NREMT part IV Flashcards

1
Q

Adrenergic

A

Refers to the sympathetic nervous system
(epinephrine)

See ‘sympathomimetics’ card

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2
Q

Agonist

A

medications that stimulate and effect

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3
Q

Antagonist

A

Medications that inhibit an effect

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4
Q

Drug profile

A

Provides essential information about a drug

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5
Q

Cholinergic

A

Referes to parasympathetic nervous system

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6
Q

Pharmacokinetics

A

study of how drugs enter the body, how they are metabolized and eliminated

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7
Q

Pharmacodynamics

A

study of drugs effects on the body

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8
Q

Drug profile componants

A
  • Trade name
  • generic name
  • drug class
  • machanism of action
  • indications
  • contraindications
  • route of administration
  • side effects
  • supply (dose)
  • Special considerations
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9
Q

Sympathomimetics

A

Adrenergic drugs
- mimics effects of sympathetic nervous system
- exmpl: Epinephrine

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10
Q

Alpha 1,2
Beta 1,2

Actions

A

Alpha 1: Vasoconstriction, smooth muscle constriction
Alpha 2: regulates alpha 1
Beta 1: increase HR, heart force
Beta 2: smooth muscle dialation

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11
Q

Anticholinergic

Define

A
  • antagonist medication
  • Inhibits effects of parasympathetic nervous system
    E.x. Atropine and naloxone
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12
Q

“relative” contraindications

Define

A
  • Contraindications that allow for some descretion
    E.x withholding a drug may be more harmful than administering it
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13
Q

Enteral administration

Define

A
  • Drugs that enter the body through the digestive system
  • oral (PO)
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14
Q

Parenteral

Define

A
  • enter the body through all other avenues other than enteral
    E.x sublingal, inhaled, intramuscular
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15
Q

onset

Define

A

How long it takes the medication to begin the desired effect

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16
Q

peak

Define

A
  • How long until the medication reaches its peak effect
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17
Q

Duration

Define

A
  • How long medication will maintain desired effect
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18
Q

Enteral components

A
  • Slow onset
  • Safe
  • Unpredictable absorption
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19
Q

intramuscular components

A
  • Parenternal route
  • Rapid absorbtion
  • Not as fast as IV or IO
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20
Q

MAD

Define

A
  • Mucosal atomizer device
    E.x. Noloxone
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21
Q

Sublingal components

A
  • Under tongue
  • Faster onset than oral
  • Considered either enteral or parenteral
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22
Q

5 rights + one

Love NREMT

A
  • Right patient
  • Right drug
  • Right route
  • Right dose
  • Right time
  • Right documentation
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23
Q

analgesics

Define

A
  • Intravenous or over the counter pain medication
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24
Q

