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Nremt > Nremt Study Guide 2 > Flashcards

Nremt Study Guide 2 Flashcards

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1
Q

Your patient’s wife tells you that her husband has a LVAD What does this mean?

A

Left ventricular assist device

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2
Q

How many times a women has been pregnant

A

Gravida

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3
Q

Pediatric rule of nines values

A

Head:18
Anterior torso: 18
Posterior torso: 18
Legs:14
Genitalia:1

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4
Q

Retractions that may be seen in pediatric patients in respiratory distress

A

Intercostal (between ribs)
Suprasternal (above sternum)
Supraclavicular (above clavicle)

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5
Q

When called on the interstate highway, where do you park the ambulance when you first arrive and where do you park? If other emergency vehicles are their first

A

First arrived between incoming traffic and accident
If other units are there first park past the accident scene

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6
Q

Four levels of hazardous material training

A

Awareness
Operation
Technician
Specialist

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7
Q

Three types of radiation and penetrating ability of each

A

Alpha radiation: doesn’t travel far can be stopped by paper
Beta radiation : can penetrate through some levels of human tissue
Gamma radiation : can penetrate all levels of the human body

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8
Q

Three concepts to reduce exposure from a terrorist attack

A

Time
Distance
Shielding

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9
Q

4 colors of NFOA 704 system

A

Blue: health hazard
Red : fire hazard
Yellow : reactivity
White : specific hazard

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10
Q

Four designations for patient triage

A

Red: critical first priority
Yellow : serious second priority
Green : minor walking wounded third priority
Black : deceased last priority

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11
Q

Blast injuries

A

Primary( blast wave)
Secondary( injury from projectiles)
Tertiary (displacement throws or knocks down victim
Quaternary all other injuries (burns, asphyxia toxic exposure)

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12
Q

CBRNE

A

Chemical
Biological
Radiological
Nuclear
Explosive

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13
Q

Mnemonic for symptoms of nerve agents that acts on sympathetic nervous system

A

SLUDGE-M
Salvation
Lacrimation (tears)
Urination
Defecation
G.I. distress
Emesis
Miosis (pupil contraction)

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14
Q

START triage

A

Simple triage and rapid transport

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15
Q

5 stages of an ambulance call

A

Preparing for the call
Responding to the call
Transferring the patient to the ambulance
Transport to the hospital
Terminating the call

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16
Q

TRACEM-P

A

Thermal
Radiological
Asphyxiation
Chemical
Etiological
Mechanical
Psychological

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17
Q

Solids, liquids, or gases that can harm people other living organisms, property or the environment

A

Hazardous materials

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18
Q

The use of violence threats to violence or intimidation to create fear or further a political agenda

A

Terrorism

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19
Q

Where are bloody bandages and disposable towels used to clean up blood or body fluids disposed of?

A

In a red bag indicating infectious waist

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20
Q

How far should you park your ambulance from a down powerline

A

Far enough so the lines couldn’t reach the vehicle
General rule, part two full telephone pole lengths from down wires

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21
Q

What personal protective equipment must be worn at a crash scene while working around extrication operations

A

Turnout gear with a helmet, gloves and protection

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22
Q

Functions under the EMS branch in a major incident

A

Triage
Treatment
Transportation
Staging
rehabilitation
Safety

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23
Q

You are attending to a patient in a motor vehicle collision with the airbags didn’t deploy. How would you safely disable the airbags?

A

Disconnecting the vehicles battery

24
Q

What treatments are allowed during the triage process?

A

Opening the airway, inserting an OPA and controlling severe bleeding

25
Q

The pneumonic OTTO is used to help determine the impact of a terrorist threat. What does OTTO stand for?

A

Occupancy or location
Type of event
Timing of event
On scene warning signs

26
Q

What is the role of the person who assumes command at an incident?

A

Assumes overall responsibility for the incident (incident commander)

27
Q

What is the purpose of a blocking vehicle in an accident scene?

A

To provide a large physical bear between traffic and the accident scene

28
Q

How to approach a helicopter

A

Approach crouching from the front or the side as instructed by the helicopter crew

29
Q

An incident which overloaded the resources of an EMS system

A

MCI multiple casualty incident

30
Q

For incident command branches under command

A

Planning
Operations
Logistics
Finance

31
Q

What size should a helicopter landing zone be?

A

100 x 100 feet and a slope of less than 8°
The area should be clear of poles and electrical telephone lines

32
Q

The pressure ventricles of the heart must create to eject blood most commonly applied to the left ventricle. It is also referred to as the amount of force of pressure in the aorta that the heart must pump against.

A

Afterload

33
Q

When a capillary allows fluid to leave through its walls, it is said to be

A

Permeable

34
Q

The volume required to fill the portion of the respiratory system that does not exchange gases in an adult about 150 mL of air is required to fill the tracheobronchial tree before any air reaches alveoli for gas exchange

A

Dead airspace

35
Q

The amount of blood filling the ventricles of the heart prior to contraction and sufficient blood volume causes the chamber of the heart to stretch, which helps create a strong contraction

A

Preload

36
Q

Swelling caused by accumulation of fluid in the body tissues

A

Edema

37
Q

A pressure within the blood vessels that pushes water out into the body

A

Hydrostatic pressure

38
Q

Movement of molecules from the area of high concentration to lower concentration this is a passive process that does not require energy

A

Diffusion

39
Q

The amount of air that moves in and out of the lungs in a single breath

A

Title volume

40
Q

Specialized chemical senses in the blood vessels, carotid and aortic and brain that detect levels of carbon dioxide and oxygen

A

Chemoreceptor

41
Q

Pressure in the vessels the heart must pump against

A

Systemic vascular resistance

42
Q

The inability of the body to circulate blood to the bodies, tissues and cells this results and oxygen, not reaching tissues and carbon dioxide, not being removed from the tissues

A

Shock

43
Q

When large proteins attract water from the body into the blood

A

Plasma oncotic

44
Q

Converting nutrients to energy within the cell

A

Metabolism

45
Q

The amount of air move in and out of the lungs over a minute is calculated by multiplying entitled volume times respiratory rate

A

Minute volume

46
Q

The amount of blood ejected from the left ventricle of the heart during each contraction

A

Stroke volume

47
Q

Study of changes in the body due to a disease or syndrome
Physiology of disease or uninjured organism or their parts

A

Pathophysiology

48
Q

Created doing aerobic metabolism in the start of as the energy

A

ATP adenosine triphosphate

49
Q

What happens when a blood vessel suffers a loss of tone

A

Loss of tone will cause a normal vasodilation and a decrease in blood pressure and perfusion

50
Q

Two substances brought into the body that are required to create ATP in the cell

A

Glucose and oxygen

51
Q

What is the difference between subjective and objective documentation?

A

Subjective includes opinions or interpretation
Objective are facts and actual observations without the subjective interpretation
EMS documentation should contain objective statements

52
Q

Your patient pulse and respirations have increased. The skin is cool and moist. What is the most likely cause for this

A

Shock

53
Q

So your patient blood pressure has increased while his pulse and mental status have decreased respirations are irregular. What is the most likely cause of this?

A

Increasing intracranial pressure

54
Q

Several factors you would consider when requesting an advanced life support intercept

A

What is the patient condition? Is it a problem that ALS can assist with?
How far am I from the hospital?
How far away is the ALS response?
Should I wait at the scene or meet ALS in route to the hospital?

55
Q

Why does a patient who faints regain consciousness after he falls to the ground?

A

Fainting is usually caused by reduced blood flow to the brain. The patient passes out to a recovered position, which makes it easier to perfuse the brain and restore consciousness

Nremt (44 decks)

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