Medical Terminology Chapter 26
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Questions and Answers

Capillaries link the arterioles and the:

  • Venules (correct)
  • Veins
  • Aorta
  • Cells
  • Early signs and symptoms of intra-abdominal bleeding include:

  • Pain and distention (correct)
  • Widespread ecchymosis
  • Bruising only
  • Significant hypotension
  • All of the following should be addressed during the primary assessment EXCEPT:

  • Slow, shallow breathing
  • Severe hemorrhage
  • Capillary bleeding (correct)
  • Airway obstruction
  • You should be MOST suspicious that a patient with weakness, dizziness, and melena is experiencing:

    <p>Gastrointestinal bleeding</p> Signup and view all the answers

    Hypoperfusion is another name for:

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

    In older patients, the first indicator of nontraumatic internal bleeding may be:

    <p>Weakness or dizziness</p> Signup and view all the answers

    Which of the following statements regarding hemophilia is correct?

    <p>Patients with hemophilia may bleed spontaneously</p> Signup and view all the answers

    A patient with a large laceration to his leg should have:

    <p>Apply direct pressure to the wound</p> Signup and view all the answers

    Most cases of external bleeding from an extremity can be controlled by:

    <p>Applying local direct pressure</p> Signup and view all the answers

    Gastrointestinal bleeding should be suspected if a patient presents with:

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

    Perfusion is MOST accurately defined as the:

    <p>Circulation of blood within an organ in adequate amounts to meet the body's metabolic needs</p> Signup and view all the answers

    Significant vital sign changes will occur if the typical adult acutely loses more than ______ of his or her total blood volume:

    <p>20%</p> Signup and view all the answers

    The severity of bleeding should be based on all of the following findings, EXCEPT:

    <p>Systolic blood pressure</p> Signup and view all the answers

    As you control external bleeding from a young male shot in the abdomen, your partner should:

    <p>Assist the patient's ventilations</p> Signup and view all the answers

    Which of the following body systems or components is the LEAST critical for supplying and maintaining adequate blood flow to the body?

    <p>The filtering of blood cells in the spleen</p> Signup and view all the answers

    Which of the following organs can tolerate inadequate perfusion for up to 2 hours?

    <p>Skeletal muscle</p> Signup and view all the answers

    If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply:

    <p>A tourniquet proximal to the injury</p> Signup and view all the answers

    Study Notes

    Capillaries and Venules

    • Capillaries connect arterioles to venules, facilitating the exchange of oxygen and nutrients with tissues.

    Early Signs of Intra-Abdominal Bleeding

    • Initial indicators include abdominal pain and distention; significant hypotension and ecchymosis appear later.

    Primary Assessment Focus

    • During a primary assessment, severe hemorrhage, airway obstruction, and breathing patterns are prioritized. Capillary bleeding typically receives less immediate attention.

    Geriatric Patient Indicators

    • In older adults, weakness or dizziness may signal nontraumatic internal bleeding without a history of trauma.

    Understanding Hypoperfusion

    • Hypoperfusion, also termed shock, indicates inadequate blood flow to tissues, leading to cellular death if untreated.

    Hemophilia Characteristics

    • Patients with hemophilia may experience spontaneous bleeding; it does not enhance clotting with aspirin.

    Management of External Bleeding

    • Direct pressure on the wound is the first action for controlling severe external bleeding from extremities.

    Gastrointestinal Bleeding Symptoms

    • Hematemesis (vomiting blood) is a primary symptom indicating potential gastrointestinal bleeding.

    Definition of Perfusion

    • Perfusion refers to the circulation of blood within an organ in sufficient amounts to meet the metabolic needs of the body.

    Blood Volume and Vital Signs

    • Significant changes in vital signs can occur after losing more than 20% of total blood volume.

    Severity of Bleeding Assessment

    • Assessing bleeding severity includes considering clinical signs and symptoms, general appearance, and mechanism of injury; systolic blood pressure alone is insufficient.

    Managing Severe Bleeding in Specific Cases

    • In cases of external abdominal bleeding, assisting in patient ventilations is crucial while managing external hemorrhage.

    Importance of Organ Tolerance

    • Skeletal muscle can endure inadequate perfusion for up to 2 hours, unlike other vital organs that may sustain damage more quickly.

    Actions After Direct Pressure Failure

    • If direct pressure doesn't stabilize severe extremity bleeding, a tourniquet should be applied proximally to the injury site.

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    Description

    Test your knowledge on bleeding and related concepts with this quiz based on Chapter 26. Understand the role of capillaries, recognize early signs of intra-abdominal bleeding, and learn vital assessment strategies. Perfect for medical students and professionals wanting to refresh their knowledge.

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