Unit 4 Review Flashcards

1
Q

What happens when a patient refuses a physical exam

A

Document it and call medical control

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2
Q

How to treat a patient with inadequate ventilation and breathing

A

If the patient is not breathing or had inadequate breathing, ensure adequate ventilations with a BVM and 100% oxygen

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3
Q

Signs and symptoms of hypoglycemia and mimic

A

It causes altered mental status, decreased LOC, and mimics a stroke.

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4
Q

Difference between a stroke and hypoglycemia and vary

A

Patient with stroke may be alert and attempting to communicate normally.
Patient with hypoglycemia almost always has a decreased LOC. ( Patient with decreased LOC should not be given anything orally)

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5
Q

If a women is crowing and the head delivers what do you do once the heads delivered

A

Once it is obvious that the head is coming out place your sterile gloved hand over the emerging body parts of the head, avoid the eyes and fontanelles, and by exerting minimal pressure, control the delivery of the head.

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6
Q

What regulates blood flow and how blood flows through the body

A

SA node PG.631

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7
Q

Prolonged transport of over 20 minutes what do you need:

A

idk

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8
Q

Whats the next step if CPR is in progress

A

If bystander CPR is in progress, assess the effectiveness of chest compressions by palpating for a carotid or femoral pulse. If compressions are effective, you should be able to feel the pulse. Stop compressions once you feel the pulse. If you lose the pulse continue CPR. Don’t apply AED for responsive patient.

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9
Q

Signs, symptoms and treatment of neurological shock

A

Damaged cervical spine ( Bradycardia is slow pulse, low blood pressure, signs of neck injury) Treatment is obtaining and maintaining proper airway, providing immobilization, assisting inadequate breathing as needed, conserving body heat, and ensuring the most effective circulation possible

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10
Q

All the causes of shock

A

Many conditions include bleeding, respiratory failure, acute allergic reactions, and overwhelming infection. It all occurs due to insufficient perfusion of organs and tissues. As soon as perfusion stops or becomes impaired, tissues start to die, affecting all local body processes. If not stopped or revered death will follow soon.

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11
Q

Every aspect of the APGAR score and how to score a baby

A
2               1               0
Appearance 
Pulse
Grimace of irritability
Activity or muscle tone
Respiration
Total of score: 10
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12
Q

Steps 1-5 of delivering a baby

A
  1. Crowing is a definitive sign that the delivery is eminent and transport should be delayed until the baby is born
  2. Allow the women to push the head out, use your hands to support the bony parts, body will rotate either left or right, feel the neck for umbilical cord, if do gently lift over without pulling hard.
  3. Once head is delivered it will rotate on its own, the next contraction the upper shoulder will be visible, guide the head down slightly by applying gentle downward traction to help the upper shoulder deliver.
  4. Support head and upper body as shoulders deliver, may need to help guide the head slightly to help deliver the lower shoulder.
  5. Once body is delivered support the newborn gently but firmly. The baby will be very slippery just support the head with the neck in a neutral position to keep the airway open.
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13
Q

What patients does OPQRST and SAMPLE refers to

A

Chest pain

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14
Q

Signs, symptoms and treatments of all the brain bleeds

A

Altered mental status, stroke like symptoms. Treatment is cover patient with blanket, drive fast, and check blood pressure.

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15
Q

How to treat the airway in a seizure patient

A

Evaluate the patient if the airway is patent, if patient requires assistance maintenance of airway consider OPA and NPA. Be prepared to provide to suction, and position the patient to prevent aspiration. If patient cannot protect airway place in recovery position to help prevent secretions from entering the airway

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16
Q

Signs and symptoms of esophageal varacies, ulcers, and ruptures

A

Esophageal Varacies -
Ulcers -
Ruptures -

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17
Q

First thing to do in a primary survey

A

First looking for and treating any life - threatening conditions.

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18
Q

Signs and symptoms of STD’s (3)

A

Chlamydia - lower abdominal pain, nausea, fever, pain during sexual intercourse, and/or bleeding between menstrual periods.
Bacterial Vaginosis - normal bacteria in the vagina is replaced by overgrowth of other bacteria. Symptoms include itching, fishy smelling fouling discharge, burning and pain.
Gonorrhea - Bacterium that can grow and multiply rapidly in the warm moist areas of the reproductive tract. Symptoms include painful urination, associated with burning and itching; yellowish or bloody discharge with foul odor, and blood associated with sexual intercourse. More severe infections may present with cramping and abdominal pain, nausea, vomiting, and bleeding between menstrual periods
Syphilis -

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19
Q

How to treat a patient with respiratory insufficiency

A

Immediately secure and maintain the airway, clear mouth or throat for any obstructions, if necessary provide ventilations with BVM, administer supplemental oxygen, and transfer patient promptly

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20
Q

Causes of premature birth

A

page 1208

21
Q

Steps in how to handle a cardiac arrest patient

A

When you arrive to find a patient who appears to begin cardiac arrest, you should automatically follow your CPR training.

