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Paramedic > EMT 115 > Flashcards

EMT 115 Flashcards

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1
Q

Define difference between

License
Certification
Credential

A

License - must be issued by a GOVERNMENT agency

Certification - is given from completion of an EDUCATIONAL PROGRAM

Credential - is given following an advanced level of examinations following rigorous PROTOCOLS

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2
Q

What is the Ryan White Act?

A

The Ryan White Act is a federal law that provides certain safeguards and protections for health care workers who are exposed.

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3
Q

Define Informed Consent

A

is a patient’s voluntary agreement to be treated after being told about the nature of the disease.

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4
Q

Airbag: Passive or Secondary Restraint?

A

Passive, things we don’t have to think about.

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5
Q

Whats the difference between Dysphagia and Dysphasia?

A

Gia - Gulping, swallowing (difficulty)

Sia - Speaking (difficulty)

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6
Q

Difference between Ileum and Ilium?

A

Ileum - small intestine - e

Ilium - large pelvis - i bone

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7
Q

Civil law v Criminal law

A

Civil - sue, malpractice

Criminal - prosecute

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8
Q

Ethics v Law

A

Ethics are principles, either personal or societal, that determine what is right and wrong.

Laws have sanctions for violations that are enforceable.

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9
Q

Define difference between

Defamation
Libel
Slander

A

Defamation - false statement, written or verbal

Libel - written

Slander - oral

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10
Q

What is the medical practice act?

A

Defines the skills of each type of medical person

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11
Q

Explain due regard when driving?

A

Drive to emergency calls, “with the proper care or concern” for other drivers and the laws

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12
Q

GCS (AND SCORE)

A

Between 3-15

M motor response 6-1
V verbal response 5-1
E eye response 4-1

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13
Q

What are the 10 rights

A 
Right patient 
Right medication 
Right dose 
Right route 
Right time

Right Documentation
Right Education
Right Evaluation
Right to Refuse

Right Assessment

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14
Q

What are the 4 E’s of injury prevention

A

Education - Inform people about potential dangers

Enforcement - Behavior change can be facilitated by changes in the law.

Economic incentives - Saving money by receiving a reduction in your insurance

Engineering/Environment- making environmental changes or changing the way certain products are designed.

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15
Q

Simplex v Duplex v Multiplex

A

Simplex is the basic radio system with all transmissions on the same frequency. Usually restricted to line of sight

Duplex uses a pair of frequencies. Transmissions are received on one signal and transmitted on a second signal.

Multiplex uses radio to carry many streams of radio and or data. Some multiplex systems send both voice and ECG data

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16
Q

Pnea

A

Respirations, Breath

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17
Q

Megaly

A

Irregular, enlargement

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18
Q

Lysis

A

Decomposition, breaking down

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19
Q

Phasia

A

Speech

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20
Q

Phagia

A

Eating, swallowing

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21
Q

Pathy

A

Feeling, treating disease

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22
Q

Algia

A

PAIN - AL-OWWWWW

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23
Q

Itis

A

Inflamed

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24
Q

Emia

A

Blood

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25
Q

Ectomy

A

Removal of something

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26
Q

Ostomy

A

To make an opening, ( O hole )

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27
Q

Osis

A

ABNORMAL condition

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28
Q

MI

A

Myocardial Infarction

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29
Q

SOB

A

Shortness of Breath

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30
Q

PO

A

Per O (by mouth)

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31
Q

NPO

A

Nothing by Mouth

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32
Q

PRN

A

As Needed (pro re nata)

