NREMT 2 Flashcards
palmar
palm
palmar grasp reflex
infant grasp reflex
palpate
touch exam
pancreas
flat, solid organ; source of digestive enzymes
paradoxical motion
opposite of normal chest wall motion during flail chest
parasympathetic nervous system
vegetative functions
parenteral meds
meds that enters body by means other than digestive, skin or mucous membranes
parietal bones
between temporal and occipital cranium
parietal pleura
chest cavity membrane
paroxysmal nocturnal dyspnea
forced to sit up to breathe
partial pressure
gas in air
partial thickness burns
burn of the epidermis and some dermis but not subcutaneous issue
passive ventilation
air moving in-out during chest compressions
Pediatric Assessment Triangle / PAT
assessment tool for infants without touching
patella
kneecap
patent
clear
pathogen
microorganism capable of causing disease
pathophysiology
study of normal functions being affected by disease
Peak
maximum effect of drug period
pectoral girdle
supporting structure of arm s
pelvic binder
splint; reduce hemorrhage;
Pelvic Inflammatory Disease / PID
infection of fallopian tubes and surrounding tissues
peptic ulcer disease
abrasion of stomach or intestine
per os
through mouth; oral
per rectum
medication through rectum
perfusion
flow of blood through vessels and tissues
pericardial effusion
collection of fluid between pericardial sac and myocardium
pericardial tamponade
compression of heart due to fluid in the pericardial sac leading to decreased cardiac output
pericardium
heart sac
perineum
skin between vagina and anus
peripheral nervous system
31 pairs of spinal nerves and 12 pairs of cranial nerves. Sensory, motor and connecting nerves
peristalsis
tubular organs propel contents
peritoneal cavity
abdominal cavity
peritoneum
lining covering abdominal organs
peritonitis
inflammation of the peritoneum
persistency
how long a chemical agent stays on surface before evaporation
pertinent negatives
negative findings that warrant no care
pertussis
whooping cough
phalanges
bones of fingers and toes
pharmacodynamics
how medications work in the body
pharmacokinetics
how medications are absorbed, distributed, changed and eliminated
PHI
pertinent medical info
phosgene
pulmonary agent that is a product of combustion, delayed symptom onset
phosgene oxime
blistering agent
phrenic nerves
nerves for moving diaphragm
physiology
study or normal functions
pinna
visible part of ear
placenta previa
placenta develops and covers cervix
plantar
bottom of foot
pleural effusion
collection of fluid between lungs, may compress the lungs
pleuritic chest pain
sharp pain on breathing in
pneumothorax
accumulation of air or gas in pleural cavity
pleural cavity
interior of chest
polydipsia
excessive thirst
polyphagia
excessive eating
polypharmacy
multiple regular meds
polyuria
excessive urine
pons
sleep
positional asphyxia
restriction of chest wall movements, deadly, can be an obstruction
postconventional reasoning
reason based on conscience
posterior tibial artery
blood to feet
postictal state
period that follows a seizure, 5-30 mins, labored breathing and altered mental status
posttraumatic amnesia
inability to remember events after an injury
preconventional reasoning
reasoning based on getting what he/she wants
preeclampsia
pregnancy complication
preload
precontraction pressure as blood volume builds up
preoxygenation
providing oxygen in combination with ventilation
presbycusis
hearing loss at old age
preschool
3-6yr old
primigravida
first pregnancy
prolapse of umbilical cord
cord comes out before child
proximate causation
abuse of power/duty
psychogenic shock
fainting, sudden loss of blood loss to brain
pulmonary artery
carries oxy poor blood; heart->lungs
pulmonary edema
buildup of fluid in lungs
pulmonary embolism
clot from large vein that travels to heart
putrefaction
decomposing of body tissues
quadrants
sections of the abdominal cavity
quaternary blast injury
blast injury
raccoon eyes
bruising under eyes, indicating skull fracture
radial artery
wrist artery
rapport
trusting relationship
Reticular Activating Syndrome / RAS
upper brainstem; controls arousal
Radiological Dispersal device
common
recovery position
side lying; maintains a clear airway
reduce
to set a joint
referred pain
pain in area other than pain location
renal pelvis
cone; collects urine; funnells to ureter
res ipsa loquitur
EMS / EMT is liable for injury
residual volume
air that remains after maximal expiration
respiration
process of exchanging o2 and co2
respiratory compromise
inability to move gas effectively
Respiratory Syncytial virus / RSV
infection of lungs and breath passages; contagious through droplets
retrograde amnesia
cant remember before head injury
retropariteneal
behind peritoneal cavity
return of spontaneous circulation / ROSC
return of pulse and flow after cardiac arrest
reverse triage
multiple lightning strike victims
Revised Trauma Score
scoring head trauma
rhonchi
coarse, low breaths with mucus
rigor mortis
stiffness of body, definite sign of death
rooting reflex
infant moves towards cheek tough
rule of 9’s
assigns percentages of body for burns
sacroilliac joint
pelvis and vertebrae connection
sacrum
one of 3 bones in pelvic ring
Special Atomic Demolition Munitions / SADM
suitcase nuclear weapon
saggital plane
left and right
SAMPLE
signs/symptoms, allergies, medication, pert. med. history, last oral intake, events leading to injury
scald burn
hot liquid burn
schizophrenia
delusions, hallucinations, lack of interest in pleasure and erratic speech
school age
6-12yr old
sciatic nerve
most of leg and foot
sclera
white portion of eye
scope of practice
state law outline
sebaceous glands
produce sebum, along shafts of hair
second degree burns
epidermis and some dermis but not subcutaneous tissue
seminal vescicles
sperm sac
sensorineural deafness
perm. hearing loss due to injury
septic shock
shock by severe infection; usually bacterial
shallow respirations
low tidal volume breathing
shock
condition which the circulatory system fails to maintain function; hypoperfusion
shunts
tubes that drain
simple pneumothorax
no drastic vital change
skeletal muscle
muscle attached to bones; sirrated or voluntary muscle
SL
under the tounge; medication
somatic nervous system
regulates voluntary control
sphincters
muscles that contract/constrict a duct
spina bifida
spinal cord or mengies protrudes
spontaneous pneumothorax
rupture causing air to leak into pleural space
spontaneous respirations
non assisted respiratons
sprain
damage to ligaments
standard of care
written levels of expected care
START Triage
simple trage and rapid treatment ( walk? Resp? hemodynamic status (pumping heart/circulation)? neurologic ?
