4 Flashcards
Occipital
Part of brain that controls vision
OD of tricyclic’s will cause all except
Inverted P wave
Of the following, the most neurotoxic snakebite comes from the
Coral Snake
Of the following, the one that is not a vasopressor is
Atropine
Of the following, the one that is Not Highly Contagious is
Shingles
Old lady thinking neighbors are out to get her
Remove her from the situation and keep talking to her.
One Sx / Sx of Hypoglycemia is
Polyuria
One of the first signs of shock
Restlessness, Elevated Heart Rate
One of the following may occur during the aging process Except
Feel or Thirst
One of the least important things to assess neurological status is if the patient has
Deep Tendon Reflexes
One Pupil Blown, other Sluggish
Neuro Crisis
Oral / Fecal disease
Hepatitis A
Organophosphate poisoning
Atropine
Organophosphate poisoning
Vomiting, Sweating, Diarrhea, (SLUDGE) Salivation, Lacrimation, Urination, Diarrhea
Orthostatic
Taking the patients BP while patient is laying down, sitting up, then standing at 2 minute intervals
Osmosis
Lesser Concentration to a Greater Concentration
Over hydration can of a patient can cause
Rales
Overdose of trycyclics causes all Except
Inverted P -Wave
Over hydrating IV therapy
Pulmonary edema
Pain in Chest and Back, Tearing / Shearing Pain Towards the Neck, Negative Brachial Pulse
Dissecting Aortic Aneurysm
Pain in chest, “tearing and shearing” pain towards neck with no pedal pulses
Dissecting Aortic Aneurysm
Pale skin (pallor) caused by
Vasoconstriction
Palpate abdominal quadrants in what order
UL, UR, LR, LL, Unless with pain in specific area then palpate away from that area moving into the area slowly
Paranoid patients should Not be dealt with by
Going along with the delusions
Parasympathetic Stimulation causes
Slowing of the Heart Rate
Parasympathetic Neurotransmitter
Acetylcholine
Peritoneum
Surrounding ABD wall
Part of Brain that Controls Posture
Cerebellum
Pathways to the brain
Sensory
Patient Choking, has Partial Obstruction, you
Encourage him to Keep Coughing
Patient complains of weakness, taking digitalis daily, awake, alert with vitals WNL you should
Monitor / Transport
Patient drooling with obvious Epiglottitis
Transport sitting up
Patient has ___ Gaze
Eyes Not Working Together
Patient has been decontaminated from radiation, comes to you
Low Threat
Patient has one blown pupil & the other reacts slowly to light
Neurological crisis
Patient in Diabetic Ketoacidosis will have
High Blood Sugar, Grossness in the Heart, Dry Skin
Patient in Diabetic Ketoacidosis will most likely have
Increased BP & Hot dry skin
Patient in Irreversible Shock, most likely have
Pulse Lower than Normal
Patient in nursing home has More Output then Input
Electrolyte Imbalance
Patient is Diabetic with a BS of 40. Which action would you Not do
IV Insulin
Patient is jaundice
Viral Hepatitis
Patient is numb from Zyphoid Process down
T - 4 / Thoracic
Patient is over hydrated, may have
Rales or Edema
Patient is talking very fast “suspect OD on”
Amphetamines
Patient lying down with S.U.B
Orthopnea
Patient presents with Jaundice, coke colored urine, etc
Hepatitis
Patient presents with Rhonchi and fever with no edema, etc.
Pneumonia
Patient presents with Urticaria, BP 80/40, P 120, Tachypnea, Wheezing
Anaphylaxis
Patient says “I hear bells in my head”
Aspirin OD
Patient shows signs of PE, 2 IV’s have been started, Next you
Administer 0.4 mg of Nitro
Patient sitting at 45 degrees with JVD
Heart Failure
Patient sitting up with Pink, Frothy Sputum
Left Heart Failure
Patient taking Digoxin and is in V Tach, Why would it Not work
Because patient is taking Digoxin
Patient trying to commit suicide with grass detergent agent (Organophosphate) is
Atropine
Patient Unconscious with return to Normal in 3 - 5 minutes
Concussion
Patient unconscious, does Not respond to verbal or pain what is GCS
3
Patient who had a syncopal episode do all except
Lift patient in sitting position
Patient with A Fib, takes Dig, Unstable with rapid ventricular response, Problem to Sync, Why?