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33
Q

BSA

A

Body Surface Area

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34
Q

CVA

A

Stroke CerebroVascular Accident

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35
Q

NSAID

A

Non Steroidal Anti Inflammatory Drug

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36
Q

ASA

A

Aspirin

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37
Q

CABG

A

Coronary Artery Bypass Graft

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38
Q

qd

A

Every day

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39
Q

LLQ

A

Left lower quadrant

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40
Q

PMH

A

Past Medical History

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41
Q

Word for clammy skin

A

Diaphoresis

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42
Q

Dys

A

Bad

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43
Q

Endo

A

Inner

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44
Q

Hyper

A

High

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45
Q

Macro

A

Large

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46
Q

Neo

A

New

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47
Q

Para

A

Alongside

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48
Q

Ante

A

Before

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49
Q

Epi

A

Upon

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50
Q

Retro

A

Back, backward

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51
Q

Supra

A

Above

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52
Q

Trans

A

Across

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53
Q

Circum

A

Surrounding

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54
Q

A/An

A

Without

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55
Q

Define Sagital

A

Left and right

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56
Q

Define transverse

A

Up and down

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57
Q

Convert mg to mcg

A

1 mg = 1,000mcg

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58
Q

Blood sugar abbreviation

A

BGL

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59
Q

For Drug calcs

what must you get from a question

A

Desired - what is ordered, what are they asking for

Weight - patient weight in kg

Volume - in mL

Drip - drip rate
__________________________________ over

Have - how much med do you have converted to same measurement as desired

Time - how many mins

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60
Q

When and how do you round in in drug calcs

A

kg and drops = round to whole numbers

7.45 = 8kg

Dosage is rounded to nearest tenth

145.26 = 145.3

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61
Q

What two parts go to the bottom of a drug calc

A

Have and Time

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62
Q

Explain the 10% rule for drug calcs

A

If the fluid added is less than 10% then you dont need to remove any fluid.

250 ml + 25 ml = 250ml

But

100 ml + 25ml you need to remove 25ml
75ml + 25 ml = 100 ml

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63
Q

Subjective v Objective with examples

A

Subjective What you are told:

victim/patient/witness/engine company that moved patient or did patient care prior to you getting there. Includes: HPI, SAMPLE, OPQRST, Hx, RX, allergies (all as individual line items)

Objective What you see/hear/feel/smell

Initial impression, describe the scene, mental status, patient behavior

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64
Q

How many mg are in 472 mcg

A

0.472mg

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65
Q

How many lbs are in a kg

A

2.2lbs

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66
Q

Certification v Licensure v Credential

A

Cert - National Registry Test, pass to get certified - FROM EDUCATION

License - pass nat registry test then take Maryland state protocol, pass to get licensed - FROM STATE

Credential - Once cut loose from ride-a-longs to work on your own you have become credentialed - FROM PROTOCOLS

67
Q

What does HEENT mean

A

Head, ears, eyes, nose, and throat

Goes in its own section after objective with pearl

68
Q

What is PEARL

A

Pupils equal and reactive to light

Goes in its own section after objective then HEENT

69
Q

What does loco parentis mean

A

In the place of a parent

70
Q

Components of negligence (4)

A

Duty to act - have legal duty to the patient to act

Breach of duty - did not fulfill duty

Proximate Cause - the breach cause the injury

Harm - Injury caused by paramedics negligence

71
Q

Rhinorrhea is

A

Runny nose

72
Q

Sagittal plane divides

A

Left and right halves

73
Q

A new Surgical creation of colon is

A

Colostomy

74
Q

Inflammation of the liver

A

Hepatitis

75
Q

Removal of the spleen

A

Splenectomy

76
Q

Example of an nsaid

A

Ibuprofen

77
Q

Oto abbreviation meaning

A

Meaning ear

78
Q

Cardiomegaly is

A

Enlarged heart

79
Q

Stroke to the sole of the foot is

A

The Babinski reflex

80
Q

Excessive potassium in the blood is called

A

Hyperkalemia

81
Q

Hypercapnea is

A

Insufficient carbon dioxide in the blood stream

82
Q

Nephr

A

Kidneys

83
Q

Lingu

A

Tongue

84
Q

Pharyng

A

Throat

85
Q

Dys

A

Difficult or painful

86
Q

PRN

A

As needed

87
Q

UE

A

Upper Extremity

88
Q

Cx

A

Chest

89
Q

Icp

A

Inter-Cranial Pressure

90
Q

APAP

A

AcetaminoPhen

91
Q

AC

A

AnetCubital fossa

92
Q

TCP

A

TransCutaneous Pacing

93
Q

TCA

A

TriCyclic Antidepressant

94
Q

Parts of a SOAPE report in order

A

Subjective - told to you by patient, Hx, Rx, Allegies, LOI, HPI, Denies (denies chest pain)

