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State Exam > Prep/Prehospital Management > Flashcards

Prep/Prehospital Management Flashcards

1
Q

Physician on scene that is not the patient’s

A

intervener physician

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2
Q

Emergency medical services act

A

Chapter 401- Law

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3
Q

Rules and regulations of the state EMS division

A

64J-1

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4
Q

Tort law

A

civil law

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5
Q

Elements of negligence

A

duty to act, failure to act(breach of duty), damages, harm or injury, proximate cause

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6
Q

Types of consent

A

informed and implied

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7
Q

Assault vs Battery

A

threat vs touching

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8
Q

Libel vs Slander

A

written vs verbal

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9
Q

DNRO

A

must be original copy, Dr. signature, yellow. Contains comfort measures

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10
Q

Energy source of cell

A

mitochondria

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11
Q

Microorganisms causing infections

A

fungus, bacteria, virus

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12
Q

Homeostasis

A

maintain internal balance, equilibrium

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13
Q

Isotonic solutions

A

NS, LR stays where you put it

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14
Q

Fluid that stays in blood vessel longer,large particles or proteins

A

colloid (albumin, HESPAN, dextran, Plasmanate

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15
Q

What fluid buffers like plasma

A

LR give to all trauma pt

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16
Q

Which fluid is used for mixing meds and may be used for cardiac and CHF

A

D5W (nitro, dopamine, lido[premixed])

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17
Q

Movt of particles from higher to lower concentration

A

defusion

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18
Q

Movt of fluid from lower to higher concentration

A

osmosis

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19
Q

Most common EXTRAcellular cation

A

sodium

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20
Q

Most common INTRAcellular cation

A

potassium

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21
Q

Components of blood

A

1 unit = 1 pint = 500ml

12 units in adult = 6 liters

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22
Q

Functions of blood

A

removes waste, delivers O2, hormones, temp regulation

23
Q

ABO blood typing

A

AB universal recipient

O neg universal donor

24
Q

Drip formula gtts/min

A

ml/hr X dripset OVER time in min

25
Q

Drip formula ml/hr

A

gtts/min X time OVER drip size

26
Q

KVO or TKO

27
Q

Local IV complications

A

hematoma, infiltration(most common), cellulitis, thrombophlebitis

28
Q

Systemic IV complications

A

air embolus, catheter shear, sepsis, PE

29
Q

Metabolic Acidosis

A

cardiac/respiratory arrest, DKA, ASA overdose. tx: inc ventilation then bicarb

30
Q

Respiratory Acidosis

A

hypercarbia, resp distress due to any medical or traumatic resp condition. Tx inc ventilation with BVM

31
Q

Metabolic Alkalosis

A

too much bicarb, tx: let it wear off

32
Q

Respiratory Alkalosis

A

hyperventilation syndrome, some brain injured pt, in response to DKA, bagging too fast. tx: slow ventilations

33
Q

S/S of shock

A

restless, anxious, dec LOC, cold, clammy, pale, N&V, muscle weakness, thirst, dilated pupils, hypotn, tachycardia(first sign), tachypnea

34
Q

Hypovolemic shock s/s

A

tachycardia, tachypnea, diaphoresis, restlessness, thirst narrow pulse pressure, dilated pupils

35
Q

Neurogenic Shock s/s

A

vascular problem. paralysis, hypotn, bradycardic, skin warm and flush. Failure of sympathetic ns

36
Q

Cardiogenic Shock s/s

A

pump problem. tachycardia, hypotn, tachypnea, diaphoresis, restlessness, thirst, narrow pulse pressure, dilated pupils, may develop pulm edema. Give dopamine

37
Q

Fluid replacement in adult

A

3 liters for each 1 lost or 20 ml/kg

38
Q

Schedule I vs II meds

A

no medical use vs medical use

39
Q

Purple foxglove

A

digitalis/digoxin

40
Q

Belladonna plant

41
Q

Sympathetic NS

A

chemical mediators norepi and epi, control from lower thoracic and upper lumbar area of spine fight or flight response

42
Q

Inotrope

A

contraction

43
Q

Chronotrope

44
Q

Parasympathetic NS

A

chemical mediator acetylcholine control from vagus nerve

45
Q

tsp = _____ml

46
Q

tbsp = _____ml

47
Q

1 grain = ______mg

48
Q

Drug Calc volume to administer

A

dose X weight X dripset OVER concentration X time

49
Q

Drug routes fastest to slowest

A

IV/IO/ET, IM, SQ, PO

50
Q

Enteral routes

A

given via GI tract

51
Q

Parenteral/peripheral routes

A

given other than GI tract

52
Q

Drugs that can be given down ET tube

A

Lidocaine, Epi, Atropine, Narcan 2-2 1/2 times dose

53
Q 
ACID/BASE BALANCE
ph norm?                
CO2 norm?
HCO3 norm?
match CO2/HCO3 with ph
does CO@/HCO3 go opposite ph?
PaO2 & SaO2 normal?
A 
ph: acid 7.35 - 7.45 alk
CO2: alk 35 - 45 acid (resp)
HCO3: acid 22 - 26 alk (met bicarb)
PaO2: 80 - 100
SaO2: 94 - 99
54
Q

Cushing’s Reflex

A

HTN, bradycardia, irreg resp

State Exam (10 decks)

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