Prone to Clots and therefore Embolism
Patient with DKA Presents
Warm & Dry Skin
Patient with high fever
Use tepid towels
Patient with history of (WPW (Wolfe-Parkinson White) in PSVT, with No Sx/Sx
Adenosine 6 mg rapid IV bolus
Patient with history of WPW in PVST, with no Sx / Sx
Adenosine 6 mg rapid IV bolus
Patient with increased ICP, Expect
Increased BP and Decreased Pulse
Patient with Intracranial pressure. First treatment should be
Hyperventilate
Patient with JVD, Put patient in a
Semi- Fowlers at 45 degree angle
Patient with Low BP, Warm & Dry Skin, and with Bradycardia
Neurogenic Shock
Patient with Orthopnea, place him is a
Sitting position
Patient with pH -7.30, PCO2 - 50, PO2 - O2
Respiratory Acidosis
Patient with productive cough, fever, weight loss
Tuberculosis
Patient with pulsating mass in abdomen, obvious AAA threat: all Except
NorEpi IVP
Patients with chronic bronchitis are called
Blue bloaters
Pea - Shaped Gland
Pituitary
PEA
No heart rate with electrical activity
People with AIDS, how do most people present
Normal, unable to tell
Percentage of Blood consisting of Red Blood Cells
Hematocrit
Person Experiencing Mood Swings
Maniac Disorder
Ph Above 7.45
Alkalosis
PH below 7.35
Acidosis
Phrenic Nerve
Responsible for controlling the Diaphragm
Physician can best prepare for Pt. with what information
Chief Complaint, History & Interventions taken so far
Pink Puffers and Blue Bloaters are associated with what type of patient
Emphysema, Chronic Bronchitis
Pink Puffers have
Emphysema
Place for decompression
2nd or 3rd Intercoastal space, Midclavicular line, or 4th or 5th Midaxillary
Pneumonia
Patient presents not feeling well, fever, productive cough
Poisonous Neuro Toxic
Coral Snake
Position a patient with Abdominal Pain in
Lateral Recumbent
Possible Abdominal Aortic Aneurysm
All except Norepinephrine
Pre-hospital treatment for fever
Remove clothing
Primary concern in treating a near drowning victim is
Hypoxia & Acidosis
Primary problem with asthma attack
Bronchoconstriction
Principal Buffer
Bicarb
Process by which cell size decreases
Atrophy
Pryrogenic reaction
Fever, chills, nausea & vomiting
Psychotic patients are
Not in touch with reality
Pt. is Diabetic with a blood sugar of 40, which action would you Not do
IV Insulin
Pt. sitting up with pink frothy sputum
Left heart failure
Pt. with increased intracranial pressure should be
Hyperventilated
Pulse Oximetry Measures
O2 Saturation in Peripheral Tissue
Pursed lips and Barrel chest
Emphysema
Pryrogenic Reaction
Fever, Chills, N & V
Rapid cooling of a heat stroke patient is done to prevent
Irreversible Brain Damage
Rapid onset of this condition will cause brain damage
Hypoglycemia
Red, purple or blue lesions on AIDS patient
Kaposi’s Sarcoma
Reentry may cause
Premature beats or Tachydysrhythmias (i.e. PAC)
Regarding a psychiatric patient, it is advisable to
Wait for assistance if the patient is violent
Regulates breathing, etc
Medulla
Rescue breathing pushes diaphragm
Increasing ventricular rate
Respirations of DKA
Kussmauls Respirations
Responding to a call, you get Clammy / Tachy
Sympathetic nervous system stimulated the pancreas
Restrain
Prone, One arm above head, Other by side, ankles together
Reye’s syndrome could cause all of the following except
Dehydration
Rhonchi
Fluid in the larger airways
Rhythm strip shows some type of block you
O2, Monitor and transport
Rule of 9’s, (adult) Chest (18). Abdomen (part of chest) and ANT of both upper extremities (4 - 5 each)? 27%
Burn
Rumbling sound, Fever, No Edema
Pneumonia
S / S anxiety
Increase Heart Rate
S / S of Anaphylaxis
Uticaria
Scenario: Muffle Heart Sound Left Chest Trauma
Do Not Decompress Right Side
Secondary assessment includes all, Except
Determining life threatening injuries
Seizure of one body part
Focal Motor
Seizure with Muscles Contracting and Relaxing, Unconscious, Incontinent
Grand Mal
Seizures without gaining consciousness in between 2 or more episodes
Status Epilipticus
Seizures without regaining consciousness in between
Status Epilipticus (Diazepam 2.5 mg (or 5mg) Incremental Dosing to 10 mg total IV dose)
Sellick’s Maneuver is
Pressure on cricoid cartilage
Semi Fowler
45 degree angle JVD
Serious Membrane Covering Abdominal Organs
Visceral Peritoneum
Severing the Spinal Cord at C3 - 4 Causes
Total Paralysis and Can Not Breathe on Their Own
Shingles
Not Contagious
Side effect of Diuretic Therapy
Hypokalemia
Side effect of Hyperventilation
Carpopedal Spasms
Signs & symptoms of dehydration, Except
JVD
Signs / Symptoms of TB
Weakness, Night Sweats, Fever, Rapid weight loss, Cough with blood
Signs of Dehydration, Except
JVD
Signs of Kidney Stone Except
Frequent Urination
Signs of Pneumothorax is
Distended neck veins
Signs of Renal Calculus, all Except
