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Emr > 1 > Flashcards

1 Flashcards

1
Q

What is a glucometer

A

Used to check a patients blood sugar

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2
Q

What is a pulse oximeter

A

Measures the percentage of oxygen the patient has in his/her blood (hemoglobin)

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3
Q

What are the rates for normal pulse oximeter

A

…

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4
Q

What does it mean when a patients pupils are unequal?

A

Indication of a serious head injury or stroke

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5
Q

What are the steps of a patient assessment plan?

A

Scene assessment, primary assessment, secondary assessment, patient history, ongoing assessment, hand-off report

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6
Q

What are included in the primary assessment?

A

General impression, LOC, ABC, EMS update

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7
Q

You arrive to a scene and it involves hazardous materials what is your next step?

A

You call for HazMat team

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8
Q

The first 60 minutes following an accident are know as the what,

A

“Golden hour”

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9
Q

The long bone of the forearm, on the thumb side is called

A

Radius

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10
Q

Outermost layer of the skin is

A

Epidermis

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11
Q

Which body systems produces hormones?

A

Endocrine system

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12
Q

What are the 2 main portions of the skull?

A

Cranium and face

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13
Q

The inferior most portion of the sternum is the

A

Xiphoid process

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14
Q

What is considered part of the lower extremity?

A

Femur…

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15
Q

How many lobes do the right and left have together?

A

5

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16
Q

The term that means nearest the torso is

A

Proximal

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17
Q

When determining the chief complaint of a conscious patient it’s better to do what first

A

Ask the patient and have him tell you in his own words

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18
Q

What mnemonics should be used for pain

A

OPQRST

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19
Q

What’s the normal response of the pupils when exposed to bright light

A

Constrict

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20
Q

When taking blood pressure the cuff should be inflated to what point

A

20-30 mmHg beyond the point where the pulse disappears

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21
Q

BSI term

A

Body substance isolation

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22
Q

What is the patella

A

Kneecap

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23
Q

Where is the femur

A

In thigh, bone

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24
Q

What do you use during primary assessment to LOC?

A

Use mnemonic AVPU(alert,verbal,painful, unconscious)

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25
Q

What to do:

If a patient is unconscious and after observing no breathing, gasping respiration’s

A

Skip airway and breathing assessment, go to pulse check and begin CPR.
Unless pulse is there follow primary assessment

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26
Q

What to do:

  1. When a patient is unconscious and no airway status what is the next step?
  2. Unconscious but signs of trauma what is the next step?
A
  1. Use head tilt chin lift

2. Use jaw thrust

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27
Q

What pulse point to use for a conscious patient?

A

Radial pulse

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28
Q

What pulse point to use for a unconscious patient and no radial pulse?

A

Carotid pulse

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29
Q

What consists of a secondary assessment?

A

(Head to toe)

Head, neck, chest, abdomen, pelvis, extremities, vital signs

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30
Q

Medical vs. Trauma patient examination %?

A

Trauma: 80% hands on, 20% questioning
Medical: 80% questioning, 20% hands on

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31
Q

What’s part of vital signs ?

A

Respiration, pulse, skin, pupils, blood pressure

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32
Q

Special masks or respiration’s help prevent the spread of?

A

Tuberculosis

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33
Q

An unconscious man is found in a ditch near a bar. You can smell alcohol on his breath and it is cold outside. The first thing you should do is:

A

Move him to a warm environment

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34
Q

You’ve done a scene survey and found it safe. You find a 62-year-old man unconscious non-breathing lying on the floor. After sending your partner for the AED what is the next thing that you should do?

A

Start chest compressions

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35
Q

Immediately after the AED has given the first shock you should?

A

Resume CPR

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36
Q

When suctioning the airway you should not suction for more than

A

15 seconds

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37
Q

Do you have a patient that is breathing at 34 shallow and laboured what is your next step

A

Delegate your partner to give the patient oxygen via NRB at 15 L/min

38
Q

Your patient is sitting upright leaning forward with her hands resting on their knees. This position is called

A

Tripod position

39
Q

You have a patient who has cool and clammy skin what are they suffering from?

A

Shock

40
Q

The most important reason for controlling external brain is to

A

Prevent shock

41
Q

What is AEIOUTIPS

A 
Alcohol/acidosis 
Epilepsy/environment 
Insulin/ischemia
Overdose 
Underdose/uremia
Trauma 
Infection 
Psychological 
Shock/stroke
42
Q

What does OPQRST?

A 
Onset
Provoke 
Quality 
Radiation 
Severity 
Time
43
Q

Patient with chest pain looses his pulse, you start chest compressions and what else?

A

With supplemental oxygen with pocket face mask or BVM (bag value mask)

44
Q

What are common forms of COPD?

