NREMT Flashcards

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1
Q

The pathway of blood through the heart

A

superior/inferior vena cava right atrium tricuspid valve right ventricle lungs for oxygenation pulmonary valve left atrium bicuspid valve left ventricle aortic valve aorta.

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2
Q

Beck’s Triad consists of what 3 signs?

A

Muffled heart tones, hypotension and jugular vein distension

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3
Q

What blood pressure is represented when the ventricles are filling with blood?

A

Diastolic

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4
Q

triad of symptoms that indicates abdominal aortic aneurysm

A

abdominal pain, hypotension, and pulsating abdominal mass

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5
Q

There are two types of valves in the heart. The mitral and tricuspid valves are which kind of valve?

A

Atrioventricular

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6
Q

Semilunar valves of the heart include…

A

The pulmonic and aortic valves are both semilunar valves.

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7
Q

What is the preferred method of ventilation in the field for a patient who is not able to breathe on his own?

A

Mouth-to-mask ventilation

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8
Q

Types of bronchodilators include all of the following EXCEPT: Alupent Pulmicort Proventil Metaprel

A

Pulmicort

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9
Q

The three signs of imminent respiratory failure in a patient experiencing acute respiratory distress:

A

The three signs of imminent respiratory failure in a patient experiencing acute respiratory distress: - cyanosis - decreased consciousness - inability to maintain respiratory effort

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10
Q

List the presentation of patients with acute respiratory distress syndrome (ARDS)

A

ARDS: - hypotension - diaphoresis - tachynpea - dyspnea - dizziness/confusion - exhaustion - cyanosis - edema - absent lung sounds

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11
Q

Steps of assessment

A

Pulse airway is open and clear respiratory rate and depth & work of breathing level of oxygenation level of consciousness

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12
Q

Ataxic respirations

A

completely irregular breathing punctured by periods of apnea (cessation of breath)

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13
Q

Cheyenne-Stokes respiration

A

characteristic form of ataxic respiration—a pattern in which breathing deepens progressively and occasionally becomes progressively more rapid as well, punctured by periods of apnea. Pattern repeats in a cycle taking from 30s-2 minutes

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14
Q

What is the normal rate of breathing for someone who is 6-12 months old

A

24-30 breaths/minute

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15
Q

What is the normal rate of breathing for someone who is 1-6 years old

A

1-6 yo = 20-30 breaths/min

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16
Q

What is end tidal CO₂? How is it measured and what does an elevated value and a decreased value represent?

A

End tidal CO₂ is the amount of CO₂ present in exhaled gases and is measured by capnography. Elevated end tidal CO₂ = hypoventilation or increased metabolic activity Low end tidal CO₂ = decreased cardiac output, low pulmonary perfusion

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17
Q

Recovery position is recommended for patients who are (conscious/unconscious) and (breathing spontaneously / not breathing spontaneously)

A

Recovery position = unconscious + NOT breathing spontaneously

18
Q
A

Bone 2 = fibular

Bone 3 = tibia (think tibia = taler = wider & fatter than fibular)

19
Q
A

Bone 4 = Humerous

Bone 5 = Radius (lateral)

Bone 6 = Ulnar (medial)

Bone 10 = Phalanx

20
Q

Three layers of the skin?

A
  1. Epidermis
  2. Dermis
  3. Subcutaneous
21
Q
A
  1. Mandible
  2. maxilla
  3. nasal bone
  4. frontal bone
  5. temporal bone
  6. parietal bone
  7. zygomatic bone
  8. sphenoid bone
22
Q

RUQ main organ (2)

organs present here and also in other areas (4)

A

RUQ = Liver + gallbladder

also right kidney, colon, pancrease, small intestines

23
Q

LUQ main organ (2)

organs present here and also in other areas (4)

A

LUQ = spleen + stomach

Other = liver (small portion), left kideny, colon, pancreas, small intestines

24
Q

RLQ main organ (1)

organs present here and also in other areas (3)

A

RLQ: Appendix

Other: utererus, colon, right ovary

25
Q

Visceral pain

Describe what causes it

How it feels

A

Felt when noxious stimuli affect an abdominal viscus

Poorly localized

dull

gnawing or burning

26
Q

Parietal pain

Describe what causes it

How it feels

A

Parietal pain =

noxious stimuli affect the parietal peritoneum

Precisely localized

intense

aggravated by movement

27
Q

Referred pain

Describe what causes it

How it feels

A

Referred pain

felt in remote areas supplied by the same neurosegment as the diseased organ

well localized

appears with intense visceral stimulus

28
Q

Hollow organs do what when injured and they include what? (6)

A

Hollow organs:

Leak

Include:

Stomach, intestines, gallbladder, urinary bladder, ureters, uterus

29
Q

Solid organs do what when injured and they include what? (4)

A

Solid organs BLEED when injured

Include: KLOPS

Kidneys

liver

(ovaries)

pancreas

Spleen

30
Q

How many vertebrae in the spinal cord and how are they classified?

A

Spinal cord = 33 vertebrae

7 cervical

12 thoracic

5 lumbar

5 sacral

3-5 coccyx

31
Q

4 necessary elements of negligence

A

Duty of care

breach of duty

damages

causation

32
Q

What plane divides the body into:

left & right

top & bottom

front & back

A

left & right: midline/midsagittal

top & bottom: transverse/horizontal

front & back: frontal/coronal

33
Q

Bones of the sternum (upper, middle, lower)

A

Manubrium: upper portion of the sternum

Body: middle portion of the sternum

Xiphoid process: inferior tip of the sternum

34
Q

Arm bones from upper arm to fingers (6)

A

Humerus: upper arm

Radius: lateral bone of forearm (thumb side)

Ulna: medial bone of forearm

Carpal bones (wrist)

Metacarpals (base of the fingers)

Phalanges (fingers)

35
Q

primary muscle of respiration

A

Diaphragm

36
Q

Portion of the brain that’s responsible for respiratory drive?

A

The Pons

37
Q

Pink puffers
smoking
lower airway disease
wheezing

A

Emphysema

38
Q

blue bloaters

A

Chronic bronchitis

39
Q

BP & CO equations

A
BP = SVR x CO
CO = HR X SV
40
Q

SV vs. SVR

A
SVR = total resistance of arterioles to flow of blood
SV = amount of blood pumped by the heart each cycle