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EMT - CIEMT > Neurological Emergencies > Flashcards

Neurological Emergencies Flashcards

1
Q

Cerebellum function

A

Balance and fine motor skills

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2
Q

Control centers of the brain

A

Respiratory, cardiac, RAS, Vasomotor

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3
Q

Vagus Nerve function and location

A

10 Digestion, heart rate, breathing

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4
Q

Occulomotor Nerve function and location

A

3, pupil dilation, eye movement

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5
Q

AEIOUTIPS - A

A

Alcohol, anaphylaxis, anoxia

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6
Q

AEIOUTIPS - E

A

Epilepsy, environmental, electrolytes

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7
Q

AEIOUTIPS - I

A

Infection

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8
Q

AEIOUTIPS - O

A

Overdose

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9
Q

AEIOUTIPS - U

A

Underdose

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10
Q

AEIOUTIPS

A

Trauma

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11
Q

AEIOUTIPS - I

A

Insulin

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12
Q

AEIOUTIPS - P

A

Psychiatric, post-itcal, Poisonings, Palpitations

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13
Q

AEIOUTIPS - S

A

Stokes, Seizure

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14
Q

Your patient has a headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion, flushed. What do you suspect?

A

Carbon Monoxide poisoning

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15
Q

Stroke (CVA) causes

A

Thrombolism or A-Fib

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16
Q

blood clot, known as a thrombus, blocks or plugs an artery leading to the brain

A

Ischemic Stroke

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17
Q

Hemorrhagic Stroke

A

Bleeding in the brain triggered by exertion, stress, HTN

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18
Q

Patient reports the worst headache of their life and has hypertension

A

Hemorrhagic Stroke

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19
Q

What do these symptoms indicate? Headache, paresis, bushings triad, unequal pupils, ataxia, Dysphasia or Aphasia, Dystharia, Vision loss or blurred/double

A

Stroke signs

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20
Q

Disphasia

A

Slurred Speech

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21
Q

Receptive Aphasia

A

problem receiving speech, can speak

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22
Q

Expressive Aphasia

A

Can’t speak, can understand

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23
Q

Dystharia

A

Unable to understand, hard to be understood

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24
Q

Scale used to assess stroke

A

Cinnciatti Prehospital Stroke Scale

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25
3 signs assessed in the Cinnciatti Prehospital Stroke Scale
Face Droop, arm drift, Speech
26
Phrase used to assess speech
You can't teach an old dog new tricks
27
BE-FAST (Assess stroke)
Balance, eyes, facial droop, arm drift, speech, time (When was the last time they were seen normal?)
28
LAG (scale to assess stroke)
LOC (0-2) Arm Lift (0-2) Gaze (0-2) 0 - None 1 - Mild 2 - Severe
29
Stroke Tx
ABC, left lateral, transport
30
3 types of seizures
Grand Mal Absence (Petit Mal) Focal (one side)
31
What to ask on call for seizure
What did witness' see?, How long was the seizure?, How Many?
32
Complex Partial Seizure
ALOC, Lip smacking, eye blinking, isolated jerking, paranoia
33
Aura
Warning signs of seizure
34
Tonic-Clonic
During seizure
35
Post-ictal
5-20minute recovery period. ALOC present
36
4 Criteria for Status Epilepticus
>30 minutes of partial seizure lack of recovery between seizures >5 minutes convulsions 3 Convulsions within 1 hour
37
Febrile Seizure (Fever, usually children) tx
DOT - Active Cooling (arms, pits, groin) LA - passive cooling - remove clothing
38
Causes of Febrile Seizure
Hypoglycemia or Fever
39
Which organ makes insulin?
Pancreas
40
What does insulin do?
Helps glucose enter cells
41
Type 1 diabetes
Pancreas doesn't produce insulin, insulin dependent
42
Type 2 diabetes
Weak insulin or "less resilient". Over production of insulin to compensate causes wear on pancreas
43
Insulin Shock
0-40 mm/hg
44
Hypoglycemia
40-70 mm/hg
45
Normoglycemia
70-120 mm/hg
46
Hyperglycemia
120-400 mm/hg
47
DKA
400-800
48
Diabetic Coma
800+
49
Excess urination, thirst, and ketonic acid are a result of....
Hyperglycemia
50
Vomiting, abdominal pain, Kussmal Respirations, dry/warm/flushed, fruity breath are a sign of...
DKA
51
Severe intermitten cramping with diffused pain
Colic
52
Complaint of Right upper quadrant and shoulder pain
Gall Stones or Cholecystitis
53
Back Pain, fever, Tachycardia, nausea, vomitting
pancreatitis
54
Pain in all 4 quadrants, hot flushed diaphoretic, infection signs
Diverticulitis
55
Pinpoint pain, rebound tenderness
Apendicitis
56
Paralysis of peristalsis
Illeus
57
Pinpoint pain, lower abdomen or back, hematuria
Kidney stones
58
Cystitis
UTI
59
Consequences of missing Dialysis treatment
Pulmonary edema and death
60
tx of Kidney failure for EMT
ABC, O2 PRN, proper position, transport
61
Hematochezia
Bright red blood in the stool
62
Esophageal Varices
Dilated blood vessels in esophagus wall
63
Black tarry stool, hematochezia, hematemesis
Esophageal Varices

EMT - CIEMT (11 decks)

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