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EFSC EMT > 3B > Flashcards

3B Flashcards

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1
Q

Which does the brain require more, Glucose or Oxygen?

A

Both, Glucose and Oxygen

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2
Q

What is the function of glucose in the body?

A

Metabolize glucose to make energy

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3
Q

What do kussmaul respirations in the body indicate?

A

DKA, The body trying to eliminate acid from the body

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4
Q

Name the signs and symptoms of severe hyperglycemia? Is cool and clammy skin one of them?

A

-Warm dry skin
-Fruity breath
-Polyuria

No!

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5
Q

Why should an EMT assess for hypoglycemia in small children with a severe illness or injury?

A

Children cannot store excess glucose as effectively as adults.

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6
Q

You are dispatched to a single family residence of a 35 YOM who is “not acting right”. As you approach the door the patient begins cursing at you and your partner and is welding a baseball bat. He appears to be confused and diaphoretic. You can see a medical alert bracelet on his arm. What should you do?

A

Retreat and call law enforcement

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7
Q

The primary difference between a hyperglycemic and hypoglycemic patient as far as symptoms is?

A

Rate, depth of breathing

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8
Q

Describe the characteristics of sickle cell disease as it relates to the RBC’s?

A

Sickle cell disease causes RBCs to be malformed in a sickle shape decreasing their ability to carry oxygen and their lifespan.

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9
Q

You are dispatched to a two-story apartment for a 66 YOF complaining of acute respiratory difficulty. She has a history of DVT and type-2 Diabetes. Based upon this medical history. What would you suspect she is suffering from?

A

Pulmonary embolism

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10
Q

What are the chemical in our bodies that are responsible of allergic reactions to a bee sting?

A

Histamines and leukotrienes

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11
Q

What is the foreign substance responsible for causing an allergic reaction?

A

An Allergen

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12
Q

Are fire ants able to bite repeatedly and continuously inject toxins while doing so?

A

Yes

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13
Q

Describe the characteristics of a wheal? Are wheals the result of an insect bite?

A

-Wheal - raised, swollen, well-defined area on the skin.
-Result of insect bite or sting

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14
Q

How long can a bee stinger continue to inject venom if it remains in the skin?

A

20 min

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15
Q

What are thrombophilia patients at increased risk for?

A

Pulmonary Embolism

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16
Q

What is the primary clue regarding the source of an allergic reaction of a patient?

A

The environment which the patient is found

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17
Q

A 52 YOM is found unconscious in his garden by his spouse. Upon assessing the patient, he is A and O x 0, has labored breathing, and has urticaria over his entire chest and back. What should you do?

A

ABC assessment, maintain airway and assist in ventilation

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18
Q

What are the physiological actions of epinephrine when given for an allergic reaction?

A

Vasoconstriction and Bronchialdilation

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19
Q

The adult dose of epinephrine is how many MG’s. What is the infant ant-child dose as well?

A

Adult = 0.3mg
Child = 0.15mg

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20
Q

A 23 YOF stepped into a huge ant mound. You assess her and notice multiple stings on her. She states that she has an allergy to ants but forgot her epi-pen. She is conscious, A and O x 4, blood pressure is 115/ 65, HR=100 and strong and regular, RR=18 with equal chest rise and fall and unlabored. What do you do?

A

Administer oxygen and rapid transport

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21
Q

What is the definition of substance abuse as indicated in your book?

A

The misuse of any substance to produce a desired effect.

22
Q

You are dispatched to a call for a construction worker that has had a white powdery substance split on his arm. What do you do?

A

Brush it and wash it for 15-20 sterile water then clean it with soap and water.

23
Q

Rescue 81 is dispatched to sharpes inmate facility for a 42 YOM recently incarcerated for inebriation. You arrive to find the patient laying supine in the holding tank. He is “P” on the AVPU scale and has very shallow respirations. What is your biggest concern at this time?

A

He may vomit and aspirate

24
Q

You are dispatched to a 8 YOM that has ingested 2 bottles of Tylenol 30 minutes ago. Medical control has advised you to administer activated charcoal. The patient weighs 25 KG. How much should you administer.

A

1g for every kilogram, 25g of charcoal

25
Q

A 3.5 YOF that weighs 15kg has ingested an unknown amount of acetaminophen. The mother has no idea how long it has been since the child ingested. The child is conscious and alert and no distress. What should you do?

