Med Terms #5 Flashcards
1
Q
Finish this sentence:
(___) inability to recognize a defect or disorder that is clinically evident
A
Anosognosia
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Finish this sentence:
(Anosognosia) ___ to recognize a defect or disorder that is clinically evident
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inability
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(___) producing anxiety
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Anxiogenic
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(Anxiogenic) ___ anxiety
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producing
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Finish this sentence:
(Anxiogenic) producing ___
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anxiety
6
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(Anosognosia) inability to ___ a defect or disorder that is clinically evident
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recognize
7
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Finish this sentence:
(Anosognosia) inability to recognize a ___ or disorder that is clinically evident
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defect
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(Anosognosia) inability to recognize a defect or ___ that is clinically evident
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disorder
9
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Finish this sentence:
(Anosognosia) inability to recognize a defect or disorder that is ___ evident
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clinically
10
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Finish this sentence:
(Anosognosia) inability to recognize a defect or disorder that is clinically ___
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evident
11
Q
Finish this sentence:
(___ stomatitis) canker sores
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Aphthous
12
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Finish this sentence:
(Aphthous ___) canker sores
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stomatitis
13
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Finish this sentence:
(___) stomach growling
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Borborygmi
14
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Finish this sentence:
(Borborygmi) ___ growling
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stomach
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(Borborygmi) stomach ___
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growling
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(Aphthous stomatitis) ___ sores
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canker
17
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Finish this sentence:
(Aphthous stomatitis) canker ___
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sores
18
Q
Finish this sentence:
(___kinesia) having slow movement or reflexes
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Brady
19
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(Brady___) having slow movement or reflexes
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kinesia
20
Q
Finish this sentence:
(Bradykinesia) having ___ movement or reflexes
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slow
21
Q
Finish this sentence:
(___) teeth grinding
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Bruxism
22
Q
Finish this sentence:
(___) heartburn; pain in the heart
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Cardialgia
23
Q
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(___) inflammation of heart valves
A
Cardiovalvulitis
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(___) earwax
A
Cerumen
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(___lithiasis) stones in the gallbladder or common bile duct
Choledocho
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(Aspirin) Classification | ___ aggregator inhibitor; anti-inflammatory; non-
narcotic analgesic
Platelet
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(Aspirin) Classification | Platelet ___ inhibitor; anti-inflammatory; non-
narcotic analgesic
aggregator
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(Nitrous Oxide) Classification | ___ anesthetic
General
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(Sodium Bicarbonate) Classification | ___ agent
Alkalinizing
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(Aspirin) Trade Name(s) | Multiple (___); Acetylsalicylic Acid [ASA]
Bayer
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(Dextrose) Trade Name(s) | ___, Dextrose 10%, D50, Dextrose 50%
D10
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(Dextrose) Trade Name(s) | D10, Dextrose ___, D50, Dextrose 50%
10%
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(Dextrose) Trade Name(s) | D10, Dextrose 10%, ___, Dextrose 50%
D50
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(Aspirin) Desired Effects | To ___ clot formation in the presence of chest
pain suggestive of an acute myocardial infarction.
inhibit
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(Dextrose) Desired Effects | ___ circulating blood sugar to normal states in hypoglycemia.
Restores
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(Dextrose) Desired Effects | Restores ___ blood sugar to normal states in hypoglycemia.
circulating
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(Dextrose) Desired Effects | Restores circulating ___ sugar to normal states in hypoglycemia.
blood
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(Dextrose) Desired Effects | Restores circulating blood ___ to normal states in hypoglycemia.
sugar
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(Aspirin) Desired Effects | To inhibit ___ formation in the presence of chest
pain suggestive of an acute myocardial infarction.
clot
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(Aspirin) Desired Effects | To inhibit clot ___ in the presence of chest
pain suggestive of an acute myocardial infarction.
formation
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(Aspirin) Desired Effects | To inhibit clot formation in the ___ of chest
pain suggestive of an acute myocardial infarction.
presence
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of ___
pain suggestive of an acute myocardial infarction.
chest
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of chest
___ suggestive of an acute myocardial infarction.
pain
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of chest
pain ___ of an acute myocardial infarction.
suggestive
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of chest
pain suggestive of an ___ myocardial infarction.
acute
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of chest
pain suggestive of an acute ___ infarction.
