Additional Info from PPT Flashcards
an obligation to provide care to a patient
Duty to Act
Not providing care as would be expected of an EMT in your locality. For example: performing a task improperly.
Failure to Meet the Standard of Care
Air can leak around a
stoma
Crackles, rhochi, wheezing
lower airway
Stridor, snoring
upper airway
the individual is lying on their side
lateral recumbent
Marfan syndrome leads to
AAA
Breathing stops and starts while sleeping
Sleep apnea
Narrowest part of an adult airway
Glottic opening
Narrowest part in child airway
cricoid cartilage
What nerve can you stimulate during suction and placement of advanced airways
Vagus
What are these symptoms a sign of….
dyspnea, SOB, decreasing minute volume, diaphoresis, cannot speak full symptoms, pain with breathing, accessory muscle use, anxiety
Airway compromise
Respiratory patient assessment: breathing tidal volume should be between…
5-7 mL/kg
Uses light to measure oxygen in peripheral blood (capillary beds)
Pulse oximetry
What kind of patients are used to a low normal pulse oximetry?
Emphysema
Produced during cellular respiration and excreted through exhalation
CO2
Most abdominal organs are
hollow
Airway protection position of comfort
LLR
Normal ETCO2 monitor
35-45 mmHg
continuous monitoring of CO2 respiratory gases
capnography
Early recognition of CO2 levels…
hypoventilation, apnea, or airway obstruction
Attempt to maintain a minimum of — in CO2 capnograms…
10 mmhg
Bronchospasms occur in
COPD, asthma
Volume of blood in ventricles at end of diastole
preload
resistance left ventricle must overcome to circulate blood
afterload
Afterload is increased in
hypertension and vasoconsttriction
preload is increased in
hypervolemia, heart failure
Hypertension is….
compensating
hypotension is
decompensating
ASA is an
antiplatlete
take the load off of the heart…
reduce the preload
Non-enteric coated
aspirin
Do not use nitro with
hypotension
Do not directly examine the __ with the ECG
Right ventricle
No conduction and no pump activity
Asystole
Quivering ventricles, irregular, minimal to no perfusion (output)
V fib
Verify carotid pulsel monomorphic or polymorphic
V tach
Over ventilation with cardiac resuscitation leads to
Regurgitation and aspirin
Ventilate adult cpr once every
6-8 seconds
With cardio cerebral resuscitation, continuous compressions with a
NRB at 15 lpm
Ventilation once every 6-8 seconds after
Advances airway placement
Neonates compression includes
3 compressions to 1 ventilation
MCMAID with what kind of resuscitation
Cardio cerebral
ROSC indications
Improves mental status Palpable carotid pulse at rhythm check intervals Agonal gasps End tidal co2 jump Obtain a 12 lead
How many cranial nerves
12
Means wandering, runs brainstem to colon
Vagus
Behind ear, respiratory tract and most of GI, stimulates muscle in upper respiratory tract, heart (Bradycardia)
Motor vagus nerve
Exposure to extreme heat, stress, straining bowel movements, standing for a long time, holding breath
Vasovagal syncope
Fainting lightheaded, tunnel vision, cool and clammy, hypotension, bradycardia
Parasympathetic response
Check orthostatic vitals with
Vagus nerve
Phrenic nerve originates in the
Cervical C3-C5 and into thoracic
keeps the diaphragm alive
C3,4,5
Phrenic nerve can cause
Diaphragmatic paralysis, mechanical trauma, compression, paradoxical motion
Acute form of laryngotracheobronchitis
Croup
Hoarseness, strider usually lasts __ in croup
3-5 days
Commonly Develops as a result of a viral infection, parainfluenza virus
Croup
Epiglottis is caused by
Bacteria
Acute onset of high grade fever, sore throat, drooling, dysphagia, possible strider
Epiglottis
Most GI emergencies result from an underlying
Pathologic
What pain is in Walls of hollow organs, capsules of solid organs
Visceral pain
Mechanisms of producing visceral GI plan
Inflammation, ischemia, distension
Dull, crampy pain, diaphoresis, tachycardia, generally progresses into somatic pain are signs of
Visceral GI pain
Sharp, pinpoint feeling that tar DKA along neural routes to spinal column
Partietal pain
Pain is more localized in
Parietal pain
Parietal pain is commonly caused by
Bacteria or chemical irritations
Appendix rupture or gallbladder, inflamed pancreas cause what kind of pain
Parietal
Originating in a region other than where it’s felt, caused by neural pathways that run over various organs
Referred pain
Diaphragm injury pain
Over necks or shoulders
AAA pain between
Shoulder blades
Appendix pain is
Peri umbilical
Left side of jaw and left arm pain consistent with
Cardiac pain
Localized or tearing pain results in
Dull steady and increasing pain results in
Sharp/flank resist in
Rupture of organ
Bowel obstruction
Kidney stone
Abdominal pain lasting over __ is a surgical emergency
6 hours
Superficial edema and bruising in subcutaneous fatty tissue around umbilicus.
