DB Paramedic Cards Flashcards
A&P review
What is an Immunoglobulin?
It is also known as an antibody. It is a large Y-protein produced by B cells that is used by the immune system to identify and neutralize foreign objects such as bacteria and viruses
What is significant about IGG?
IGG is the most common immunoglobulin and accounts for 80-85% of the immunoglobulins in the body.
Where is IGA1 found?
IGA1 is found in the blood
Where is IGA2 found?
IGA2 is found in body secretions
Where is IGD found?
IGD is found on B lymphocytes
What immunoglobulin is responsible for allergic reactions?
IGE
What is the largest immunoglobulin?
IGM
What are the types of cells and their functions?
Muscle Cells (movement) Nervous cells (conductivity) Kidney and Intestinal cells (Metabolic absorption) Mucous Gland (secretion) All cells (respiratory) All cells (Secretion) Most cells (reproduction)
What is the most rapid acting mechanism in the Renal buffering system?
Acid-Bicarbonate buffering system
What is H2CO3?
Carbonic acid
What is the Carbonic Anhydrase formula?
H+HCO3H2CO3H20+CO2
What happens in protein buffering?
Hydrogen and CO2 attaches to the hemoglobin of the red blood cell. The hemoglobin travels to the lung tissue where hydrogen binds together with a bicarbonate to create carbonic acid which quickly diffuses into CO2 and H2O. The lungs then eliminate the excess carbon dioxide through exhalation.
When does renal buffering happen and how does it work?
Renal buffering is the slowest method. If the body is too acidic it will increase the amount of hydrogen eliminated in the urine and recover bicarbonate. If not enough hydrogen is present it will retain hydrogen and eliminate bicarbonate.
What are some ways Metabolic acidosis can occur?
lactic acidosis, diabetic ketoacidosis, and renal failure. A loss of base can be caused by diarrhea or vomiting. loss of base occurs and acids stay normal shortly.
What is a way metabolic Alkalosis can occur?
Prolonged diarrhea and vomiting but is very uncommon.
What is HCO3?
Bicarbonate
What does PH stand for?
Power of Hydrogen
Anything that increases Hydrogen levels or decreases bicarbonate levels causes what?
Acidosis
Anything that decreases Hydrogen levels or increases bicarbonate levels causes what?
Alkalosis
What does 7 represent on the ph scale?
neutrality
What is the normal Ph in the human body?
7.35-7.45
Hemophilia is what?
the inability for blood to clot
What is an Ion?
an electrically charged molecule
What is a cation?
a positively charged molecule
What is an anion?
a negatively charged molecule
What is the chief extracellular cation?
Sodium
What is the major anion?
Chloride
Renin-angiotensin system does what?
In response to renal blood flow it produces angiotensin 1 in the blood which produces angiotensin 2 in the lungs which causes the release of aldosterone and vascular constriction. It also makes ADH which is an antidiuretic. ADH stimulates the kidneys to reabsorb sodium and water which returns normal blood flow to the kidneys.
What is Dehydration?
Dehydration is a state in which the body loses large amounts of fluid from the tissues.
What is GH or Growth hormone?
Somatropin
What is TSH or Thyroid stimulating hormone?
Thyrotropin
What is ACTH or Adrenocorticotropic hormone?
corticosteroids
What is LH or Luteinizing hormone?
reproductive hormones
What is FSH or follicle stimulating hormone?
reproductive hormones
What are T3 & T4 hormones?
Thyroid hormones triiodothyronine T3 and Tetraidothyronine T4 pituitary lobe
What is testosterone?
Androgen produced by the testes
What is Estrogen?
Estrogen and progesterone and human gonadotropin is produced by the ovaries
Cortisol does what?
Adrenal cortex releases this during periods of stress which also stimulates the release of ACTH
Where is Epinephrine produced and what is it responsible for?
It is produced in the adrenal glands and responsible for flight or fight response from the sympathetic system. Also called adrenaline.
What does Aldosterone do?
This regulates water and sodium in the body.
What does ADH do?
it constricts blood vessels and raises blood pressure.
Where is insulin produced?
Insulin is produced by the pancreas which controls metabolism and sugar.
Where is Glucagon produced?
Glucagon is produced in the pancreas
Where is Oxytocin produced and what is it responsible for?
This is produced in the pituitary gland and is responsible for smooth muscle contraction in the uterus for pregnant women and milk to be released in the mammary glands.
What is Thyroxin responsible for and where is it produced?
It is responsible for metabolism primarily and is produced in the thyroid.
What is MODS
MODS is multi organ dysfunction syndrome which is a progressive impairment of two or more organ systems. This is usually a response to uncontrolled inflammation from severe illness or injury such as sepsis, trauma, or burns. The most common cause is sepsis and is estimated to be associated with 60-90% mortality rate.
What is Isotonic?
When the body maintains an equal solute concentration and therefore osmolality on each side of the membrane.
What is hypertonic?
When an imbalance of solutes exists from one side of the membrane to the other. The side with the higher concentration is hypertonic.
What is hypotonic?
When an imbalance of solutes exists from one side of the membrane to the other. The side with the lower concentration is hyportonic.
What is osmotic gradient?
The difference in concentration from one side to the other.
What 3 components are considered when talking about wellness?
