Emergency Conditions: Anaphylactic Shock and Heart Attack
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Questions and Answers

What is the primary cause of shock?

  • Cardiac arrest
  • Damage to the heart
  • Blood vessel constriction
  • Low blood volume (correct)
  • Which of the following is NOT a sign of shock?

  • Shallow, irregular breathing
  • Cold, clammy skin
  • Increased blood pressure (correct)
  • Rapid and weak pulse
  • What is the primary cause of sudden cardiac death in young athletes?

  • Mitral valve prolapse
  • Coronary artery disease
  • Myocarditis
  • Hypertrophic cardiomyopathy (correct)
  • What is the term for the unexpected death resulting from sudden cardiac arrest within 6 hours of an otherwise normal, healthy clinical state?

    <p>Sudden cardiac death</p> Signup and view all the answers

    Which of the following is NOT a type of shock?

    <p>Respiratory shock</p> Signup and view all the answers

    What is the term for an abnormal thickness of the left ventricular wall?

    <p>Hypertrophic cardiomyopathy</p> Signup and view all the answers

    What is the term for the commotio cordis?

    <p>Cardiac arrest from a low-impact blunt blow to the chest</p> Signup and view all the answers

    What is the primary goal of cardiovascular preparticipation screening?

    <p>To identify individuals at risk of sudden cardiac death</p> Signup and view all the answers

    What is the term for the inflammatory condition of the muscular walls of the heart?

    <p>Myocarditis</p> Signup and view all the answers

    What is the term for the blockage of blood flow to the brain?

    <p>Stroke</p> Signup and view all the answers

    What is the primary symptom of anaphylactic shock?

    <p>Wheezing and unable to talk</p> Signup and view all the answers

    What is the typical age of onset for Type 1 Diabetes?

    <p>Usually before 30 years</p> Signup and view all the answers

    What is the likely cause of a heart attack?

    <p>A blockage in the blood flow to the heart</p> Signup and view all the answers

    What is the most common cause of syncope?

    <p>Neurally mediated syncope (NMS)</p> Signup and view all the answers

    What is the characteristic of insulin production in Type 1 Diabetes?

    <p>Insulin production is negligible to absent</p> Signup and view all the answers

    What is the nutritional status of most people with Type 1 Diabetes?

    <p>Almost always lean</p> Signup and view all the answers

    What is the primary treatment for anaphylactic shock?

    <p>EpiPen and activate EAP</p> Signup and view all the answers

    What is the typical symptom of syncope?

    <p>Lightheadedness and blurred vision</p> Signup and view all the answers

    What type of onset is typical for Type 2 Diabetes?

    <p>Gradual, over weeks to months</p> Signup and view all the answers

    What percentage of patients with Type 2 Diabetes require insulin therapy?

    <p>20%–30% of patients</p> Signup and view all the answers

    What is the appropriate management of syncope?

    <p>Assess and monitor vital signs, and place the individual in a safe, lying down position</p> Signup and view all the answers

    What is the difference between syncope and presyncope?

    <p>Syncope is a sudden loss of consciousness, while presyncope is a feeling of impending loss of consciousness</p> Signup and view all the answers

    What is the role of diet in managing Type 1 Diabetes?

    <p>Diet is mandatory, along with insulin therapy</p> Signup and view all the answers

    What is the common feature of anaphylactic shock, heart attack, and syncope?

    <p>All can cause loss of consciousness</p> Signup and view all the answers

    What is a common complication of Diabetes Mellitus (DM)?

    <p>Coronary Heart Disease (CHD)</p> Signup and view all the answers

    Which of the following groups is at high incidence of gestational diabetes?

    <p>Women with history of gestational diabetes; blacks; Native Americans; Hispanics</p> Signup and view all the answers

    What is a characteristic of a severe hypoglycemic episode in Diabetes Mellitus (DM)?

    <p>Blood glucose level &lt; 40 mg/dL</p> Signup and view all the answers

    What is a type of seizure characterized by repeated or rhythmic jerking muscle movements?

    <p>Clonic seizure</p> Signup and view all the answers

    What is a common symptom of heat exhaustion?

    <p>Cool, clammy skin</p> Signup and view all the answers

    What is a common cause of ineffective circulatory adjustments in heat exhaustion?

    <p>Not acclimated to the environment</p> Signup and view all the answers

    What is the primary mechanism of heat stroke?

    <p>Decreased blood plasma volume</p> Signup and view all the answers

    What is a common complication of Diabetes Mellitus (DM) that can lead to aseptic necrosis (gangrene diseases)?

    <p>Nerve deterioration</p> Signup and view all the answers

    What is the primary management strategy for Exercise-Induced Bronchospasm?