Objective - what you saw, mental status, kg, where was damage, bls treatments, HEENT, PEARL Skin chest, lung sounds and 12 lead, ab, pelvis, back extremities, stroke scale, apgar

Assessment - Field Diagnosis - What you think is wrong with the patient, Rule out or possible

Plan - Everything you did for the patient in order, BSI/SS, ABCs, including all transport information, how patient was secured, and rails up on hospital bed, etc, DETAILS!!!

Evaluation - 2 sets of Vitals, After plan what does patient state

95
Q

Levity v Lividity

A

Levity - humor or frivolity, humor during serious matter

Lividity - LIV - reddish to bluish discoloration of the skin due to pooling of blood following death

96
Q

Primary Injury Prevention v Secondary Injury Prevention

A

Primary - Things that we do to prevent injuries from ever happening: Helmets in sports/biking.

Secondary injury prevention: Things we do to keep the injury from getting worse: Splinting with joint above and below immobilized.

97
Q

What are 4 Ways of Proving Negligence

A

a. Duty to act (you had to take care of them)
b. Breach of duty (you didn’t do it)
c. Breach has an effect (they are further injured by your breach)
d. Proximate cause (your “bad” or negligent act caused them to be further injured)

98
Q

PG Social Services Number

A

301-909-7000

99
Q

Give Examples of Crew Resource Management

A
  1. Use a checklist
  2. Communicate with Clarity (designate a safe word)
  3. Anybody can question anything at anytime.
100
Q

Give an Example of Malfeasance

A

if we do a field amputation that is malfeasance on our part.

Mal - Occurs when you perform an act you were not authorized to do.

101
Q

You need to give 2mg of medication XYZ to your patient. It comes in 0.5mg tablets.
How many tablets will you give?

A

4 Tablets

102
Q

What do you need (and need to do for) for a Patient Refusal?

A

Patient must be AAOx4

Must give informed consent

Document everything you said to patient

103
Q

Implied v Informed v Expressed Consent

A

Implied - A normal person would accept help, i.e. an unconscious person

Informed - You explain why, and patient understands

Expressed - Patient asks you for help

104
Q

Edema

A

Swelling

105
Q

Paresis

A

Weakness

106
Q

Itis

A

Inflammation

107
Q

Rrhea

A

Discharge/flow

108
Q

Pnea

A

Breathing

109
Q

Oma

A

Tumor

110
Q

Define Assault

A

Assault occurs when a person instills the fear of bodily harm

111
Q

Define Defamation

A

Making a false statement through written or verbal

112
Q

Define Libel

A

A WRITTEN false statement

113
Q

Define Slander

A

A false ORAL Statement

114
Q

What defines an Emancipated Minor

A

A minor that is under 18 but

emancipated by court order, marriage, during pregnancy, or active military service

patient needs proof that they are not a minor

115
Q

Malfeasance v Misfeasance v Nonfeasance

A

Mal - performing an act you were never authorized to do

Mis - improperly performing an act

Non - Failure to perform an act

116
Q

DNR vs MOLST

A

DNR - applies to patients who are in cardiac arrest

MOLST - (more detailed) provisions that address CPR, Intubation, and palliative care

