Blurry vision, tachycardia, diaphoresis, shakiness, palpiations
What is Hypoglycemia?
Trauma patient needs help managing ventilation
What is B for breathing?
Air in pleural space
What is a pneumothorax?
Bruising around flanks indicating bleeding
What is Gray Turner's sign?
Patient has subcutaneous emphysema on neck with SOB
What is red tag?
High temperature, High HR, High BP, High RR, Chest pain, irritable
What is thyroid storm?
Trauma patient preventing massive hemorrhage
What is C for circulation?
Blood in pleural space
What is hemothorax?
Trauma patient has pain in the right shoulder
What is positive Kehr's sign indicating liver trauma?
Open (compound) fracture to femur
What is yellow tag?
Altered mental status, shock, acetone odor on breath, headache, thirst, acidosis
What is DKA?
Trauma patient Glasgow Coma Scale of 7
What is A for airway? Less than 8 intubate
Paradoxical pulse, muffled heart sounds, JVD, hypotension
What is cardiac tamponade?
Nursing action for a hemorrhaging patient.
What is holding pressure?
Sprained ankle pain is 10/10 ,limping noted
What is a green tag?
Low NA level, Low blood sugar, muscle weakness, high K, hypotension, weight
What is Addison's disease?
Preventing hypothermia in a trauma patient
What is E for exposure? Strip em and flip em
Absent lung sounds on left side, Tracheal deviation to the right side
What is a tension pneumothorax?
Nursing action for a patient who had flu shot 6 weeks ago and presents to ED with ascending paralysis to waist.
What is set up for intubation?
Head injury, noted grey matter oozing from skull
What is black tag?
Moon face, Buffalo hump, Striae on abdomen, high blood sugar due to over secretion of glucocorticoid steroids
What is Cushing's syndrome?
Patient is alert and follows commands
What is D for disability?
A-alert
V-responsive to voice
P-responsive to pain
U-unresposive
Paradoxical breathing
What is flail chest?
Patient with a GCS of 13?
What is mild TBI (concussion)?
Extensive full thickness burns over 90& of body surface area
What is black tag?