status epilepticus
seizures recur every few minutes or last longer than 30 min s
statute of limitations
time on which a legal case must be commenced
sterilization
removed microbial contamination
sternocleidomastoid muscles
allow head movement
stoma
opening leading to an organ
stratum corneum
outermost layer of skin
stridor
harsh, high pitched respiratory sounds by partial blockage
subarachnoid hemorrhage
bleeding into the space where CSF circulates
subcutaneous tissues
directly under dermis
subdural hematoma
blood beneath dura matter
sublingual
medication delivery under tounge
superior vena cava
carries blood to the upper extremities
supine hypotensive syndrome
low blood pressue from a pregnant female’s inferior vena cava compression when supine
sympathetic nervous system
fight or flight
symphyses
joints that grow toghether for a stable connection
syptomatic hyperglycemia
unconcious from ketoacidosis, dehydration due to polyuria, hyperglycemia
syncope
fainting
syndromic surveillance
monitoring by local or state departments
synovial fluid
joint lubrication
synovial membrane
secretes synovial fluid into joint space
systemic circulation
system outside of heart and lungs
systemic vascular resistance
force the blood needs to overcome to move
systole
contraction of heart
systolic pressure
increased pressure with each contraction (systole)
tachycardia
rapid heartrate, 100+/bpm
tachypnea
rapid respirations
tarsals
foot bones
Tuberculosis / TB
chronic lung bacterial infection
temporal bones
temples
temporomandibular joint
where mandible and cranium meet
tension pneumothorax
air/gas in pleural cavity causing pressue on chest and interferes with cardiac function
third-degree burns
epidermis, dermins and subceutaneous are burnt
thorax
chest
thromboembolism
floating blood clot
thrombophilia
abnormality in coagulation
thrombosis
blood clot
thrombo-
relating to blood clotting
Transient ischemic attack /TIA
brain disorder; brain cells temporarily stop functioning due to insufficient oxy; strokelike; resolves in 24hrs of onset
tibia
shinbone
tidal volume
one breath air ammoutn
toddler
1-3yr old
tolerance
need for increasing ammoutn of meds to get same effect
tonic-clonic seizre
twitching of all body muscles; grand mal seizure
traction
longitudinal force
tragus
bulge anterior to ear canal
transcutaneous
through the skin; medication delivery route
transverse
top and bottom plane
trauma score
GCS, 1-16, relates to likelyhood of patient survival
traumatic asphyxia
blood back into the head and neck
tunica media
middle and thickest layer of blood vessels
turbinates
layers of bone in nasal cavity
turgor
pinch skin; skin resist deformation
two-to-three word dyspnea
2-3 words and needing a breath
typanic membrane
eardrum
type 1 diabetic
autoimmune; cant produce insulin
type 2 diabetic
insulin resistance is present
umbilicus
belly button
untoward effect
actions harmful to patients
uremia
kidney failure resulting in waste in blood; impaired brain functions
ureter
tube, kidneys to bladder
urostomy
stoma to bladder
urticaria
hives
vancomycin-resistant enterococci
bacteria in female repro tract
vascoconstriction
narrowing of blood vessels
vasoocclusive crisis
ischemia and pain caused by sickle shaped RBC’s
veins
blood from tissues to heart
ventral
anterior
ventricle
lower chambers of heart
ventricular fibrillation (V-FIB)
quivering of the ventricles
ventricuclar tachycardia (V-TAC)
rapid heart rythem where electrical is in the ventricle
venules
small thin walled blood vessels
vernix caseosa
white, cheesey that covers fetus
verebreal column
spine, 33 vertebrae
vertex presentation
baby head first
vesicular breath sounds
normal breath
viral hemorrhagic fevers
virus that causes blood to seep out of tissue and vessles
virulence
strength of a pathogen
visceral pleura
membrane that covers lungs
vital capacity
air expelled after max breath
volatility
how long chem stays on surface before evap
V/Q Ratio
how much gas is being moved effiently and how much blood is flowing
wheal
bite; risen skin
Xiphoid Proccess
tip of sternum
zygomas
cheeckbones