• S-Salvation
• L-Lacrimation
• U-Urination
• D-Defecation
• G-Gastro-intestinal emergencies
• E-Emesis
• Miosis or myosis (excessive constriction of pupil)
• Chemical involve is organophosphates 

high blood sugar affecting pregnant woman

o   Have given birth previously to a large baby, stillborn, child with birth defect

painless pre-trimester pain, placenta covers the opening in the mother’s uterus or cervix

premature separation of the placenta from the uterine wall before birth

·      umbilical cord wrapped around neck, present in up to 25% of deliveries

umbilical cord is the first part to protrude from the vagina

delivery of baby where butt or feet delivered first

# of deliveries after 20 weeks of pregnancy

Central Neurogenic hyperventilation (CNH)

deep and rapid breaths at a rate of at least 25bpm

Cheyne-stokes

abnormal pattern of breathing, progressively deeper and sometimes faster breathing followed by a gradual decrease that results in a temporary stop in breathing called apnea

gasping, labored breathing

deep and labored breathing

o   DKA, metabolic acidosis, kidney failure

Care for the rattlesnake bite patient should include what treatment plans:

·      Monitor vital signs and swelling during transport to hospital

Pregnancy physiologic changes

Heart Rate

·      Blood volume increases 50% returns to pre-pregnant by 2-3 weeks post-birth

Pregnancy physiologic changes of mother

Blood loss

o   800-1200cc for c-section or vaginal multiples

Pregnancy physiologic changes of the mother 

Cardiac output 

§  Keep in mind RBC’s stay the same, only volume increases

Pregnancy physiologic changes of the mother

Respiratory system

o   60-70% of women feel SOB

starts from time of first true, regular contractions and ends with dilation of cervix

·      starts with full dilation of cervix and ends with birth of baby

·      starts with birth of baby and ends with expulsion of placenta

started after placental delivery until uterus remains firm on its own, or until uterus returns to normal size

APGAR

completed at 1 and 5 minutes

A-appearance

P-pulse

G-grimace-reflex ability

A-activity

R-respirations 

10 is perfect score

A-alcohol and other drugs, anaphylaxis

E-epilepsy, endocrine (all types), exocrine (liver)

I-insulin

O-oxygen, overdose, opiates

U-uremia (high levels of waste in blood), underdose

T-trauma and temperature

I-infection

P-poisons and psychiatric

S-shock, stroke, space-occupying lesion

o   Death

      Core temp 90-95

o   Slow HR

      Core temp 86-90

o   Slow HR

·    Core temp 82-86

o   Possible cardiac arrest

 Core temp 68-82

o   Cardiac arrest