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Exam Review 2 - 8 Pulmonary friction rub pleura cord injury...

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Unformatted text preview: 8. Pulmonary friction rub: pleura cord injury; TX: warm blankets, warm inflamed; rough movement against each IV other, rubbing 0f rubber together; 10W 0 Autonomic hyperrefleida: 65% patients pitch and loud; insp & exp. All thru resp with lesions higher than '1‘7; autonomic cycle. Unable to clear. over relaxation to noxious stimuli below 9. To find if cardiac are resp ask to hold the level of the injury; SX: increased BP, breath if still there cardiac. Increased HR at first then bradycardia, HA, profuse sweating, arrhythmias, 6 f convulsions, stnoke, death, TX: get rid of muses 0 mm . ~ noxious stimuli, other factors with 1. flow across a partial obshuctioan‘m bit/ANS) supportive care 2. flow into a dilated chamber GUM 'M’}“Wlh 3. backward flow across an incompeintw (1.)” ‘l Faflrs in Q5; ; 5. an esth 'c l . ue valve M‘ 1. pt as an individual 4. flow thru an abnormal passage Q’DM . 2. surgical procedure 5. increased flow thru a normal passage (“NUS 3. surgeon 6. lessened viscosity with normal velocit3(ot numb» 4. positionng 5. skill & preference of CRNA Mitra_l Valve Mme 6. pt preference 0 click murmur syndrome 7. elective vs emergence case 0 15% of population 0 familial; females more than males _ _ 0 many have dx: marfans, wpw, rheumatic A“ C T e _ . heart disease, poor Lv function, Epstein 0 General: delivers analgesia, amnesm, abnl. lack of movement, control of SNS; 0 Valve is too large for the ventricle; induction rounne Y5 rapid _ . elongation of chordenea tendinea; ' MOE]: ”16316513 W}th011t Slgfllficant redundant valve tissues; valve billows dlsmPPOD 0f autonomlc dysfunction; out with contraction exbtl‘earllllhty procedid/ 1153:1111? Ethgal l . asym - . tired su an01 em 11 ; re p exus; . 2);, cheepgmyague’ SOB, bier block, reirobabular/ cataracts . - Louder when standing or exercising ' Monitor anathema care; local With IV . TX: keep ventricle filled, fluid load, sedan“ “1003] With standby (NW anything that will give you a larger LV ASA l _ . . ”5K diastolic volume - - 1. ASA I: no organic physiological «'P 1th4. . Av01d hypovolemic and upright psychological, biological dysfunctions; ' Sometimes they have dysrythmias, Chf’ no extremes of age or pregnant thrombosis, embolus, cva . . . . . . , 4115a,, 2. ASA 11. mild to moderate systemlc . ' IVE ECG, Amman" mi '1) W disturbances; slight heart disease, mild anemia; extremes of age; pregnancy; _ DM for 5 years controlled; obese; Wm chronic bronchitis; 1- assess LOC 3. ASA III: sever systemic disease not 2- motor response . emcompensating; heart dx that limits 3- pupils; 51“ and reaction their activity; HTN poorly controlled; 4- Pulse rate, Pattern: 1313 DM with PVD; corn; recent MI 4. ASA IV: severe systemic disturbances . . that are life threatening; active CHF, Mimi—1219!! angina, advanced pulm, renal, hepatic 0 most common c5-cfi; t12-11 dysfunction 0 dermatones to assess level 0f sensory 5. ASA V: Morbound: little change of 0 know level of injury survival; not expected to live past 24 o Poikilothelmic: can not regulate own hours; hemorrhage; AAA. PE body temperature becomes what the 6. ASA VI: brain death; organ procurement ambient temp is; permanent for spinal 7. Emergency: V always; I, II, III, IV can be ...
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