NUR 235 DISASTER PREPAREDNESS UPDATED ACTUAL Questions and CORRECT
Answers
unstable ABCs, obvious life threatening situation, should be seen STAT
ESI 1
MI, stroke, resp distress
Threatened stability of ABCs; likely possibility of life threatening situation but not
always occurring, should be seen within 10 mins, need to monitor and do tests
ES2
ex: ischemic chest pain, responsive trauma patient
stable ABCs, unlikely life threatening situation, should be seen within an hour,
ES3 medium to high resource intensity
ex: abd pain, obgyn, hip fracture
stable vitals/abc;
ES4 not life threatening, doctor can be delayed, low resources
examples: dog bite, closed extremity trauma or laceration
stable, not life threatening, doc could be delayed, low resources/exam only,
ES5
examples: cold, minor burn, Rx refill
alerness/airway, Breathing, Circulation, ABCDEFG stands for...
Disability, Exposure/environment, full VS
and family, Get monitors and give comfort this is primary survey
disability checking LOC mental issues etc.
checking out full set of vitals and seeing if there is anything in their environment that
environment
could contribute to symptoms, skin
, family/full set of vitals informing family and getting full set of vitals and discussing the situation with them
get monitoring getting telemetry, catheter etc. anything like that.
head to toe assessment, inspect posterior, secondary survey HIJ
just keep evaluating
either brief exposure to intense heat or long exposure to lower heat and
thermoregulatory mechanisms cannot compensate
heat related emergencies heat cramps, heat exhaustion, heat stroke;
hot humid environments, incorrect clothing, ETOH, age, preexisting illness, Rx, and
street drugs
environmental emergencies heat, cold, submersion, bites and stings
heat cramps brief intense cramps after exercise.
cramps with nausea, tachycardia, pallor, five signs of heat cramps
weakness, diaphoresis,
rest, IV water and sodium replacement, 6 treatment options for heat cramps
legs elevation, gentle massage, analgesia,
avoid activity for 12 hours
heat exhaustion prolonged exposure of heat over hours or days, internal body temp 99.6-105.8
99.6-105.8 heat exhaustion can cause a temperature of what?
fatigue, n/v, thirst, anxiety, hypotension, 11 s/s of heat exhaustion
tachycardia, fever, dilated pupils,
confusion, ashen color, diaphoresis
moist sheet to reduce core temp and IV treatment for heat exhaustion
fluid replacement
medical emergency from failed thermoregulatory process; most severe heat
heat stroke
complication
initial increase in sweating but then no s/s of heatstroke, 8
sweating, tachycardia, weakness, alt loc,
coma, can lead to cerebral edema and
hemorrhage and death depending on how
long patients temp is high
105.8 or more temp that indicates heat stroke
stabilize abc, 100% o2, continuous VS treatment for heat stroke.
monitoring, lower core temp with cool
environment, cool water bath, axillary or 7 interventions
groin ice packs, control shivering
muscle tissue breakdown that can occur as a result of heat stroke... this can release a
rhabdomyolysis
kidney damaging protein
A localized injury from over exposure to cold; tissue freezing leads to ice crystals in
frost bite
tissues and cells, skin feels crunchy
vascular disorders people with ______ are more prone to frost bite.
involves only the skin and subcutaneous tissue; ears, nose fingers and toes, skin will
superficial frost bite appear waxy pale yellow to blue and mottled; skin feels crunchy. never squeeze,
massage or scrub. swelling will occur with thawing, remove jewelery
Answers
unstable ABCs, obvious life threatening situation, should be seen STAT
ESI 1
MI, stroke, resp distress
Threatened stability of ABCs; likely possibility of life threatening situation but not
always occurring, should be seen within 10 mins, need to monitor and do tests
ES2
ex: ischemic chest pain, responsive trauma patient
stable ABCs, unlikely life threatening situation, should be seen within an hour,
ES3 medium to high resource intensity
ex: abd pain, obgyn, hip fracture
stable vitals/abc;
ES4 not life threatening, doctor can be delayed, low resources
examples: dog bite, closed extremity trauma or laceration
stable, not life threatening, doc could be delayed, low resources/exam only,
ES5
examples: cold, minor burn, Rx refill
alerness/airway, Breathing, Circulation, ABCDEFG stands for...
Disability, Exposure/environment, full VS
and family, Get monitors and give comfort this is primary survey
disability checking LOC mental issues etc.
checking out full set of vitals and seeing if there is anything in their environment that
environment
could contribute to symptoms, skin
, family/full set of vitals informing family and getting full set of vitals and discussing the situation with them
get monitoring getting telemetry, catheter etc. anything like that.
head to toe assessment, inspect posterior, secondary survey HIJ
just keep evaluating
either brief exposure to intense heat or long exposure to lower heat and
thermoregulatory mechanisms cannot compensate
heat related emergencies heat cramps, heat exhaustion, heat stroke;
hot humid environments, incorrect clothing, ETOH, age, preexisting illness, Rx, and
street drugs
environmental emergencies heat, cold, submersion, bites and stings
heat cramps brief intense cramps after exercise.
cramps with nausea, tachycardia, pallor, five signs of heat cramps
weakness, diaphoresis,
rest, IV water and sodium replacement, 6 treatment options for heat cramps
legs elevation, gentle massage, analgesia,
avoid activity for 12 hours
heat exhaustion prolonged exposure of heat over hours or days, internal body temp 99.6-105.8
99.6-105.8 heat exhaustion can cause a temperature of what?
fatigue, n/v, thirst, anxiety, hypotension, 11 s/s of heat exhaustion
tachycardia, fever, dilated pupils,
confusion, ashen color, diaphoresis
moist sheet to reduce core temp and IV treatment for heat exhaustion
fluid replacement
medical emergency from failed thermoregulatory process; most severe heat
heat stroke
complication
initial increase in sweating but then no s/s of heatstroke, 8
sweating, tachycardia, weakness, alt loc,
coma, can lead to cerebral edema and
hemorrhage and death depending on how
long patients temp is high
105.8 or more temp that indicates heat stroke
stabilize abc, 100% o2, continuous VS treatment for heat stroke.
monitoring, lower core temp with cool
environment, cool water bath, axillary or 7 interventions
groin ice packs, control shivering
muscle tissue breakdown that can occur as a result of heat stroke... this can release a
rhabdomyolysis
kidney damaging protein
A localized injury from over exposure to cold; tissue freezing leads to ice crystals in
frost bite
tissues and cells, skin feels crunchy
vascular disorders people with ______ are more prone to frost bite.
involves only the skin and subcutaneous tissue; ears, nose fingers and toes, skin will
superficial frost bite appear waxy pale yellow to blue and mottled; skin feels crunchy. never squeeze,
massage or scrub. swelling will occur with thawing, remove jewelery
