Care of a patient in anaphylaxis (symptoms, priorities, medications, other care?) -
Answer -Sever allergic reaction
Signs & Symptoms: itching or burning, hives, edema (swelling), pallor, cyanosis, weak
pulse, drop in blood pressure
Histamine causes reaction
Vasodilate, walls permeable, airways restrict
Widespread vascular dilation, increased permeability, and bronchoconstriction
Give Epinephrine: 0.3 mg, IM
Call med control before assisting patient with injection
Scene size-up - Answer -• Scene safety
• Scene management
-Impact of the environment on patient care
-Addressing hazards
-Violence
-Need for additional or specialized resources
-Standard precautions
-Multiple-patient situations
Primary Assessment - Answer -Primary assessment for all patient situations
-Level of Consciousness (LOC)
-ABCs (Airway, Breathing, Circulation)
-Identifying life threats
-Assessment of vital functions
-Initial general impression
-Begin interventions needed to preserve life
-Integration of treatment/procedures needed to preserve life
, Primary Assessment - Answer -Determine Priority of Patient:
Only checking for life threats
Load and go:
If life threat, decreased level of consciousness, compromised ABCs
For Trauma: Rapid Assessment (sweep with hands checking for immediate life threat)
Secondary Assessment - Answer -History Taking
-Determining chief complaint
-MOI/NOI
-Associated signs and symptoms
-Investigation of Chief Complaint
-Past medical history
-Pertinent negatives (negative findings that warrant no care or intervention)
Secondary Assessment
-Perform a rapid full-body scan
-Focused assessment of pain
-Assessment of vital signs (BP, pulse, O2, respiratory rate & quality)
-Physical examination
SAMPLE (Secondary Assessment) - Answer -Signs and symptoms
Allergies
Medications
Pertinent past medical history
Last oral intake
Events leading up to the injury/illness
OPQRST (Secondary Assessment) - Answer -Onset of event
Provocation or palliation (what makes it worse or better?)
Quality (what does it feel like?)
Region/radiation (where is pain and does it radiate/spread from site?)
Severity
Timing (exact time pain started)
AVPU - Answer -Level of Consciousness:
Alert
Verbal
Pain
Unconscious
If unconscious, check breathing/pulse; if there is a pulse, check airway first
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