myocardial
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(Dextrose) Trade Name(s) | D10, Dextrose 10%, D50, Dextrose ___
50%
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(Aspirin) Trade Name(s) | Multiple (Bayer); ___salicylic Acid [ASA]
Acetyl
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(Aspirin) Trade Name(s) | Multiple (Bayer); Acetyl___ Acid [ASA]
salicylic
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(Aspirin) Trade Name(s) | Multiple (Bayer); Acetylsalicylic ___ [ASA]
Acid
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(Aspirin) Classification | Platelet aggregator ___; anti-inflammatory; non-
narcotic analgesic
inhibitor
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(Aspirin) Classification | Platelet aggregator inhibitor; ___; non-
narcotic analgesic
anti-inflammatory
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(Aspirin) Classification | Platelet aggregator inhibitor; anti-inflammatory; ___ analgesic
non-narcotic
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(Choledocho___) stones in the gallbladder or common bile duct
lithiasis
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(Choledocholithiasis) ___ in the gallbladder or common bile duct
stones
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(Choledocholithiasis) stones in the ___ or common bile duct
gallbladder
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(Choledocholithiasis) stones in the gallbladder or common ___ duct
bile
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(Cardiovalvulitis) ___ of heart valves
inflammation
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(Cardiovalvulitis) inflammation of ___ valves
heart
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(Cardialgia) ___; pain in the heart
heartburn
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(Cardialgia) heartburn; ___ in the heart
pain
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(Bruxism) ___ grinding
teeth
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(Bradykinesia) having slow ___ or reflexes
movement
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(Bradykinesia) having slow movement or ___
reflexes
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(Bruxism) teeth ___
grinding
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(Cardialgia) heartburn; pain in the ___
heart
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(Cardiovalvulitis) inflammation of heart ___
valves
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(Cerumen) ___
earwax
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(Choledocholithiasis) stones in the gallbladder or common bile ___
duct
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(Aspirin) Classification | Platelet aggregator inhibitor; anti-inflammatory; non-
narcotic ___
analgesic
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(Dextrose) Classification | ___
Carbohydrate
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(Nitrous Oxide) Classification | General ___
anesthetic
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(Sodium Bicarbonate) Classification | Alkalinizing ___
agent
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(Aspirin) Trade Name(s) | Multiple (Bayer); Acetylsalicylic Acid [___]
ASA
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(Nitrous Oxide) Trade Name(s) | ___
Nitronox
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(Sodium Bicarbonate) Trade Name(s) | ___
None
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(Aspirin) Desired Effects | To inhibit clot formation in the presence of chest
pain suggestive of an acute myocardial ___.
infarction
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(Dextrose) Desired Effects | Restores circulating blood sugar to normal states in ___.
hypoglycemia
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(Nitrous Oxide) Desired Effects | To relieve pain of musculoskeletal origin (i.e. fractures);
burns; suspected ischemic chest pain, and severe states
of anxiety including hyperventilation.
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(Sodium Bicarbonate) Desired Effects | Treats and prevents arrhythmias in tricyclic overdoses; rapidly drops potassium levels in serious cases of hyperkalemia, especially in dialysis and renal failure patients; improves coronary perfusion when given with
epinephrine.
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(Aspirin) Mechanism of Action | The major actions of aspirin appear to be associated
primarily with inhibiting the formation of prostaglandins
involved in the production of inflammation, pain, and
fever.
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(Dextrose) Mechanism of Action | Primary energy source distributed by blood to all tissues of body
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(Nitrous Oxide) Mechanism of Action | Nitrous oxide is a general inhalation anesthetic and is the principal adjunct to anesthesia. It is almost odorless, nonexplosive gas with relatively low anesthetic potency and muscle relaxant properties; however, the drug has strong analgesic properties.
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(Sodium Bicarbonate) Mechanism of Action | The major actions of aspirin appear to be associated
primarily with inhibiting the formation of prostaglandins
involved in the production of inflammation, pain, and
fever.
