 diabetes is characterized by a deficiency of this hormone, which is responsible for regulating blood sugar levels.
What is insulin
Common mental health problem. Pts have significant changes in behavior and loss of contact with reality, hallucinations, delusions and depression.
Schizophrenia
Common in use with farmers in WNC. Exposure causes fluids to leak from every orifice. Can cause death without treatment of atropine
Organophosphates
One of the most common causes of altered mental status changes we find in nursing homes. They may or may not present with a fever!
UTI
We see these trending vitals with intracranial pressure
High BP, Low HR and irregular respirations
This pt presents with polydipsia, polyphagia, and polyuria. Slow onset. Pt will present with warm and dry skin. May have rapid deep breathing!
Hyperglycemia
When can you restrain a pt?
When they are a threat to you or themselves
Overdoses on uppers can cause this life-threatening condition to occur in which the pt has bizarre behavior, superhuman strength, very rapid HR and feel hot
Excited delirium
Law enforcement MUST ride in with the pt if they are
in handcuffs
The time limit to administer a fibrinolytic from the time of first onset of signs and symptoms of a stroke
4.5 hours
This gland is often referred to as the "master gland" because it regulates the functions of other endocrine glands in the body.
What is the pituitary gland?
This demographic is much more likely to be successful with suicide
Geratric male pts
A highly toxic, colorless, and flammable gas with a distinctive rotten-egg odor. The biggest impact is on the lungs and CNS.
Hydrogen sulfide
This type of shock happens when the vessels will not constrict and the walls are very permeable
What is distributive