A

15g of activated charcoal

26
Q

What is the definition of tolerance with a substance who abuses its use?

A

The need for increasing amounts of it to achieve the same result.

27
Q

What is the definition of a hypnotic drug?

A

A drug with a sleep inducing effect

28
Q

You are dispatched to an overdose call for a 22 YOF who has taken a full bottle of amitriptyline. She currently is conscious and alert and tells you she swallowed the pills 30 min ago. Her BP = 89/49, HR = 140, RR = 22 with adequate depth. While transporting this patient what should you be most alert for?

A

Seizure and cardiac arrhythmia

29
Q

A 4 YOM child has eaten several leaves from a plant in the living room of her home. Mom is home and states she does not know what variety of plant it is. You have completed your primary assessment. What do you do know?

A

Contact regional poison center

30
Q

Narcan is used for what reason?

A

Is an antidote and can reverse the effects of opiatic and opioid overdose.

31
Q

82) What is the difference between a Behavioral Crisis and a psychiatric emergency?

A

When the patient becomes agitated and violent is a threat to themselves or others

32
Q

83) What are the general guidelines for managing a patient with a behavioral emergency?

A

Be prepared to spend extra time with the patient

33
Q

81) Is there a problem with administering too much Naloxone to a patient? If so, what are the effects of too much of this drug on the patient?

A

Yes, seizures

34
Q

84) A 64 YOM presents to you with bizarre behavior. His Daughter states that he does not really know who she is and was rude to her. He is conscious, had a patent airway with normal respirations. What should you do?

A

Ask the daughter how the patient normally behaves

35
Q

What are key indicators and or signs that would be most helpful in doing a physical assessment of a patient with a behavioral problem?

A
  • Facial expressions
  • Pulse rate and respirations
36
Q

A schizophrenic patient dialed 911 because he is having severe abdominal pain. Law enforcement was first on scene and the patient became violent and placed in handcuffs. You assess the patient and he tells you that murdering someone will relieve his pain. His vital signs are WNL. What should you do?

A

Request PD in ambulance

37
Q

You are assessing a 52 YOF who states that she takes medications everyday for depression. She feels like the world is crashing around her. She has considered suicide but lacks the courage to actually act on those urges. What would you do to manage this situation?

A

Ask the patient if they have a suicidal plan

38
Q

A 42 YOM frequent flyer patient with a history of schizophrenia is reported by neighbors of throwing things around in his house. You have been numerous calls with this patient in the past. Law enforcement escorts you into the house to see the patient. The patient tells you he was throwing things at vampires to keep them away. He has several large lacerations on his forearms and is actively bleeding. What is the best way to handle this situation?

A

Restrain patient with sufficient force and treat them

39
Q

Immediately after restraining a patient, what should you do next?

A

Reassess airway and breathing (ABC’s)

40
Q

What is the number one thing that makes excited delirium worse?

A

Alcohol withdrawal

41
Q

What happens to the uterine wall in anticipation of receiving a fertilized ovum?

A

Engorged in blood

42
Q

What are the effects of pelvic inflammatory disease and how does it effect the fallopian tubes?

A

PID - Causing scarring in the fallopian tubes.
- Ectopic pregnancy.

43
Q

What happens to women’s menstrual periods as she approaches menopause?

A

Becomes irregular and varies in severity

44
Q

What is bacterial vaginosis?

A

Normal bacteria is replaced by an overgrowth of other bacterial forms.

45
Q

You are on scene with a young female that is suffering from non-traumatic vaginal bleeding. Her level of consciousness has decreased, her Respirations are Rapid and Shallow, Skin cool and Moist, and pulse is rapid and weak. What should you do?

A

Assist ventilations with a BVM

46
Q

What is the main focus when caring for a women with a gynecological emergency?

A

Maintain ABC and transport

47
Q

What are the treatment guidelines for women suffering from vaginal bleed and shock following a sexual assault?

A
  • Use sanitary pads over
  • treat external laceration with sterile pads
  • supplemental O2
  • supine patient
48
Q

The physical exam of a sexual assault victim should be limited to being brief and just for life threatening injuries why?

A

Limit assessment, don’t be invasive

49
Q

When writing your report on a sexual assault you should keep the report concise and only record what the patient states in their words. WHY?

A

Legal document and state patient with quotes

50
Q

What drug is known by the streets name “roofies”?

A

Rohypnol (Flunitrazepam)
- also the date rape drug

EFSC EMT (2 decks)

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