Medical Decision Making and Ethics
10 Questions
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Medical Decision Making and Ethics

Created by
@IllustriousHoneysuckle

Questions and Answers

What does a person need to have to maintain decision-making capacity?

Understanding of nature of the illness or injury, possible consequences, not intoxicated, refuses care given the risks.

What is the policy regarding a child's parent refusing care on religious grounds?

Neither child nor parent can refuse on religious grounds.

When may minors seek treatment without the consent of parents?

Abortion, drug addiction, venereal disease.

What are the criteria for termination of resuscitation for blunt trauma arrest?

<p>Found apneic, pulseless, and no response to BLS care including chest compressions and BVM.</p> Signup and view all the answers

How should a penetrating trauma arrest be treated?

<p>Transport to a trauma facility, unless time is suspected to be &gt;10min and no signs of life or response to BLS care.</p> Signup and view all the answers

How long should you view continuous asystole before termination of resuscitation?

<p>15 minutes.</p> Signup and view all the answers

What should you administer if you suspect hyperkalemia as a cause of arrest?

<p>Calcium Gluconate, Sodium Bicarb.</p> Signup and view all the answers

Should you continue CPR in suspected suicide if the patient has a Do Not Resuscitate (DNR) order?

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

What are some things that are considered comfort care or supportive care in a DNR case?

<p>Medication, positioning, O2, suctioning, manual treatment of an airway obstruction.</p> Signup and view all the answers

How is a pediatric patient defined?

<p>The definition is not provided in the content.</p> Signup and view all the answers

Study Notes

Decision Making Capacity

  • Requires understanding of illness or injury
  • Must comprehend possible consequences of treatment
  • Individual should not be intoxicated
  • Can refuse care despite being informed of risks

Parental Refusal of Care

  • Neither a child nor a parent can refuse medical treatment for the child based on religious beliefs

Minors Seeking Treatment

  • Minors can seek medical treatment without parental consent for:
    • Abortion
    • Drug addiction
    • Venereal diseases

Termination of Resuscitation Criteria

  • For blunt trauma arrest, resuscitation may be terminated if:
    • Found apneic and pulseless
    • No response to Basic Life Support (BLS) including chest compressions and Bag-Valve-Mask (BVM)

Treatment of Penetrating Trauma Arrest

  • Required to transport to a trauma facility unless:
    • Time is suspected to exceed 10 minutes
    • No signs of life or response to BLS care

Continuous Asystole Assessment

  • Must observe continuous asystole for 15 minutes before considering termination of resuscitation (TOR)

Suspected Hyperkalemia Treatment

  • Administer Calcium Gluconate
  • Administer Sodium Bicarbonate

CPR and DNR Situations

  • In suspected suicide cases with Do Not Resuscitate (DNR) orders, do not assume CPR should continue; contact the medical base for guidance

Comfort Care in DNR Cases

  • Supportive or comfort care may include:
    • Medication administration
    • Repositioning
    • Oxygen (O2) delivery
    • Suctioning
    • Manual treatment for airway obstruction

Definition of Pediatric Patient

  • Age definition not provided, but typically refers to individuals under 18 years old for many medical contexts

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Description

This quiz covers important concepts related to medical decision-making capacity, parental refusal of care, and criteria for resuscitation and treatment in trauma cases. It examines the responsibilities and rights of individuals, parents, and medical professionals in critical situations. Test your knowledge on these essential medical ethics and protocols.

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