Physical, Emotional, and Mental
What are primarily found in plant foods commonly referred to as starches and sugars?
Carbohydrates
Why are polyunsaturated fats good for the body?
They are said to reduce cholesterol
What kind of fats are healthy vegetable oils called?
Monosaturated fats
What unsaturated fats are unhealthy?
Trans Fats
What are often called the building blocks of life?
Protein
What percentage of water is the total body weight?
60%
How many servings of fruits and vegetables, protein, low fat dairy, and whole grains are needed to be considered a healthy diet?
5 servings of veggies, 5-6 ounces of protein, 3 cups of dairy, and 3 servings of whole grain.
Which type of exercise does not require joint movement?
Isometric
Which type of exercise involves joint movement with extension and flexion?
Isotonic
The amount of sleep considered to be a good amount of sleep is how many hours?
7-8 hours
What is a daily rhythmic activity cycle based on 24 hour intervals called?
The Circadian cycle
What health problems can obesity lead to?
cardiovascular disease, arthritis, certain cancers, hypertension, and diabetes.
Clothing or bunker gear appropriate when no respiratory or skin hazard is present but doesn’t protect from WMD is what class?
Class D PPE
What class of PPE uses a respirator and is chemical resistant?
Class C
PPE that is chemical resistant fully encapsulated and uses SCBA is what class?
Class A
PPE that is chemical resistant with a hood and uses SCBA is what class?
Class B
Cleaning with an agent that should kill many of, or most surface organisms is what?
Disinfect
Cleaning that kills all micro organisms is referred to as what?
Sterilize
What are the three stages of stress?
Alarm, Resistance, Exhaustion
What are the 5 stages of grief?
Denial, Anger, Bargaining, Depression, and Acceptance
When did hospice originate and come to the USA?
It originated in England in 1960 and came the the USA in 1963
When was the first pre-hospital service started?
In 1797 in Napoleons army by Larrey
When did ambulance service start in the USA?
1865 in Cincinnati and 1869 in NY
When did transport of the sick and injured become an expected service in the USA?
1950-1960
What act was passed with the findings of the white paper study and when was the act passed?
The highway safety act of 1966
What 2 agencies were created because of the highway safety act?
The DOT and the National Highway and traffic safety administration.
Who is responsible for the EMS system and its curriculum?
NHTSA
What is NREMT?
A national organization that measures the readiness of graduated students to provide effective patient care in the pre-hospital setting.
What is the term that refers to the enablement of EMS professionals to move from one state to another and receive credit for their previous credentialing?
Reciprocity
A predefined set of skills, interventions, or other activities that the paramedic is legally authorized to do is?
Scope of practice
When was the first national standard curriculum developed for EMT’s?
1977
What is an external verification of competencies called?
Certification
Permission granted by the state to perform restricted activities is known as what?
Licensure
Permission by a specific EMS entity or medical director to practice in a certain setting is known as what?
Credentialing
What happens if your paramedic license expires?
Ability to practice is suspended
Following the standards of conduct and performance of a profession is known as what?
Professionalism
Expectations established by the community at large reflecting their views of the conduct of a profession are known as what?
Ethics
The single most important attribute a paramedic must possess is known as?
Integrity
Compassion without sharing the same feelings is what?
Empathy
As a paramedic we are the patients what?
Advocate
Written instructions that authorize EMS personnel to perform certain medical interventions before establishing communication with a physician is known as what?
Standing orders
Written guidelines that outline specific assessments and interventions is known as what?
Protocols
Guidelines for behavior and action are what?
Policies
What is myasthenia gravis?
An auto immune disorder that affects the neuromuscular junction of the skeletal and cardiac muscle. MUSCLE WEAKNESS
Alpha 1 receptor does what?
primarily causes vasoconstriction and mild bronchoconsstriction
Alpha 2 receptor does what?
causes smooth muscle contraction, inhibition of insulin release, and promotes blood clotting.
Beta 1 receptors does what?
They are found in the heart and increases heart rate, cardiac contraction, and cardiac conduction
Beta 2 receptors does what?
These receptors are found in the lungs, where receptors cause bronchodilation.
What is the transverse plane of the body?
divides the body in top (superior) and bottom (inferior) halves.
What is the sagittal plane of the body?
divides the body in left and right halves
What is the frontal plane of the body?
divides the body into front (anterior or ventral) and back (posterior or dorsal)
What are the 12 cranial nerves and what do they do?
Olfactory (Smell)
Optic (Sight)
Occulomotor (Eye movement)
Trochlear (Eye movement)
Trigemminal (Chewing food, sensation in face, scalp cornea teeth
Abducen (Eye movement)
Facial (Facial expression, secretion of saliva and tears, taste, blinking
Vestibulocochlear (Sense of hearing and balance)
Glossopharyngeal (Swallowing, secretion of saliva and tears, taste, gag reflex)
Vagus (Visceral muscle movement, digestive system, regulation of blood pressure
Accessory (Head and shoulder movement)
HypoGlossal (Speech and swallowing)
What are mast cells and what is their function?
They are large sacs of granules and play a very important role in the inflammatory response. They drop their granules (degranulation) which include histamine, neutrophil chemotactic factor, and eosinophil chemotactic factor.