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EMT - CIEMT > Neurological Emergencies > Flashcards

Neurological Emergencies Flashcards

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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
Q

3 signs assessed in the Cinnciatti Prehospital Stroke Scale

A

Face Droop, arm drift, Speech

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26
Q

Phrase used to assess speech

A

You can’t teach an old dog new tricks

27
Q

BE-FAST (Assess stroke)

A

Balance, eyes, facial droop, arm drift, speech, time (When was the last time they were seen normal?)

28
Q

LAG (scale to assess stroke)

A

LOC (0-2)
Arm Lift (0-2)
Gaze (0-2)
0 - None
1 - Mild
2 - Severe

29
Q

Stroke Tx

A

ABC, left lateral, transport

30
Q

3 types of seizures

A

Grand Mal
Absence (Petit Mal)
Focal (one side)

31
Q

What to ask on call for seizure

A

What did witness’ see?, How long was the seizure?, How Many?

32
Q

Complex Partial Seizure

A

ALOC, Lip smacking, eye blinking, isolated jerking, paranoia

33
Q

Aura

A

Warning signs of seizure

34
Q

Tonic-Clonic

A

During seizure

35
Q

Post-ictal

A

5-20minute recovery period. ALOC present

36
Q

4 Criteria for Status Epilepticus

A

> 30 minutes of partial seizure
lack of recovery between seizures
5 minutes convulsions
3 Convulsions within 1 hour

37
Q

Febrile Seizure (Fever, usually children) tx

A

DOT - Active Cooling (arms, pits, groin)
LA - passive cooling - remove clothing

38
Q

Causes of Febrile Seizure

A

Hypoglycemia or Fever

39
Q

Which organ makes insulin?

A

Pancreas

40
Q

What does insulin do?

A

Helps glucose enter cells

41
Q

Type 1 diabetes

A

Pancreas doesn’t produce insulin, insulin dependent

42
Q

Type 2 diabetes

A

Weak insulin or “less resilient”. Over production of insulin to compensate causes wear on pancreas

43
Q

Insulin Shock

A

0-40 mm/hg

44
Q

Hypoglycemia

A

40-70 mm/hg

45
Q

Normoglycemia

A

70-120 mm/hg

46
Q

Hyperglycemia

A

120-400 mm/hg

47
Q

DKA

A

400-800

48
Q

Diabetic Coma

A

800+

49
Q

Excess urination, thirst, and ketonic acid are a result of….

A

Hyperglycemia

50
Q

Vomiting, abdominal pain, Kussmal Respirations, dry/warm/flushed, fruity breath are a sign of…

A

DKA

51
Q

Severe intermitten cramping with diffused pain

A

Colic

52
Q

Complaint of Right upper quadrant and shoulder pain

A

Gall Stones or Cholecystitis

53
Q

Back Pain, fever, Tachycardia, nausea, vomitting

A

pancreatitis

54
Q

Pain in all 4 quadrants, hot flushed diaphoretic, infection signs

A

Diverticulitis

55
Q

Pinpoint pain, rebound tenderness

A

Apendicitis

56
Q

Paralysis of peristalsis

A

Illeus

57
Q

Pinpoint pain, lower abdomen or back, hematuria

A

Kidney stones

58
Q

Cystitis

A

UTI

59
Q

Consequences of missing Dialysis treatment

A

Pulmonary edema and death

60
Q

tx of Kidney failure for EMT

A

ABC, O2 PRN, proper position, transport

61
Q

Hematochezia

A

Bright red blood in the stool

62
Q

Esophageal Varices

A

Dilated blood vessels in esophagus wall

63
Q

Black tarry stool, hematochezia, hematemesis

A

Esophageal Varices

EMT - CIEMT (11 decks)

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