117
Q

1000mcg = mg

A

1 mg

118
Q

What is a micro drip set

A

60 gtts/mL

119
Q

What are some MACRO drip sets

A

Anything not 60

10 gtts/mL
15 gtts/mL

120
Q

1 mg = how many g

A

1mg = 0.001 g

121
Q

1 Tbsp = how many mL

A

1 tbsp = 15mL

122
Q

In your SOAPE Report where would you put how you left the patient with the rails on the hospital bed up

A

P - Plan, in the plan section give full description of everything you did

123
Q

In your SOAPE Report what would you put in your Assessment

2 Things

A

Primary Impression- Sepsis Possible- Bacterial Infection

(give idea of what your think is the problem)

RULE OUT - WHAT ITS NOT

124
Q

In your SOAPE Report where would you put VS 1 (first set of vital)

A

At the end of Objective

Objective has HEENT, PERRL

125
Q

Define Tort

A

the wrongful act that causes a civil suit.

Unintentional tort = negligence

Intentional tort = harm

126
Q

Define Coronal Plane

A

Front and Back

127
Q

Name the 6 C’s of Communication

A

Complete - Give all information

Concise - To the point

Congruency - between verbal and non verbal forms

Courteous - Nice tone of voice

Cohesive - One thing at a time

Clear - Understandable

128
Q

Leading cause of Death in America

A

1 for Children - Unintentional Injuries

#1 Heart Disease
#2 Cancer
129
Q

Active Listening Techniques

A

Repeating back key parts

Wait for their answers

130
Q

Explain Empathy on a call

A

Showing your patients, that you identify and understand their feelings

131
Q

WOB

A

Work of Breathing

132
Q

Pallor

A

Pale skin, from shock or illness

133
Q

Hematemesis

A

Vomiting of Blood

134
Q

mEq

A

milliequivalent

135
Q

ETT

A

Exercise Tolerance Testing - Treadmill test

136
Q

Chole

A

Bile or Gall

137
Q

Oligo

A

Few or Too Few, Not Many O = Zero

138
Q

Rx

A

Medical Prescription

139
Q

SL

A

Sublingual

140
Q

Hepato

A

Liver

141
Q

Jaundice

A

A condition in which the skin and the whites of the eyes become yellow, urine darkens, and the color of stool becomes lighter than normal.

142
Q

Cyanotic

A

Bluish or purplish discoloration (as of the skin and mucous membranes) due to deficient oxygenation of the blood

143
Q

Cyanotic

A

Bluish or purplish discoloration (as of the skin and mucous membranes) due to deficient oxygenation of the blood

144
Q

SQ

A

Sub Cutaneous

145
Q

IO

A

Intraosseous - into bone marrow

146
Q

MY

A

muscle

147
Q

Pneumo

A

Breathing, Respirations, Lungs

148
Q

Entero

A

Intestine EN - testin

149
Q

Peri

A

Surrounding, Around

150
Q

Nephron

A

Kidney, one of the functional units of the kidney that filters the blood

151
Q

Tachy-pnea

A

Rapid - Breathing

152
Q

Convert 93074 mcg to mg

A

93.074 mg

153
Q

46789 mg to g

A

46.789g

154
Q

285lbs to kg

A

285 divide by 2.2 = 129.27

kg and drops = round to whole numbers

Answer = 129kg

155
Q

2g = mg = mcg

A

2mg = 2000mg = 2,000,000 mcg

add 3 add 3 more

156
Q

.0023mcg = g

A

.0000000023g

157
Q

What is the Basic formula for Drug Calcs

A

Desired x Volume
______________
Have

158
Q

Emesis

A

vomitting

159
Q

gtts

A

guttae, drops per min

160
Q

60 drops makes ____ mL

A

1mL

161
Q

If a drip is not given use ____ drop set

A

60

162
Q

True or False: A drip rate must be Whole Number

A

True, Drip must be a whole number

163
Q

In SOAPE, where do the first set of vitals go?

A

Objective after

HEENT/PEARL findings:
And then detailed D-CAP BTLS, Lung sounds, etc.

VS#1:

Paramedic (24 decks)

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