A

COPD: chronic obstructive pulmonary disease

Forms, emphysema & chromic bronchitis

45
Q

Infant orientation of the adult face mask is REVERSED

A

Narrow part to nose. And the broad chin part reversed

46
Q

What pulse point to use for an infant?

A

Brachial pulse

47
Q

What pulse point to use in a child?

A

Carotid pulse

48
Q

What is included in a patient hand-off?

A
  • age, sex of patient
  • chief complaint
  • LOC using AVPU
  • airway and breathing status
  • circulation status
  • secondary assessment findings
  • SAMPLE history
  • treatment, interventions, patients response to them
49
Q

What is a AAA medical emergency?

A

Abdominal aortic aneurysm

50
Q

Signs/symptoms of an AAA medical emergency ?

A

Fast pulse, low BP, back pain (described as a tearing sensation)

51
Q

Narcan/naloxone

A
52
Q

What does ‘q’ mean in a pharmacology?

A

Every

53
Q

Signs & symptoms of anaphylactic shock?

A

Acute respiratory obstruction, circulatory collapse

54
Q

A man is in anaphylactic shock and breathing is adequate what is your next step?

A

Deliver oxygen by non-breather mask

Unless he needs artificial ventilation use BVM(bag-value mask)

55
Q

In EMS the term ‘medical status’ refers to

A

The patients level of awareness of his surroundings

56
Q

When auscultation blood pressure, you should first find the ___ artery to listen over

A

Radial or brachial

57
Q

What are the 3 c’s and e?

A

Colour
Clarity
Concentration
Expiry date

58
Q

What are the 6 rights?

A 
Right PATIENT 
Right DRUG
Right TIME/DATE 
Right DOSE 
Right ROUTE 
Right DOCUMENTATION
59
Q

What are the 5 stages of grief?

A 
Denial
Anger
Bargaining 
Depression
Acceptance
60
Q

2 main groups of “defence mechanism”?

A

Beneficial

Detrimental

61
Q

What is an MVA

A

Motor vehicle accident

62
Q

What is TIC? and DCAPBLS? When is it used?

A

Tenderness
Instability
Crepitus

Deformities
Contusions
Abrasions 
Penetrations
Burns
Lacerations
Swelling

In head to toe exam

63
Q

What do you do in a head to toe exam

A

…

64
Q

A patient is grey and diaphoretic what is this a sign of?

A

Shock

65
Q

Parenteral drug administration includes what routes?

A

Inhalation, intravenous, intramuscular, (non-oral)

66
Q

Which route would a oral or rectal administration of a drug be?

A

Enteral route

67
Q

Contraindications of ASA

A

Hypersensitivity and active ulcer disease, asthma

68
Q

The dose for oral glucose is

A

25g

69
Q

What substance will neutralize a poison or its effects is called a

A

Antidote

70
Q

What occurs to blood vessels during anaphylactic shock?

A

Dilation

71
Q

Croup sounds like what

A

Bark like cough

72
Q

Placenta Previa

A

Is when the placenta is implanted over the opening of the cervix

73
Q

What is the max per leg with a traction splint?

A

It’s 15lbs

And 10% of body weight

74
Q

The blood pressure of the patient is 80/60. What type of shock results from internal and external bleeding?

A

Hypovolemic

75
Q

During the Assessment of the chest to find a sucking chest wound. The next step you would take is?

A

Apply an occlusive dressing

76
Q

A mid shaft femur fracture would be splinted with a

A

Traction splint

77
Q

Coup injury is

A

The brain injury on the side of impact

78
Q

For an open chest wound, leave one side of AN occlusive dressing un-taped to what?

A

Permit air to escape as the patient exhales

79
Q

Are you dressing use the form an Airtight seal is called

A

Occlusive dressing

80
Q

What is the most effective way to control external bleeding?

A

Apply direct pressure using a dressing

81
Q

You arrive on scene to find an 18-year-old man who has been ejected from his vehicle. The first step in treating this patient is

A

Take C-spine control

82
Q

Treatment for shock includes

A

Rapid transport, elevate the legs, keep patient warm

83
Q

What describes the medical condition of shock?

A

Delayed capillary refill

84
Q

What should be done before and after the application if every splint

A

Assess circulation distal to the injury

85
Q

Which dressing would you apply to an abdominal evisceration?

A

A moist dressing that will not adhere to the wound

86
Q

What is the dose of Naloxone (narcan)

A

2.0mg

87
Q

Show Fowler’s position

A

(High)Angled 90, standard 60 angle, semi 30-45

88
Q

What is the medical condition describing shock?

A

A state of inadequate tissue perfusion

89
Q

Which organ secretes insulin after a person eats a large meal

A

Pancreas

90
Q

What position to put for shock

A

Trendelenburg position

Emr (1 decks)

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