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Paramedic > Medic Album > Flashcards

Medic Album Flashcards

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1
Q

What are the steps to cardiac pacing?

A
  1. Turn on monitor
  2. Pads
  3. Identify rhythm
  4. IV
  5. Consider sedation
  6. Press “Pace”
  7. Select rate (80 per AHA)
  8. Increase energy (mA) until electrical capture
  9. Increase mA by 5-10
  10. Verify mechanical capture (Check Pulse)
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2
Q

What are the steps to Sync. Cardiovert?

A
  1. Turn on monitor
  2. Pads
  3. Identify rhythm
  4. IV, vagal (if stable enough)
  5. Consider sedation
  6. Press “sync”
  7. Select energy
  8. Charge
  9. Clear patient
  10. Shock
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3
Q

What is the post-arrest (ROSC) care?

A 
BLEACHO
Blood pressure: >90
Labs (not us) - BGL
ECG/12 lead
Advanced airway
Capnography: 35-45mmHg
Hypothermia: 32-36 degrees
Oxygen stats: > 92%
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4
Q

What makes a patient unstable?

A
  1. ALOC
  2. Hypotension <90
  3. Chest pain
  4. Signs of shock
  5. Signs of heart failure
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5
Q

What is the VOMIT mnemonic?

A 
*ALWAYS BSI/SS FIRST*
Vitals- have
Oxygen- place or bvm
Monitor- 12L or pads
IV- large bore, fluids: TKO or 20cc/kg
Treatment- based on rhythm
TRANSPORT
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6
Q

What is the med math formula for “med pushes”?

A

volume (mL) x Desired Dose
over
Concentration of med

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7
Q

What is the med math formula for “piggybacks”?

A

IV bag volume (mL) x Desired Dose x gtt set
over
Concentration of med

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8
Q

What is the med math formula for “Simple IV flow rate”?

A

Volume x gtt set
over
Time (min)

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9
Q

What is Eupnea?

A

Normal breathing

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10
Q

What is Apnea?

A

No breathing

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11
Q

What is Agonal?

A

Gasping + ineffective

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12
Q

What is Cheyne-Stokes? What does it indicate?

A

Increasing rate and depth followed by a decrease and period of apnea
-Increased ICP, head trauma

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13
Q

What is Biots breathing? What does it indicate?

A

Irregular rate and depth with periods of apnea

-indicates increased ICP and brain stem injuries

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14
Q

What is central neurogenic (ataxic) breathing? What does it indicate?

A

Rapid and regular

-Brain stem injury

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15
Q

What is Kussmaul breathing? What does it indicate?

A

Rapid and deep

-Indicates DKA or acidosis

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16
Q

What are the two signs of internal bleeding?

A

Grey-turner

Cullens sign

17
Q

What is Grey-Turner sign?

A

Brusing in flanks

18
Q

What is Cullens sign?

A

Brusing periumbilical

19
Q

What is McBurneys sign? What does it indicate?

A 
Pain RLQ (between umbilical and top of hip)
-Appendicitis
20
Q

What is Becks triad? What does it indicate?

A
  1. JVD
  2. Muffled heart tones
  3. Hypotension (narrowing PP)
    - Cardiac Tamponade
21
Q

What is Cushing triad? What does it indicate?

A
  1. HTN
  2. Bradycardia
  3. Irregular respirations
    - Increased ICP
22
Q

What is Lloyds sign? What does it indicate?

A

Pain upon “pressure” tapping of the flanks

-Pylenephritis

23
Q

What is Murphys sign? What does it indicate?

A

Pain right costal margin while holding breath

-Cholyestitis

24
Q

What is Markle sign? What does it indicate?

A

Pain in RLQ upon heel drop or tapping foot

-Appendicitis

25
Q

What is Kehr’s sign? What does it indicate?

A

Pain in shoulder

-Diaphragm irritation

26
Q

What are the four quadrants for heart axis deviation?

A

Bottom left: Normal: btw 0 & 90
Bottom right: Right axis deviation: btw 90 & 180
Top left: Left axis deviation: btw 0 & -90
Top right: Extreme right “NML”: btw -90 & -180

27
Q

What leads do you look at for axis deviation?

A

Lead I and Lead AVF

28
Q

How should Lead I and AVF look for normal heart deviation?

A

Lead I: up

Lead AVF: up

29
Q

How should Lead I and AVF look for right axis heart deviation?

A

Lead I: down

Lead AVF: up

30
Q

How should Lead I and AVF look for left axis heart deviation?

A

Lead I: up

Lead AVF: down

31
Q

How should Lead I and AVF look for extreme right heart deviation?

A

Lead I: down

Lead AVF: down

32
Q

What are the cranial nerves?

A
  1. Olfactory
  2. Optic
  3. Oculomotor
  4. Trochlear
  5. Trigeminal
  6. Abducens
  7. Facial
  8. Vestibulocochlear/ Acoustic
  9. Glossopharyngeal
  10. Vagus
  11. Accessory (spinal)
  12. Hypoglossal

Paramedic (34 decks)

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