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Recovery of the cell
Electrical stimulus results in defibrillation
Electrical stimulus moves throughout the cell and results in cardiac muscle work
The cell will not respond to strong stimulus
Free the restraints after the patient displays rational behavior
Restrain all extremities
Have adequate numbers of people
Restrain as a last resort
Attach a blood filter
Tape the IV in place, clamp the tubing and start another
D/C the IV, withdraw the catheter and apply pressure for 5 minutes
Slow the IV to KVO rate
-RA to +LL
-LA to +LL
+RA to -LL
-RA to +LA
Is a restriction in blood supply with resultant damage or dysfunction of tissue.
Lack of CO2 to the cells
Deficient iron supply
Deficient blood supply
5 joules/kg
1 joule/kg
200 joules
2-4 joules/kg
Tracheal deviation toward affected side
Tracheal deviation away from affected side
Over inflation of the lung
Ruptured spleen
Supraventricular tachycardia
Premature atrial contractions
Atrial fibrillation
Ventricular fibrillation
Lack of blood return to the atria
Pulmonary embolism
Thrombosis
Cardiac tamponade effect
Pulmonary embolism
Cerebral embolism
Cerebral hemorrhage
Cerebral thrombosis
Pulmonary embolism
Thrombosis
MI
Angina attack
45 seconds
5 seconds
10 seconds
30 seconds
Opinion of base hospital physician
Hx of the acute illness
Appearance of patient
Vital signs
Most give no prior notice of what they will do
Many have a history of psychiatric illness
Women are more successful than men
Many suicides isolate themselves
Conversion hysteria
Psychogenic shock
Nerogenic shock
Post-traumatic shock
Acute MI
Pulmonary embolism
Thrombosis
Angina attack
Schizophrenia
Conversion hysteria
Depression
Subdued mania
Duodenal ulcer is most common cause
Never dark red in color
Peptic ulcer is most common cause
Never bright red in color
Osmosis
Active transport
Diffusion
Facilitated transport
Ipecac liquid
Ipecac syrup
Activated charcoal
Atropine
2000 mg
200 mg
2000 mcg
20 gm
Use only an oropharyngeal airway
Place an EOA and hyperextend the neck
Place an ET tube putting the head in a sniffing position
Place an ET tube while your partner maintains in-line immobilization
9%
18%
13.5%
12%
60 mls ipecac syrup
30 mls ipecac water
30 mls ipecac syrup
50 gms activated charcoal
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