ANS absence seizures present with little or no movement
2. What type of seizure pertains a limited portion of the brain?
ANS partial seizure can be localized to one side of the brain
3. What are the management of a seizure?
ANS If trauma is noted c-spine precaution Check blood sugar(treat it)
Provide ventilatory assistance(apnea)
Prepare to intubate, if difficult to bvm
assistance Benzodiazepine versed
(midazalom)
1/
,4. A patient who is experiencing a seizure greater than 4-5 minutes or consec-
utive seizures without return to consciousness is experiencing what kind of
seizure ?
ANS Staus epilepticus prepare to give a benzodiazepines such as Midazolam,
ask bystanders if patient had taken anti seizure meds.
5. You respond to a home of a patient who is experiencing facial drooping to
the left side of his face with slurred speech patient is alert and oriented with
equal grips and pushes, what type of medical emergency is this patient
experiencing?
ANS Bells palsy Bell's palsy is a viral infection. Bell's palsy is a condition in
which the muscles on one side of the face become weak or paralyzed, may
present with Stoke like symptoms
6. Treating a patient with internal bleeding patient may present with
cool clammy skins with a low blood pressure
ANS Treat for hypovolemic shock.
O2, blanket, rapid transport, IV fluids 12 lead monitor (VOMIT)
2/
,7. s/s of upper GI bleed
ANS Melena - black tarry sticky odorous stool and blood blended together
into one substance; blood cannot be distinguished from stool
8. s/s of lower GI bleed
ANS hematochezia (bright red blood)- stool and blood are incorporated
together into the same substance, yet are easily distiguished from each other
9. portal hypertension causes pg (1183)
ANS esophageal varices
10. S/S of esophageal varices (pg, 1183-1184)
ANS signs of liver disease fatigue
weight
loss
jaundice
anorexia
edematous abdomen
pruritus(sever itching of the
3/
,skin) abdominal pain
nausea/vomiting
4/
, 11. s/s of rupture of varices
ANS pt will report of an abrupt onset of discomfort in the throat, may have
severe dysphagia, vomiting bright red blood (hematemesis),hy- potension,
and signs of shock. patients who have liver disease.
12. General management for upper gi bleed of esophageal varices
ANS Fluid resus- citation
aggressive suctioning
13. s/s of peptic ulcer disease(upper gi bleed)
ANS experience epigastrium that sub- sides or disminished immediately after
eating
pain is described as
burning or
gnawing
Nausea/Vomiting
belching and heart burn are common
14. In peptic ulcer disease, If erosion is sever what other symptoms may be
present?
ANS Upper Gastric bleeding can occur w/ a result of vomiting bright red
5/
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