First Half Flashcards

1
Q

Pulse/Heart Rate (HR)
Assessed by palpating the __ pulse

A

radial

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2
Q

Normal resting pulse: range __ beats per minute (bpm)

A

60-100

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3
Q

Bradycardia <
Tachycardia >

A

60 bpm
100 bpm

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4
Q

the measurement of pressure in the arteries when the heart contracts and blood is forced from chambers into the arteries.

A

Systolic BP

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5
Q

the measurement of pressure in the arteries when the heart is at rest, between contractions. “Constant pressure” in the arteries.

A

Diastolic BP

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6
Q

the difference between systolic BP and diastolic BP.

A

Pulse pressure

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7
Q

Normal BP

A

120/80, 40mmHg (pulse pressure)

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8
Q

BP recording

A

Indicate position, which arm, and size of cuff. RAS (right arm sitting), LAS (left arm sitting)

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9
Q

Manual BP: palpate =__ artery

A

brachial

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10
Q

Variations in BP are normal

A

anxiety, pain, position, time of day, physical activity, full bladder, age, chemical substances (nicotine, caffeine), disease states (cardiovascular, kidney disease)

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11
Q

Observe the rise and fall of a patient’s chest

A

Respiratory Rate (RR)

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12
Q

Normal rate:
Bradypnea <
Tachypnea >

A

10-14 breaths per minute
10 RR
20 RR

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13
Q

Dyspnea:

A

shortness of breath

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14
Q

Orthopnea:

A

shortness of breath related to a recumbent position

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15
Q

Normal temp:
Fever >
Hypothermia <

A

98.6°F
100.0°F
94.0°F

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16
Q

Measured with tempadot (__) or nextemp (__): last dot indicates temp

A

blue dot
black dot

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17
Q

Place under the tongue, as far back as possible, into one of the heat pockets. Wait __, but less than __ to remove from pt and wait __ to read temp.

A

60 seconds
2 min
10 more sec

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18
Q

Oxygen Saturation/Pulse Ox
Normal reading:

A

95-100

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19
Q

Look at the atrial flutter chart

A

Did you actually look at it

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20
Q

Cardiac Rhythms: evaluate during palpation of __ pulse

A

radial

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21
Q

Hypertension

Systolic BP ≥ __mm Hg OR
Diastolic BP ≥ __ mm Hg

A

140
90

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22
Q

Recorded in two or more readings on two or more occasions.

A

Hypertension

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23
Q

Treatment - diuretics, ACE/ARB, Beta-blockers, calcium channel blockers, vasodilators, centrally-acting agents

A

Hypertension

24
Q

Decrease in systolic & diastolic BP below normal with accompanying symptoms (dizziness)

A

Hypotension

25
Causes of hypotension
cardiac insufficiency, decrease blood volume (dehydration, hemorrhage), burns, shock, severe infection
26
Medical Emergency Station Locations
Basement - Vending machines 1st floor - Oral surgery - Radiology - South hall - Emergency clinic 2nd floor - Between Alpha and Bravo - Between Echo and Foxtrot 3rd floor - Perio/Endo - Ortho/Pedo
27
One cycle of CPR is __ chest compressions and__ breaths. Takes about two minutes to do __ cycles of CPR if they are given at the rate of __ per min. You need to do 5 cycles of CPR and then check for a __.
30 2 5 100 pulse
28
CPR Steps:
CAB (Compression, Airway, Breathing) If there is a pulse but no breath you give one breath every five seconds. Note: Check surroundings first to make sure the scene is safe. So you don’t get clapped!
29
pt can breathe through nose, good for those who hate tight spaces
Nasal Cannula (O2 tank bag) Flow = 1-6 LPM
30
pt not breathing, CPR necessary,
Ambu Bag (O2 tank bag): low =25 LPM (MAX)
31
pt is not breathing, CPR necessary, never have flow control valve running,
Quick Connect (Green/Black) Positive Pressure Mask (O2 tank bag): flow=0. *ULSD 1st choice*
32
good for pts who can’t breathe well through nose, higher O2 content, covers mouth and nose
CPR Facemask flow=6-15
33
manual glucose monitoring
Glucometer
34
bleeding control
Tourniquet:
35
reverse effects of opioid overdose, last 30 - 90 minutes
Narcan Nasal Spray 4mg
36
anaphylaxis or severe immediate hypersensitivity rxns, hold for 10 seconds
EpiPen 1 Adult Single Dose 0.3mg:
37
symptomatic relief of allergic symptoms caused by histamine release (nasal allergies and allergic dermatosis); adjunct to epinephrine in anaphylaxis tx
Benadryl 50 mg/ml
38
tx or prevention of angina pectoris (chest pain)
Nitroglycerin
39
tx of hypoglycemia
InstaGlucose Gel & Glucose Tabs (dextrose)
40
prevention or tx of fainting
Ammonia Inhalants
41
tx or prevention of bronchospasm in patients with asthma or exercise-induced bronchospasm
Ventolin/Albuterol Inhaler
42
ischemic stroke/attack, acute coronary syndromes
Aspirin Tab
43
limp body, pale/clammy face, blue fingernails or lips, vomiting, slow breathing/heartbeat, constricted/pinpoint pupils
Opioid Overdose
44
Opioid Overdose tx
Narcan, put pt in recovery position, give second dose if necessary
45
passed out, loss of consciousness, BP/HR slow and weak
Syncope (Tx: Ammonia, Oxygen,)
46
due to anxiety or panic attack, increased RR/HR, rapid and deep breathing
Hyperventilation
47
tightness in chest, feel constricted, dyspepsia (indigestion), pain can radiate to neck, jaw or left arm
Chest Pain/Angina Pectoris:
48
rapid pulse, hangry, confused, normal/decreased BP, pale, dizzy, weak
Hypoglycemia:
49
mild (itching, rash, nasal congestion, sneezing); moderate (slight face swelling, itching, no trouble breathing); severe (severe face swelling, hives, respiratory wheezing or trouble breathing, cardiac arrest/anaphylaxis, severe decreased BP, rapid weak pulse)
Allergic Reaction:
50
LOC, oozing of saliva, grand mal-tonic/clonic convulsions, eye flickering, mouth twitching
Seizures:
51
wheezing, BP is normal or slightly elevated, cyanosis, trouble breathing
Asthma Attack
52
facial drooping, slurred/abnormal speech, can’t hold one arm up, squeeze of hands different
Stroke:
53
Important Note for Quick Connect Mask:
simply turn on O2 and put mask on pt when using O2 Demand Resuscitator Valve The flow control should NOT be adjusted when using resuscitator valve, O2 is flowing directly from the tank
54
Look at the oral land marks
Did you look???
55
Syneresis: Imbibition:
lose water/dry out absorb water
56
Q: What temperature of water will slow down the reaction time of the impression, causing the need to leave the impression in the patient’s mouth longer?
Cold