NREMT VI Flashcards
ARDS
Acute respiratory distress syndrome
Hemoptysis
coughing up blood
RSV
Respiratory Syncytial virus
Kussmaul respirations
Deep, Rapid respirations due to metabolic acidosis
what is the bodies primary and prefered fuel source
Glucose
byproducts of glucose metabolism
Water and Co2
how long for glucose to enter bloodstream
15 mins
what makes insulin
pancrease
insulin action
moves glucose from bloodstream into cells (opens door for it to enter cell)
what happens to BGL when glucose enters body with insulin
BGL drops
what hapopens to BGL with absence of insulin
BGL rises
Type I diabetes process
age group and % of diabetics
Insulin dependant
- create little to no insulin
- developes by young adulthood
- 5-10% are type I diabetes
What BGl leads glucose to spill into urine for elimination
200
DKA BGL levels
300
Type II diabetes process
non-insulin dependant
- may require as disease progresses
HHNS S/s
common causes
usually type II diabetes
slow onset
infection
poor managemnet of BGL
failure to take medication
Immunoglobulin E
Antibodies that trigger an anaphylactic response
what do opiods do to pupils
constriction
DUMBELS
Defecation
Urination
Muscle Weakness
Bradycardia/bronchospasm
Emesis
Lacrimation
Salvation
SLUDGEM
Salivation
Lacrimation
Urination
Defecation
Gastric Upset
Emesis
Miosis
Alcohol abuse issues
can cause hepatitis
CNS depressent (risk of vomiting)
Sign of overdose to administer Naloxone
Constricted pupils (opiods)
Opiod body reaction
CNS depressent
Respiratory depression
Inhalants s/s of abuse
- chemical order on breath
- paint stains on clothes
- apathy
- weight loss
Stimulant abuse s/s
Dialated pupils
restlessness
anxiousness
agitation
paranoia
hallucinations
excited delerium
chest pain
acids and alkalis are ____ substances
Caustic
Acid patho
burn on contact
immediate pain
Alkalis patho
burn deeper
delayed pain
can you use charcoal for Hydrocarbons, alkalis and acids?
NO
Pregnancy is divided into ___week semesters
13
___ is greater in pregnant pts, leading to relative _____
plasma
anemia
When do you suction a newborn
mouth/nose full of secretions AND they do not start breathing on there own after drying and stimulation
Best time to clamp and cut cord
when it stops pulsating
what do when HR below 60 (newborn)
Chest compressions
what do when HR above 60 but below 100 (newborn)
Ventilations
what do if central cyanosis (newborn)
Blowby O2 (4-6 lpm)
how long to wait for 2nd deliver on a multiple birth situation
10 mins then transport
Visceral pain
Dull, diffuse, difficult to localize
N/V
Parietal pain
severe, localized, sharp, constant
fetal position
kehrs sign
refered pain to left shoulder upon palpation
Grey turners sign
Flank bruising
Cullens sign
bruising around umbilicus
Gatroenteritis
intestional infection
- cramps
- n/v
- diarrhea
- fever
Cholecystitis
inflammation of gallbladder
Diverticulitis
inflammation/infection in small pouches in digestive tract
- abd pain (usually LLQ)
Delirium
acute onset of cognitive problems
Dementia
slow onset of memory impairment
Dysarthria
difficulty speaking
Psychosis
delusional state where contact with external reality is lost
schizophrenia
disorganized thoughts, perceptions, emotions, and social interactions
Colostomy
surgical opening through the abdominal wall
fistula
surgical connection between an artery and vein for dialysis
Pediatric triangle
appearence
work of breathing
circulation
TICLS (Appearance)
Tone
Interactivity (alertness)
Consolability
Look (can they fix there gaze)
Speech/cry
PCA pump
patient controlled analgesia
allows pt to self control pain medication
VAD
vascular access device
for pts who require ongoing venous access for medications
Foley catheters
placed in urethra and allow urine to drain into bag
Intraventricular shunt
allows excess spinal fluid to exit the ventricals of the brain to reduce ICP
intraventricular shunt malfunction s/s
hypertension
headace
ams
sz
bradycardia
respiratory problems