Increased Urination ( low UTI)
Single Most Important of Brain Function
LOC
Sodium Bicarb
Is Main Buffer in Body
Spinal Cord Ends
Lumbar
Spinal Injury cause No Diaphoresis
Because Lost Stimulation of Sympathetic
Spleen is located, where
Left Upper Quadrant LUQ (Liver RUQ)
Spontaneous Pneumothorax sx/sx
Sudden pain of short duration, Shortness of breath, Knife like pain
Stable Angina
During Exercise and Stress
Stages of Stress
Stress, Resistance, Exhaustion (page 46)
Status Epilipticus
No break between seizures
Stenosis
Abnormal narrowing of opening of passage way in a body structure
Stimulus of sympathetic nervous system
Blood vessel constriction / increased heart rate
Strain
Muscle over stretching
Stroke
Inadequate Tissue Perfusion
Stroke
No Fluid Bolus
Suctioning a Tracheotomy
3 - 5 inches
SX / SX Anaphylaxis
Uticaria
Sx / Sx Heat Exhaustion
101 temp. Athlete
Sx / Sx of Anaphylaxis
Increase Heart rate, Decrease Blood Pressure, Flushing, Itching
Sx / Sx of Anxiety
Increase Glucose (Hyperglycemia)
Sx / Sx of Asthma
Agitation, Anxiousness, Hypoxia, & Wheezing
Sx / SX of Croup
Slow onset, generally wants to sit up, barking cough, no drooling, fever of 100 - 101 degree
Sx / Sx of Croup includes all except
Bacterial (it’s a viral infection)
Sx / Sx of Epiglottitis
Rapid onset, prefers to sit up, no barking cough, drooling, painful to swallow, fever between 102 - 104 degree, Occasional stridor
Sx / Sx of Tuberculosis (TB)
Weakness, Night Sweats, Fever
Sympathetic Nervous System Causes
Blood Vessels Constriction, Rapid Heart Rate, Constriction of Sphincter Muscles
Symptoms due to Tachycardia are related to
Decreased Ventricle Filling, Time & Stroke Volume
T - 10
Umbilicus down
T - 4
Nipple line down
Taking a Palpable Blood Pressure only gives you
Systolic Pressure
Tall, thin 21 yr. old male with chest pains after coughing
Spontaneous Pneumothorax
TB is Transmitted by
Air Droplets
Tendons connect
Muscles to the bone
Term associated with 3rd degree burns
Eschar
The best characterization of an alcoholic would be a person that
Likes to drink alone, Goes on binges, and drinks in the early day
The best description of a crisis intervention technique it that it is
Suitable for application in many situations faced by the medic
The bodies primary respiratory drive is based on
Increase P Co2
The chemical mediator for the parasympathetic nervous system is
Acetylcholine
The common Tricyclic antidepressants are
Elavil & Tofranil
The end of the Femur which is toward the foot is referred to as
The Distal End
The following is “false” about treating a paranoid patient
Don’t take the family aside to talk
The Intelligence Part of the Brain (Learning, Memory, Analysis)
Cerebrum
The iron containing pigment of the red blood cells
Hemoglobin
The main distinguishing characteristics between the psychotic patient and the neurotic patient is that
The Psychotic patient is Not in touch with reality
The Major Extracellular Cation
Sodium
The medical term for coughing up blood (pink, blood filled sputum) is
Hemoptysis
The most common cause of coronary occlusion is
Thrombus
The most common cause of PID is
Gonorrhea
The Most Common Urinary Tract Infection is
Cystitis
The most effective drug (after oxygen) in a patient with an acute MI is
Morphine Sulfate
The most sensitive indicator of progressive disorder of the nervous system is
Change in mental status
The movement of water across a membrane from an area of lower concentration to higher is
Osmosis
The order in which a primary survey is conducted to search for immediate life threatening emergencies is to check
ABC’s - Breathing, pulse, bleeding
The Oxygen Delivery Device used for Emphysema is the
Nasal Cannula or Ventura Mask
The part of the brain that controls respirations / heart rate
Medulla
The part of the brain that controls vision
Occipital (back)
The patient has blood gases of pH - 7.15, PCO2 - 60, PO2 -60. The patient is in
Respiratory Acidosis
The patient has blood gases of pH - 700, PCO2 - 35, PO2 - 95, HCO3 - 12. The most appropriate immediate action is to give
Sodium Bicarbonate
The patient has blood gasses of pH - 7.15, PCO 2 - 95, PO2 - 60. The patient is in
Respiratory Acidosis
The patient is cyanotic, comatose and has agonal breathing, so we
Initiate BLS (ABC’s)
The patient that depends on Hypoxic Drive to trigger breathing and might experience respiratory arrest from high flow O2 would have
COPD
The patient with Increased ICP Varies from the expected in that
Pulse Decreases and Blood Pressure Increases. (Cushing’s Response)
The patient with the greatest chance of false imprisonment is the
Psychiatric patient
The physician can best prepare a patient with MI with what info
Complaint & history of present illness
The primary buffer system is
Bicarbonate