Activated charcoal

Common names

A
  • Actidose
  • Charcoal Aid
  • Liqui-Char
  • Super-Char
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25
Aspirin | Common names
* ASA * Anacin * Bayer
26
Epinephrine | Common names
- Epipen - Auvi-Q
27
Atropine | Common names
* Rafa auto injector
28
Naloxone | Common names
- Narcan - Evzio
29
MDI | Define
* Albuterol * Proventil * Ventolin
30
Oral Glucose | Common names
- Glutose - Inst-glucose
31
Nitroglycerine | Common names
* Nitrostat * Nirtolingual * NitroMist
32
Acute coronary syndrome
conditions caused by acute reduction of blood flow to the heart
33
Angina
Transient chest pain due to lack of O2 to the heart muscle * typically caused by plauque buildup in coronary arteries (atherosclerosis) * Releived within 10 min of rest
34
Unstable angina
Angina pectoris - unpredictable onset - unreleived by rest
35
Myocardial ischemia | Define
Lack of oxygen to muscle
36
Myocardial infarction | Define
Death to heart muscle becuase of lack of oxygen
37
Silent MI | Patient populations that are more likely to have a silent MI
* elderly patients * Women * Diabetics * Alcoholics
38
AICD | Define ## Footnote Whats that do?
Automatic implantible cardioverter - difibrillator | like an AED this resets the heart ## Footnote This is not a pacemaker
39
Pacemaker | Define
Helps regulate the patients cardiac rate
40
Pacemaker malfunctioning S/S
* Dizziness * weakness * Bradycardia * Hypotension
41
VAD | define ## Footnote Whats that do?
* Ventricular assist device * Might not have a pulse | Replaces the function of the ventricles
42
ICD | Define
* Implantable cardioverter defibrillator
43
Rate of compressions | AHA guidlines for cardiovascular resuscitation
* Rate of compression 10-20/min * Adult depth of compressions - 2-2.4 inches * Children depth - 1/3rd the depth of the chest approximatly 2 inches * Infants - depth 1.5 inches
44
Hypothermic cardiac arrest AED rules | AHA guidlines
* 1 shock then transport
45
indications for AED
* Pulseless adults and infants over 28 days old
46
Special situations for AED
* AED may not deliver shock while moving in the ambulance * Adult pads can be used on peds * pediatric pads can not be used on adults
47
cerebrovascular accident | Whats that?
Death of brain tissue due to interruption of blood flow This is stroke
48
CPSS | Define
Cincinnati prehospital stroke scale
49
CPSS | Components
* Facial droop * Arm drift * Slurred speech
50
LPSS | Whats that?
Los angeles prehospital stroke screen
51
Headache | RED FLAGS... OH NO
* Worst headache they have head * Sudden onset of severe headache * AMS * older than 50 * Immunocompromised * Hypertension * Fever * Stiff neck * vision changes * Signs of stroke * Recent trauma
52
Special patient populations
53
what age do organ start losing 1% of function every year
30
54
Congestive heart failure unique S/S
- Distended/spongy abd - orthopnea - paroxymal nocturnal dyspnea - Upright position - crackles/wheezes - JVD - peripheral edema
55
left sided heart failure | Pathophysiology and specific s/s
- left ventricle failure - fluid in lungs - left sided leads to right sided failure -pulmonary edema -dyspnea (exertion, at night, while supine) -cough
56
Right sided heart failure | Pathophysiology and specific s/s
- left ventrical malfunction - fluid backsup into venous system -JVD -Pedal edema
57
Compression to ventilation ratios | AHA guidelines
Single rescuer: 30:2 Adult: always 30:2 Children/infants(2 rescuers): 15:2 Meonates: 3:1
58
Special CPR consideration for pregnant pt | AHA guideline
continuous lateral uterine displacement
59
Special CPR consideration for Hypothermia | AHA guideline
Shock once then transport
60
When does AED reanalyze for shock
after 2 mins
61
Can AED deliver shock in moving ambulance
NO
62
Cerebrovascular accident
Stroke Death to brain tissue due to interruption in the blood flow
63
Are ischemic or hemorrhagic strokes more likely?
Ischemic (87%)
64
CPSS
Cincinnati prehospital stroke scale - Facial droop - arm drift - Slurred speech
65
LPSS
Los angeles prehospital stroke screen - like CPSS but more in depth - requires 9 assessments including GCS scale
66
12 lead placement
V1 = fourth intercostal space right of sternum V2= fourth intercostal space left of sternum V3= directly between leads V2+V4 V4= fith intercostal space at mid-clavucular line V5= level with V4 at left anterior axillary line V6= level with V5 at left mid-axillary line (midpoint under armpit)
67
AICD | what is and what do
Automatic implantable cardioverter-defibrillators - Restarts pt heart
68
Pacemaker | what is and what do
- helps regulates pts cardiac rate by serving as artifical source of electrical impulses to stimulate heart
69
pacemaker malfunction s/s
- Dizzy - Weakness - bradycardia - Hypotension
70
VAD | what is and what do ## Footnote special considerations
- replaces function of ventricals - pt may not have pulse - innacurate Spo2 reading - many vads have a ICD
71
ICD | what is
implantable cardioverter-defibrillator
72
GCS | min and max score
min = 3 max = 15
73
GCS | 3 componants to measure and their total scores
- eye opening (4) - verbal response (5) - motor response (6)
74
GSC eye opening scores
Spontaneous = 4 to speech = 3 to pain = 2 none = 1
75
GCS verbal response scores
Alert and oriented = 5 confused = 4 inappropriate = 3 Incomprehensible = 2 none = 1
76
GCS motor response scores
obey commands = 6 localizes pain = 5 withdrawls from pain = 4 abnormal flexion = 3 abnormal extension = 2 non = 1
77
Tonic phase is
loss of consciousness muscle rigidity
78
Clonic phase is
jerking movement
79