Trauma/ER/Disaster
Resp./ABGs/GU/GI
Cardiovascular
Endocrine
Neuro/End of Life
Shock/Sepsis/Burns
Oncology
100
In a trauma situation this type of survey is done to identify & manage any life-threatening injuries.
What is a PRIMARY SURVEY?
100
Causes of this kidney disorder are severe drop in blood pressure, cardiovascular injury, infection, and kidney stones.
What is ACUTE KIDNEY INJURY (AKI)?
100
This atrial dysrhythmia is characterized by no discernable P wave and is irregular causing dizziness & difficulty breathing. Complications include a PE or stroke.
What is ATRIAL FIBRILLATION (A-Fib)?
100
This medical emergency presents with elevated T3 & T4 levels, tachycardia, fever and changes in LOC.
What is a THYROID STORM?
100
The earliest indication of respiratory deterioration for this disorder is decreasing vital capacity.
What is MYASTHENIA GRAVIS?
100
This type of shock is caused by bacterial toxins that lead to vasodilation.
What is SEPTIC SHOCK?
100
The assessments for this oncological emergency caused by a tumor(s) near the spinal cord include:
Assessing for back pain, weakness, numbness and tingling, unsteady gait, loss of ability to distinguish hot and cold, and constipation or incontinence.
What is SPINAL CORD COMPRESSION?
200
This phase of the disaster cycle includes disaster drills, evacuation plans, and fire drills.
What is PREPAREDNESS?
200
Clinical manifestations of this respiratory disorder include dyspnea, reduced lung compliance & SEVERE hypoxemia despite administration of 100% O2.
What is ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)?
200
The client presents with one of the four cardiac arrest rhythms (pVT, VF, PEA or Asystole). After assessing the client this is done next.
What is BEGIN HIGH-QUALITY CPR?
200
This disorder is caused by the excessive release of ADH resulting in fluid retention, decreased UO & increased urine osmolality.
What is SYNDOME of INAPPROPRIATE SECRETION of ANTIDIURETIC HORMONE (SIADH)?
200
Evidence of a intracranial hemorrhage (on a CT scan), last known well time > 3 hours, & major surgery or other serious trauma in the preceding 14 days.
What are EXCLUSION CRITERIA for TISSUE PLASMINOGEN ACTIVATOR (rt-PA) for an ischemic stroke?
200
This type of shock can be cause by a MI, severe valvular dysfunction and is characterized by decreased cardiac output, increased CVP, hypotension and tachycardia.
What is CARDIOGENIC SHOCK?
200
Clinical manifestations of this oncological emergency include: hyperkalemia, hypocalcemia, hyperphosphatemia, hyperuricemia, tachypnea, heart block, elevated BUN, elevated creatinine and decreased urine output.
What is TUMOR LYSIS SYNDROME (TLS)?
300
The management for this environmental injury includes cleaning the site with soap and water and keeping the affected extremity immobilized in a functional position BELOW the level of the heart.
What is a SNAKE BITE?
300
Causes of this respiratory complication include blunt or penetrating trauma, mechanical ventilation and medical procedures (i.e., central line placement).
What is a TENSION PNEUMOTHORAX?
300
This cardiac disorder is characterized by muffled heart sounds and may be caused by chest trauma, infections, and/or hemorrhage.
What is CARDIAC TAMPONADE?
300
This disorder is a complication of DMII characterized by hyperglycemia, hyperosmolality & dehydration. Treatment priorities include standard care for dehydration with IV fluids.
What is HYPEROSMOLAR HYPERGLYCEMIC STATE (HHS)?
300
This scale is made up of three sections: Eye Opening (1-4), Motor Response (1-6) and Verbal Response (1-5).
What is the GLASCOW COMA SCALE?
300
The clinical manifestations of this complication include prolonged capillary refill, cyanosis of the fingertips and a petechial rash due to clots obstructing the small blood vessels.
What is DISSEMINATED INTRAVASCULAR COAGULATION (DIC)?
300
This oncological emergency is found in cancers that metastasize to bone. Clinical manifestations include: delirium, somnolence, muscle weakness, polyuria, bradycardia, nausea, and constipation. Treatment includes Biphosphonates & hydration with normal saline.
What is HYPERCALCEMIA?
400
This is a complication of displaced fractures of the right hip, femur, tibia and fibula resulting in shortness of breath.
What is a DEEP VEIN THROMBOSIS (DVT) or a FAT EMBOLISM?
400
This complication of the liver requires administering lactulose to reduce ammonia levels, improve mental status and avoiding protein overload.
What is HEPATIC ENCEPHALOPATHY?
400
This is a component of Stroke Volume (SV) that is measured through central venous pressure (CVP) and can be increased with a fluid bolus/resuscitation.
What is PRELOAD?
400
This disorder is a complication of DMI characterized by hypotension, tachycardia, hyperkalemia, Kussmaul respirations & ketone smelling breath. Treatment includes hydration, insulin & electrolyte replacement.
What is DIABETIC KETOACIDOSIS (DKA)?
400
Clinical manifestations for this client are: anorexia (early), delirium (middle/late), dyspnea (late), increased secretions (late), Cheyne-Stokes breathing (late), respirations sound loud & wet (late), and the client will lose the ability to swallow (late).
What is a DYING CLIENT?
400
The PRIORITY assessments/interventions for this integumentary disorder include TBSA, depth, location, presence of other injuries, involvement of the respiratory system and fluid resuscitation.
What is a BURN INJURY?
400
This oncological emergency is found in tumors of the chest, lung cancer and lymphoma. Clinical manifestations include: dyspnea, visual disturbances, headache, altered mental status, prominent jugular veins, brachial veins, and chest vessels.
What is SUPERIOR VENA CAVA (SVC) SYNDROME?
500
This designation in the SALT Disaster Triage model is characterized by a client who follows commands, has stable vital signs, has a significant injury and CANNOT walk.
What is a YELLOW (DELAYED) designation?
500
The client's ABGs are: pH of 7.25, PaCO2 of 30 mm Hg, HCO3- of 20.
What is PARTIALLY COMPENSATED METABOLIC ACIDOSIS?
500
The assessments/interventions for this rhythm are vital signs, oxygen, nitro, aspirin, morphine and a trip to the Cath Lab.
What is a ST ELEVATED MYOCARDIAL INFARCTION (STEMI)?
500
Complications of this posterior pituitary disorder are hypovolemia and hypernatremia resulting in confusion, neuromuscular excitability, seizures, or coma.
What is DIABETES INSIPIDUS (DI)?
500
This type of care is after death and includes retaining catheters & tubes in the body, answering the family's questions, allowing the family to spend time and/or pray with the client, and applying ID tags according to policy.
What is POSTMORTEM care?
500
This complication of septic shock affects the respiratory system (ARDS), renal system (increased BUN & Creatinine) and the hepatic systems (increased LFTs).
What is MULTIPLE ORGAN DYSFUNCTION SYNDROME (MODS)?
500
This oncological emergency is found in client's with acute myelocytic leukemia (AML) with high WBC count. Management includes IV fluids to reduce blood viscosity.
What is LEUKOSTASIS?