Cullens sign
Cullens sign can indicate
Ruptured ecotopic pregnancy or retroperitoneum bleeding
Bruising to flanks, sign of pancreatic inflammation, and hemorrhage
Grey turners sign
Mortality rate for upper GI bleed
10%
Upper GI bleed consists of
Bleeding within GI tract proximal to duodenum
Lac in esophagus post vomit
Mallory weiss tear
Blood servely irritates the GI system
N/V
Hematemesis is in the
Upper GI
Melina is in the
Lower GI
Minimum of 150 cc of blood in GI tract for at least 6-8 hours
Melena
In a orthostatic hypotension test, the systolic…
Drops more than 10 mmHg or HR increases 20+
Inflammation of the stomach and intestines with associates sudden onset of vomiting or diarrhea
Acute gastroenteritis
Causes hemorrhage and erosion of mucus layers in GI tract
Acute gastroenteritis
Care for acute gastroenteritis
Supportive
Inflammation of GI marked by long term mucus change
Chronic gastroenteritis
Primarily due to microbial infection near opening to small intestine
Chronic gastroenteritis
Chronic gastroenteritis is far more common in
Undeveloped areas or those with bad hygiene (fecal oral route, infected food or water)
What can be done in extreme cases for an ulcer
Vagostomy
Pain after eating, none at night, excessive physical activity, stress acid can lead to
Peptic ulcer
Idiopathic inflammatory bowel disorder is known as
Ulcerative colitis
Ulcerative colitis is common in the
Rectum then extends proximal
Spread through whole colon vs. limited to rectum
Pancolitis, proctitis
Ulcers into the submucosal layer, healing is replaced with granular tissue that thickens muscosa
Ulcerative colitis
Presentations similar to that of a lower GI bleed, recurrent disorder, gassy pain
Ulcerative colitis
Form of IBD, runs in family, occur from mouth to rectum
Crohn’s disease
Crohn’s disease damages the
Intermost layer of tissue (mucosa)
Traps small amounts of fecal material, lower left sided pain, colicky pain, tenderness upon palpitation
Diverticulitis
Small masses of swollen veins that occur in the anus or rectum
Hemorrhoids
Most hemorrhoids are __ caused from
Idiopathic, heavy lifting/hypertension
Commonly bleed during defecation
Hemorrhoids
Blood in hemorrhoids is
Bright red blood
Blockages of hollow space or lumen within intestines
Bowel obstruction
Decrease in appetite, fever, malaise, peritonitis; diffuse visceral pain are signs of
Bowel obstruction
Appendicitis are most common in
Young adults
McBurney’s point refers to
RLQ where appenidix is, 2/3 of the way from umbilical to ASIS
In cholecystitis, the liver produces bile to
Lower cholesterol which can become backed up
Cholecystitis is in
RUQ, with pain referred to right shoulder. Skin may be warm
Murphy’s point associates with
Cholecystitis
What can cause pancreatitis
Alcoholism, gallstones, thromboembolism’s one shock, infection
Pancreatitis quadrant
LUQ radiating to back or epigastric region
What to watch for with pancreatitis
Hypotension and shock
Joints are responsible for
Bending and movement
Major short bones
Hands and feet
Connect bone to bone
Ligaments
Connect muscle to bone
Tendons
Cartilage responsible for
Flexibility