Hemodynamic instability

Question 1

What measurements do we focus on to determine instability

Answer 1

• HR, RR, BP, SpO2
• RPE, dyspnea scale
• Signs and symptoms

Question 2

What occurs if client is getting worse (less stable)

Answer 2

Utilize your clinical reasoning skills/first aid & CPR Ax/Rx

• ABC
• Do you have supplemental O2 on hand?
• Do you have other treatment skills to aid client
• Can you also monitor client’s regression?

Question 3

What are 7 medical emergencies (acute red flags)

Answer 3

• ECG Abnormalities
• Stroke, heart attack, & angina
• Central cyanosis
• Pulmonary embolism
• Dissection of aorta
• Respiratory pathologies
• other pathologies

Question 4

What are the symptoms of pulmonary embolism

Answer 4

• Sharp pain in chest that gets worse with breath

- Change in HR and BP

Question 5

What are the symptoms of an aortic dissection

Answer 5

Tear or ripping pain in chest

Sweating, nausea, SOB, sudden weakness or syncope

Question 6

What are the signs of respiratory pathologies

Answer 6

• Unresolvable respiratory distress
• RR greater than 50-60 bpm
• Loss of consciousness
• Asthma: exercise induced anaphylaxis

Question 7

What do you do for a conscious person suffering from stroke

Answer 7

• Support head and shoulders on pillows
• Loosen tight clothing
• Wipe away secretions from their mouth
• maintain body temperature
• Ensure the airway is clear and open

Question 8

What do you do for a unconscious person suffering from stroke

Answer 8

put them in recovery position

Question 9

What do you do for a person suffering from a heart attack

Answer 9

• cushion their head
• loosen tight clothing
• lay person on the ground