Mod 3 Flashcards

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1
Q

close-ended question

A

questions with yes/no answers

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2
Q

crepitation

A

sound or feeling of broken bones rubbing together

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3
Q

detailed physical exam (DPE)

A

head to toe exam

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4
Q

diagnosis

A

label for patients

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5
Q

differential diagnosis

A

list of potential diagnosis

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6
Q

distention

A

stretched, inflated, or larger than normal

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7
Q

history of present illness (HPI)

A

information regarding the patients current condition

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8
Q

jugular vein distention (JVD)

A

bulging of the neck vein

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9
Q

medical patient

A

patient with one or more conditions/disease

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10
Q

open-ended question

A

requires more than yes/no

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11
Q

OPQRST

A

onset, provocation, quality, radiaton, severity, time

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12
Q

paradoxical motion

A

one side moves without the other

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13
Q

past medical history (PMH)

A

information regarding the patients past

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14
Q

priapism

A

persistent erection caused by spinal injury or medical problems

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15
Q

rapid truama assessment

A

a rapid assessment from head to toe to detect signs and symptoms of injury

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16
Q

reassessment

A

detecting changes in the patients condition

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17
Q

SAMPLE

A

symptoms, allergies, medicine, past history, last oral intake, events

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18
Q

sign

A

something you can see on the patient

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19
Q

stoma

A

permanent opening in the neck

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20
Q

symptom

A

something the patient tells you

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21
Q

tracheostomy

A

surgical incision held open by a metal or plastic tube

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22
Q

trauma patient

A

patient suffering from one or more physical injuries

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23
Q

trending

A

changes in a patients condition of time

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24
Q

orthopnea

A

shortness of breath that only happens when you lie down

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25
Q

components of the secondary assessment

A

physical examination, patient history, vital signs

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26
Q

what is physical examination

A

use sense to examine patient

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27
Q

what is HPI?

A

history of present illness

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28
Q

what is PMH?

A

psst medical history

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29
Q

what vital signs do you take?

A

pulse, respiration, blood pressure, pulse oximetry, skin (color, temp, and condition) and pupils

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30
Q

physical examination techniques

A

observe, auscultate, palpate

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31
Q

observe

A

looking at the patient for an overall sense of condition

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32
Q

auscultate

A

listening for signs of abnormal condition

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33
Q

palpate

A

feeling the area for deformities and abnormal findings

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34
Q

respiratory assessment history

A

dyspnea on exertion, weight gain, orthopnea, sleep on pillows, have a cough

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35
Q

dyspnea on exertion

A

difficult to catch breath after exertion

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36
Q

orthopnea

A

difficulty breathing when laying down

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37
Q

what to check in respiratory exam

A

pedal and sacral edema, lung sounds, pulse oximetry

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38
Q

respiratory specific history

A

dyspnea on exertion, orthopnea, weight gain

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39
Q

cardiovascular exam

A

check pulse (presence/rate/regularity), skin color/ temperature/condition) blood pressure, orthostatic blood pressure changes, JVD

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40
Q

neurological exam

A

use Cincinnati prehospital stroke scale (or other approved), pupils, monitoring mental status changes over time

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41
Q

endocrine exam

A

blood glucose, skin color/temperature/conditions, breath odors, excessive hunger, thirst, or urination, pupils, monitoring mental status changes over time

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42
Q

diabetic specific history

A

oral intake, medication history/use, recent illness

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43
Q

GI/GU (gastrointestinal/urinal)

A

palpation of abdominal quadrants

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44
Q

GI/GU specific history

A

input/output amount and frequency, question/observe for bright red/digested blood in vomit, stool, or urine

45
Q

base station

A

two-way radio at a fixed site such as a hospital or dispatch center.

46
Q

cell phone

A

phone that transmits through the air instead of over wires so the phone can be transported and used over a wide area.

47
Q

drop report (or transfer report)

A

an abbreviated form of the PCR that means an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving.

48
Q

mobile radio

A

two-way radio that is used/affixed in a vehicle.

49
Q

portable radio

A

handheld two-way radio.

50
Q

repeater

A

device that picks up signals from lower power radio units such as mobile and portable radios and retransmits them at a higher power. Allows low power radio signals to be transmitted over longer distances.

51
Q

telemetry

A

process of sending and receiving data wirelessly.

52
Q

watt

A

unit of measurement of the output power of a radio.

53
Q

blunt-force trauma

A

injury caused by a blow that does not penetrate the skin.

54
Q

danger zone

A

the area around a wreckage of a vehicle collision or other incident within which special safety precautions should be taken.

55
Q

index of suspicion

A

awareness that there may be injuries.

56
Q

mechanism of injury

A

a force/forces that may have caused injury.

57
Q

nature of the illness

A

what is medically wrong with a patient.

