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Clinical Skills / TESTS > First Year > Flashcards

First Year Flashcards

1
Q

What are the 5P’s of defib safety

A

Playtex
Piercing
Pendants
Pacemaker
Patches

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2
Q

What are the shockable rhythm during cardiac arrest

A

PVT -pulseless tachycardia
VF- Ventricular fibrillation

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3
Q

What are normal heart rate
**BONUS point **WHAT ABNORMAL

A

Normal = 60-100bpm
Tachycardia = 100+BPM
Bradycardia = 60 or less
Absolute bradycardia = less than 40

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4
Q

What are normal oxygen saturation
***Bonus points **” what is normal for patients with COPD

A

Normal = 94% +
COPD = 88-92

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5
Q

How to manage a active seizure

A

A - airway ( clear - suction )
B- rr ( 15L 02 ) - sat not reliable when active seizures
C - pulse and cap refill
D- GCS + BM + TEMP
T - time seizure = drugs

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6
Q

What is the brudzinski sign for
And how to do it 🚨🚨🚨🚨🚨

A

1) meningitis

Flex the neck causes knee flexion
Works as this causes compression on the neck (spinal cord) therefore protective mechanism

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7
Q

What is the glass test 🚨🚨🚨

A

1) meningitis test
2) roll glass or press on it if it disappears then less likely it’s septic otherwise it’s meningitis sign

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8
Q

How do you place a 3 lead ECG dots

A

Ride your green bike
Red - arm(right)
Yellow - arm (left)
Green - leg (left)
Black (right leg)

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9
Q

What is the lead placement for a 12 lead ECG

A

V1- 4th intercostal (right sternal boarder)
V2- 4th intercostal (left boarder)
V3- between 2nd and 4th
V4- 5th intercostal mid clavic
V5- 5th intercostal armpit line (end clavic)
V6- 5th intercostal mid axillary line

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10
Q

What are the lead views on a 12 lead ECG

A

Lateral - L1 avl v5 V6
Inferior - L2, L3 avf
Septal - v1, V2
Anterior- v3, v4
Non - avr

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11
Q

What is PPCI Criteria for STEMI🚨🚨🚨

A

Limb lead - 2+ lead with elevation in 1 small box plus

Chest lead - 2+ lead with elevation in 2 small boxes plus

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12
Q

What are the basic test for a stroke

A

Fast
F - face ( droop )
A- arms ( strength - weakness)
Speech - ( slurred)
T- time ( onset) - 5 hour window

Within 5 hour alert to stroke centre 🚨🚨

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13
Q

How does a paramedic test for a posterior stroke

A

AVVV
A - Ataxia ( your finger to there nose)
V- vomiting
V - vertigo ( dizziness)
V - vision deficit

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14
Q

In a cardiac arrest what is required for effective CPR

A

Rate - 100 to 120 BPM
Depth - 5/6 cm or 1/3 of chest
Placement - middle of chest

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15
Q

In BLS what is the cpr to breath ratio and for how many rounds ( adult)

A

30:2
5 rounds

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16
Q

In BLS what are the primary interventions required for a child in cardiac arrest

A

Airway : neutral alignment in small child
5 initial rescue breath - reassess
15 compression to 2 breaths
10 rounds

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17
Q

What is the minimum joules of electricity need for paediatric in cardiac arrest

A

4 Joules per kg

18
Q

What are the indicators for an OPA
2) how to size and insert
3) contraindications

Bonus point - how to insert in kids

A

1) airway obstruction
2) from insisors to angle of jaw - insert rotate locate
3) gag reflex

19
Q

What are the indicator for NPA
2) sizing and insertion
3) contraindications

A

1) airway compromise and can’t give opa
2) nostril to tragus of ear or standard size 6/7 - right nostril insert and rotate ( avoid pushing against resistance )
3) not tolerating or basal fractures

20
Q

What are the indicators for a BVM

A

Respiratory rate above 30 or below 10

21
Q

What are shockable rhythm in cardiac arrest

A

Pvt
Vf

22
Q

What are non shockable rhythm in cardiac arrest

A

Asystole
Pea

23
Q

When do you start CPR in children

A

Heart rate below 60 BPM

24
Q

What are BM reading ( temp)
1) normal
2) high
3) low

A

1) 4.0- 7.0/8.0
2) 8+
3) -4.0

25
Q

What are respiratory rates

A

1) 12 -20

26
Q

When is the normal pupil dilation size

A

2-6mm

27
Q

What are the two different types of choking

A

Severe a mild
Severe there will be no talking or active coughing treatment: 5 black flows followed by five abdominal thrust
Mild encourage coughing

28
Q

What is the airway ladder

A

Head tilt chin lift
Jaw thrust
Opa
Npa
Igel
Cric
Et

29
Q

What are the contraindications for a draw thrust

A

Broken jaw

30
Q

What are the contraindications for a head tilt gin lift

A

C spine issue

31
Q

What are the indications contradictations and sizing for an IGEL

A

Obstructed airway
Gag reflex
Based on weight - 4/5 standard size

32
Q

Where are the placements for 12 lead ECG

A

V 1 - 4th r border
V2 - 4th l border
V3 - 5th mid 2 and 4
V4 5th mic clavic
V5 - 5th armpit crease
V6 - 5th mid axilla

33
Q

What is axtaxia

A

Coordination problems, give task question or gait

34
Q

What is GCS - mouth arms and speech

A

4e spontaneous
3e to speech
2e to pain
1e no response

5v - relevant
4v - irrelevant
3v words
2v - sounds
1v - respond

6a - obay commands
5a - move to pain
4a - flex to pain
3a abnormal flextion
2a - abnormal extension
1a - no response

35
Q

How to take an assessment for cardiac assessment (Year 1)

A

I - hands ( tar staining colour, pacemaker
P - bilateral radial uses
P - N/A
A- n/a

36
Q

Respiratory assessment ( first year )

A

I - chest bruising, barrel chest, accessory muscle rise and fall, tripoding
P- equal chest rise and fall
P- sounds
A - auscultate - wheeze, crackle stidor

37
Q

Abdominal assessment ( first year )

A

I - ssbhcj ( scaring bruising, hernia., jaundice, Cullen sign, swelling
P- hypo/ hyper/ normoresinase
Palpation - any abnormal masses - rigidity, tenderness, condition Pacific test
A- bowel sounds

38
Q

What is the joules you have to shock at for a Peds cardiac arrest

A

4j per kg

39
Q

When can you confirm Pediatric /child cardiac arrest

A

No signs of life
No heart rate - pulse
Or heart rate below 60bpm

40
Q

What is the CPR to ventilation during cardiac arrest and how many rounds
Bonus points what’s it for a pediatric

A

30:2 - 5 rounds
15:2 - 10 rounds

41
Q

What is the CPR to ventilation during cardiac arrest and how many rounds
Bonus points what’s it for a pediatric

A

30:2 - 5 rounds
15:2 - 10 rounds

42
Q

How do you run a pediatric cardiac arrest BLS

A

Confirm cardiac arrest - no pulse or below 60bpm
5 ventilation - reassess
Pads on - see the rhythm and respond appropriately
Start CPR 15:2 - 10 rounds

Clinical Skills / TESTS (4 decks)

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