    <p>Prescribed medications and use of inhaler</p> Signup and view all the answers

    What is a characteristic of gestational diabetes?

    <p>It is associated with older age and obesity</p> Signup and view all the answers

    What is the primary function of insulin in the body?

    <p>To transfer glucose from the blood into skeletal and cardiac muscles</p> Signup and view all the answers

    Which of the following is a symptom of diabetes?

    <p>All of the above</p> Signup and view all the answers

    What happens when glucose cannot enter the body's cells?

    <p>The body shifts from carbohydrate to fat metabolism for energy</p> Signup and view all the answers

    Which of the following is a risk factor for developing diabetes?

    <p>Stress and sedentary lifestyle</p> Signup and view all the answers

    What is the consequences of excess glucose in the urine?

    <p>It causes water and electrolyte imbalance</p> Signup and view all the answers

    Study Notes

    Emergency Conditions

    Anaphylactic Shock

    • Symptoms: wheezing, unable to talk, hives on body, swollen face, nausea, dizziness, weak rapid pulse, low blood pressure
    • Treatment: EpiPen, activate eap

    Heart Attack

    • Cause: blockage in heart blood flow
    • Symptoms: chest pain, pain in left side, pain may come and go, nausea, lightheadedness, shortness of breath, fatigue, cold sweat
    • Treatment: activate eap, begin CPR if needed

    Syncope (Fainting)

    • Cause: sudden, transient loss of consciousness
    • Primary causes: cardiac, circulatory, metabolic, neurological, reflex syncope
    • Signs and symptoms: restlessness, pallor, weakness, sighing, yawning, diaphoresis, nausea, lightheadedness, blurred vision, collapse, loss of consciousness

    Shock

    • Cause: heart unable to exert adequate pressure to circulate enough oxygenated blood to vital organs
    • Causes: damaged heart, low blood volume, blood vessel dilation
    • Signs and symptoms: restlessness, anxiety, disorientation, dizziness, cold, clammy, moist skin, profuse sweating, nausea, vomiting, shallow, irregular breathing, rapid and weak pulse

    Sudden Cardiac Death

    • Definition: unexpected death resulting from sudden cardiac arrest within 6 hours of an otherwise normal, healthy clinical state
    • Causes: hypertrophic cardiomyopathy, mitral valve prolapse, myocarditis, acquired valvular heart disease, coronary artery disease, Marfan syndrome

    Cardiovascular Preparticipation Screening

    • Standard screening approach: medical history, physical examination, and assessment of risk factors
    • Referral to a cardiologist for more extensive screening
    • Clearance for participation must be resolved on an individual basis

    Stroke

    • Cause: blood flow to the brain becomes blocked
    • Symptoms: trouble speaking, slurred speech, numbness, paralysis, trouble walking, headache, vision disturbances
    • Treatment: activate eap

    Diabetes Mellitus (DM)

    • Definition: chronic metabolic disorder characterized by near or absolute lack of insulin
    • Risk factors: heredity, aging, minority ethnicity, obesity, gender, stress, infection, sedentary lifestyle, poor diet
    • Physiology: insulin promotes glucose storage in muscles and liver, lack of insulin leads to high blood glucose levels, dehydration, and ketoacidosis

    Complications of Diabetes Mellitus (DM)

    • Circulatory: susceptible to CHD, 80% of diabetics die of cardiovascular causes
    • Nerve: nerve deterioration, undetected injuries caused by poor sensation may lead to aseptic necrosis (gangrene diseases)
    • Hypoglycemia: common in type 1 DM, symptoms include confusion, drowsiness, shakiness, and hunger

    Exercise-Induced Bronchospasm (EIB)

    • Definition: constriction of airways during exercise
    • Symptoms: chest pain and tightness, dry cough, shortness of breath after or during exercise
    • Management: prescribed medications, use of inhaler, proper warm-up and cooldown

    Seizures

    • Generalized seizures: absence, tonic, atonic, clonic, myoclonic, tonic-clonic
    • Etiology: result of a shift in the normal balance of excitation and inhibition within the CNS

    Weather Concerns - Heat

    • Heat Exhaustion: symptoms include headache, dizziness, lightheadedness, fatigue, sweating, cool clammy skin, possibly gray complexion, body temperature >104
    • Treatment: remove equipment, move to shaded area, remove excess clothes, use fans, ice, etc. to cool
    • Heat Stroke: decreased blood plasma volumes cause heart to beat faster and work harder, hypothalamus shuts down, sweat stops, body temperature >104

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    Description

    Identify the symptoms and treatment of anaphylactic shock and heart attack, two critical emergency conditions that require immediate medical attention.

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