58
Q

penetrating trauma

A

injury caused by an object that passes through the skin or other body tissues.

59
Q

scene size-up

A

steps approaching emergency scene, check safety, take precautions, noting the mechanism of injury of nature of the patient’s illness, how many patients, and see if need to call for additional help.

60
Q

ABCs

A

airway, breathing, and circulation.

61
Q

AVPU

A

a memory aid for classifying a patient’s level of responsiveness or mental status. (it stands for alert, verbal response, painful response, and unresponsive.

62
Q

chief complaint

A

in emergency medicine, the reasons EMS was called, usually in the patient’s own words.

63
Q

general impression

A

impression of the patient’s conditions that’s formed on first approaching the patient, based on the patient’s environment, chief complaint, and appearance.

64
Q

interventions

A

actions taken to correct a patient’s problems.

65
Q

mental status

A

level of responsiveness.

66
Q

primary assessment

A

first element in P.A., steps taken to discover and deal with any life threat. probs. 6 parts are, 1. form a gen. impression. 2.assess mental status. 3. assess airway. 4. assess breathing. 5. assess circulation. 6. determine priority of patient for treatment and transport to hospital.

67
Q

priority

A

decision regarding the need for immediate transport of patient versus further assessment and care at the scene.

68
Q

auscultation

A

listening with a stethoscope for certain sounds.

69
Q

blood pressure

A

the force of blood against walls of blood vessels.

70
Q

blood pressure monitor

A

machine that inflates blood pressure cuff and measures blood pressure.

71
Q

brachial artery

A

the major artery of the arm.

72
Q

brachial pulse

A

the pulse felt in the upper arm.

73
Q

bradycardia

A

slow pulse; any pulse below 60 beats per min.

74
Q

carotid pulse

A

the pulse felt along the large carotid artery on either side of neck.

75
Q

constrict

A

get smaller.

76
Q

diastolic blood pressure

A

the pressure remaining in arteries when left ventricle of the heart is relaxed and refilling.

77
Q

dilate

A

get larger.

78
Q

oxygen saturation (SpO2)

A

ratio of the amount of oxygen present in blood to the amount that could be carried, expressed as a percentage.

79
Q

palpation

A

touching/ feeling. a pulse of blood pressure can be palpated with the fingertips.

80
Q

pulse

A

rhythmic beats felt as heart pumps blood through arteries.

81
Q

pulse oximeter

A

an electronic device to determine the amount of oxygen carried in the blood, known as SpO2, or oxygen saturation.

82
Q

pulse quality

A

rhythm (reg. or irreg.) and force (strong or weak) of the pulse.

83
Q

pulse rate

A

the number of pulse beats per min. above 120 and below 50 is a serious finding

84
Q

pupil

A

black center of eye

85
Q

radial pulse

A

the pulse felt at the wrist.

86
Q

reactivity

A

the pupils of the eyes reacting to light by changing size.

87
Q

respiration

A

breathing in and out

88
Q

respiratory quality

A

the normal or abnormal character of breathing. (shallow, labored, or noisy)

89
Q

respiratory rate

A

number of breaths taken per min. classified as normal, rapid, or slow. 12-20 for adults

90
Q

respiratory rhythm

A

the reg. or irreg. spacing of breaths.

91
Q

sphygmomanometer

A

the cuff and gauge used to measure blood pressure.

92
Q

systolic blood pressure

A

the pressure created when the heart contracts and forces blood out into arteries.

93
Q

tachycardia

A

a rapid pulse; any pulse above 100 beats per min.

94
Q

vital signs

A

outward signs of what is going on inside the body, including respiration; pulse skin color, temp, and condition (plus capillary refill in infants and children); pupils; and blood pressure.

95
Q

BSI

A

body substance isolation

96
Q

PPE

A

personal protective equipment

97
Q

important factors in falls

A

height, surface, part, interupted

98
Q

safe height for falls

A

adult: 20ft 15 years and younger: more than 10ft, (2 to 3 times childs height)

99
Q

types of penetrating truama

A

low-velocity (knife)
medium-velocity (hand/shotgun)
high-velocity (rifle)

100
Q

primary assessment focus

A

life threats to ABC: airway, breathing, circulation

101
Q

ABC order

A

ABC for signs of life

CAB for appears lifeless

102
Q

positions that indicate stress

A

Tripod position

Levine’s sign

103
Q

CTC

A

skin color, temperature, and condition

104
Q

baseline vital signs

A

first vital signs obtained

105
Q

repeat vital signs

A

gain further information by establishing trends

106
Q

pulse locations

A

radial, brachial, carotid arteries

107
Q

categories of respiratory quality

A

normal, shallow, labored, noisy

108
Q

PERRL

A

Pupils Equal, Round, and Reactive to Light