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(Aspirin) Indications | Chest pain (consistent with possible myocardial
infarction)
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(Dextrose) Indications |
* Hypoglycemia – Glucometer reading below 70
* Altered mental status
* Coma or unresponsiveness
* Status epilepticus
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(Nitrous Oxide) Indications |
*Fractures
* Burns
* Chest pain
* Kidney stones
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(Sodium Bicarbonate) Indications | *Metabolic acidosis
* Prolonged resuscitation efforts
* Tricyclic antidepressant overdose
* Hyperkalemia
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(Aspirin) Contraindications
* Hypersensitivity to aspirin
* Peptic ulcer disease (active)
* GI bleeding
* Impaired renal function
* Pregnancy
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(Dextrose) Contraindications
* Cerebrovascular accident in the presence of normal blood sugar
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(Nitrous Oxide) Contraindications
* Patient that cannot understand verbal instructions
* Intoxicated with either drugs or alcohol
* Altered LOC following head injury
* COPD
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(Sodium Bicarbonate) Contraindications
* Congestive heart failure
* Metabolic or respiratory alkalosis
* Hypokalemia
* Hypocalcemia
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(Aspirin) Adverse Reactions
* Excessive use may cause GI irritation and bleeding
* Nausea and vomiting
* Bronchial spasm in some asthma patients
* Allergic reaction
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(Dextrose) Adverse Reactions
* Tissue damage if extravasation occurs
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(Nitrous Oxide) Adverse Reactions
* Dizziness
* Light headedness
* Altered mental status
* Hallucinations
* Nausea and vomiting
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(Sodium Bicarbonate) Adverse Reactions
* Hypoxia
* Paradoxical CNS acidosis
* Metabolic alkalosis
* Hypernatremia
* Seizures
* May slough tissue at injection site (cytotoxic)
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(Aspirin) Drug Interactions
* Adverse reactions may be increased by concomitant use of other nonsteroidal anti-inflammatory drugs.
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(Dextrose) Drug Interactions
* None in the prehospital setting
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(Nitrous Oxide) Drug Interactions
* Can potentiate the effects of other CNS depressants such as narcotics, sedatives, hypnotics, and alcohol.
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(Sodium Bicarbonate) Drug Interactions
* May precipitate when given with atropine, calcium chloride, morphine aminophylline, and magnesium.
* Epinephrine, dopamine, and isopreterenol are inactivated when given with sodium bicarbonate.
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(Aspirin) Precautions
* Pregnancy
* Anemia
* Renal disease
* Hodgkin’s disease
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(Dextrose) Precautions
* May precipitate Wernicke-Korsakoff syndrome in Thiamine-deficient patients, often alcoholics
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(Dextrose) Precautions | Evaluate blood sugar using glucometer prior to
administration of dextrose. Otherwise, treat empirically
with Dextrose. Administering glucose will not produce
adverse effects even if hyperglycemic or diabetic
ketoacidosis is present. If no response after initial bolus,
other causes of unresponsiveness should be considered
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(Nitrous Oxide) Precautions
* Do not use in patients with COPD for two reasons
o Hypoxic drive and 50% oxygen may
cause respiratory depression or arrest
o Many COPD patients have blebs in their lungs and nitrous oxide can cause those blebs to swell and rupture.
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(Nitrous Oxide) Special Considerations
* Only use nitrous oxide in a well ventilated area. Patient must self administer nitrous oxide.
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(Sodium Bicarbonate) Precautions
* Be sure to have good flow in IV prior to giving slowly.
* May worsen CHF.
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(Sodium Bicarbonate) Special Considerations
* Adequate ventilation is the mainstay of acid-base balance in cardiac arrest. Sodium bicarbonate is reserved for patients with severe acidosis, or empirically for prolonged resuscitation efforts after ventilation, oxygenation, and perfusion has been established.
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(Aspirin) Dosing Regimen
* Adult - Four 81mg chewable baby aspirins orally Total dose 324mg
* Pediatric - Not Recommended
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(Dextrose) Dosing Regimen | Altered LOC
* D10 – 25 grams (250 ml) IV/IO; May repeat if necessary. D10 is the drug of choice
OR
* D50 – 25 grams (50 ml) IV/IO; May repeat if necessary
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*Pediatric patients:
o Weighs > 20 kg
D10 5ml/kg or
D50 1ml/kg
o Weighs < 20 kg
D10 5ml/kg or
No D50 allowed
o Neonates
2-4 ml/kg of D10 only
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(Dextrose) Dosing Regimen | Stroke
Same definition of hypoglycemia (< 70 mg/dL) applies to stroke patients, just as with all other patients, and should be treated
accordingly
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(Nitrous Oxide) Dosing Regimen
* Adult: Self-administered inhalation until pain is relieved or patient drops mask.
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* Pediatric: Same as adult
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(Sodium Bicarbonate) Dosing Regimen
* Adult –
o Full Arrest (Special Considerations) –
1 mEq/kg IV push.
o Renal Emergencies – 50 mEq IVP
o Crush Injury – 1 mEq/kg IVP then add 50 mEq to 1000 ml of NS and
infuse at 1000 ml/hr
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(Aspirin) Protocol Location | Acute Coronary Syndrome
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(Dextrose) Protocol Location |
*Altered LOC
*Stroke
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(Nitrous Oxide) Protocol Location | Pain Management
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(Sodium Bicarbonate) Protocol Location
*Cardiac Arrest
* Renal Emergencies
* Trauma Emergencies - Crush
