NUR 2755 Multidimensional Care IV MDC 4 Rasmussen Exam 5 2024

Heat Related Illness - Most common in hot/humid climates, Impacts at risk populations most Heat Exhaustion - Dehydration from heavy perspiration and inadequate fluid intake Heat Exhaustion S/S - Flu like symptoms Heat Exhaustion Treatment - STOP activity, transfer to cooler place, cooling measures, Rehydration therapy Heat Stroke - True medical emergency, body temperature increases to dangerous level, fatal if not treated Exertional Heat Stroke - Sudden onset due to strenuous activity in hot climate Non-exertional Heat Stroke (Classic) - Occurs over period of time from chronic exposure to hot environment Heat Stroke S/S - altered mental status, tachycardia, tachypnea, hypotension, elevated troponin Treatment for Heat Stroke - O2, IV fluids, urinary catheter, continuous cooling, benzodiazepine if shivering occurs, monitor for MODS and electrolyte imbalance. Pit Vipers - Rattlesnake, copperheads and cotton mouths Coral Snakes - Red black rings separated by yellow/cream rings Snakebite Clinical Care - Supplemental O2, LR or NS IV, cardiac monitoring, Opioids, tetanus prophylaxis, wound care, broad spectrum antibiotics, CBC, CK, crossmatching Post Snakebite - Keep below level of heart, remove constrictive clothing, laydown, stay calm, keep site clean, immobilize site, no tourniquet, don't cut/suck venom, no ice, do not submerge, no mind altering substances Arthropods - Spiders, Scorpions, Bees, Wasps Arthropod Allergy Teaching - Always carry EpiPen, wear medical alert bracelet Lighting Injury Impacts - Cardiopulmonary and central nervous systems affected profoundly Lighting Injury Treatment - Same as electrical burn, immediate CPR in the field, ECG, CT of head, CK and tetanus prophylaxis Cold-Related Injury aka Hypothermia - Occurs at core body temp. less than 95 degrees