22
Q

Signs and symptoms of ICP

A

caused by head injury and brain bleed (severe headache)

23
Q

What epi is and what it does for the body

A

Used to treat anaphylactic shock, 0.3L, dilates blood vessels

24
Q

Signs and Symptoms of PID

A
Pelvic Inflammatory Disease
Severe hypertension(high blood pressure), severe or persistent headache, visual abnormalities( seeing spots, blurred vision, or sensitivity to light, , swelling in the hands and feet (edema), and anxiety
25
Q

How to treat a rape victim patient

A

Dont ask patient for a detailed report of what just happened, If possible female rape victim should be treated with female EMT, don’t cut through any clothing and don’t throw anything away, don’t examine genatalia unless major bleeding, discourage patient from bathing or cleaning any wounds, complete SAMPLE history objectively, and document patients history, assessment, treatment, and treatments response for upcoming court dates.

26
Q

First steps to treat a unresponsive patient

A

Check pulse first if patient is unresponsive

27
Q

Signs and symptoms of septic shock

A

Severe bacterial infections

warm skin or fever, tachycardia, and low blood pressure

28
Q

Difference of appendicitis, cholecystitis , peptic ulcers, pancreatitis

A

Appendicitis -
Cholecystitis -
Peptic Ulcers -
Pancreatitis -

29
Q

How to treat a patient with child barring age and a vaginal bleed

A

page 836

30
Q

Job and function of the following organs: pancreas, liver, kidneys, spleen

A

Liver: assits in digestion by secreting bile, which aids in the digestion of fats. Also filters, toxic substances, produced by digestion, creates glucose stores, and produces substances for blood clotting and immune function.
Pancreas: Secretes juice containing enzymes that help break down starches, fats, and proteins. Also produces bicarbonate which neutralizes the stomach acid in the duodenum and inulin helps regulate the levels of glucose in the bloodstream.
Spleen: Assists in the filtration of blood, aids in the development of red blood cells, and serves as a blood reservoir. Also produces antibodies to help the body fight off disease and infection.
Kidneys: Regulation of acid base balance and blood pressure.

31
Q

Pathophysiology of what causes shock

A

idk
(Perfusion Triangle)
pg.489

32
Q

Treatments of seizures

A

Level of cousciousness

33
Q

What veins and arteries carry oxygenated and deoxygenated

A

Pulmonary Veins- oxygenated

Pulmonary Arteries- deoxygenated

34
Q

How to treat a spinal cord injury

A

C - spine, backboard, oxygen, and transport

35
Q

Signs, symptoms, treatment, differenciation of: previa, eclampsia, preeclampsia, abrupto, and pro laps corp

A

Abrupto Placenta: hypertension and trauma ; reports severe pain(vaginal bleeding may not be heavy) signs of shock such as weak, rapid pulse, and pale, cool, diaphoretic skin.
Placenta Previa: placenta develops over and covers the cervix ( heavy vaginal bleeding often without any significant pain)
Eclampsia: Seizures that result in hypertension. To treat lay patient on her left side, maintain her airway, and administer oxygen if needed.
Preeclampsia: Occurs usually to patients that are pregnant for the first time ( severe hypertension, persistent headaches, visual abnormalities such as seeing spots, blurred vision, sensitivity to light, swelling in hands and feet (edema), anxiety
Prolapsed cord -

36
Q

How to treat chest pain

A

Aspirin - Chest Pain
Nitroglycerin - Can help relieve pain of an angina. Relaxes the muscle of blood vessel walls, dilates coronary arteries, decreases workload of heart, increases blood flow to the heart and supply of oxygen.

37
Q

First step of managing a premature baby

A

They often require resuscitation, which should be performed unless physically impossible.

38
Q

Causes of ischemic and hemorrhagic stroke

A

Ischemic - When blood flow to a particular part of the brain is stopped by a blockage (blood clot) inside a blood vessel.
Hemorrhagic - A blood vessel ruptures and the accumulated blood then forms a blood clot, which compresses the brain tissue next to it. The compression prevents oxygenated blood from getting into the area, and the brain cells begin to die. (Bleeding inside the brain)

39
Q

Newborn respiratory rates of normal or ventilation

A

Newborn will spontaneously begin breathing within 15-30 seconds after birth with a regular, rapid respirations and strong cry. The heart rate will be 120 beats/min or higher.
If resuscitation is needed perform BVM ventilation during a pause after every third compression.

40
Q

Signs and symptoms of cardiogenic shock

A

Caused by inadequate function of the heart, or pump failure. (Chest Pain, irregular pulse, weak pulse, low blood pressure, cyanosis cool and clammy skin, anxiety, crackles, pulmonary edema)

41
Q

Which organs are more susceptible to bleeding

A

Solid Organs (Spleen, liver, pancreas, kidneys, and ovaries in women)

42
Q

Areas of the brain and functions

A

Brain stem - controls the most basic functions of the body such as: breathing, blood pressure, swallowing, and pupil constriction
Cerebellum - controls muscle and body coordination. Responsible for complex tasks involve many muscles such as standing on one foot without falling, walking, writing, and playing the piano
Cerebrum - front part controls emotion and thought. middle part controls sensation and movement, back part processes sight

43
Q

Compensated Shock

A

Early stage of shock, while the body can still compensate for blood loss

44
Q

Decompensated Shock

A

Last stage of shock, when blood pressure is falling
(CANT assess the patient once it has gotten this far)
Blood pressure may be the last measurable factor to change in shock

45
Q

Psychogenic Shock

A

Sudden reaction of the nervous system that produces a temporary vascular dilation, resulting in fainting (syncope). (Rapid Pulse and normal or low blood pressure)

46
Q

Hypovolemic Shock

A

Inadequate amount of fluid or volume n the circulatory system (Cyanosis, low blood pressure, increased respiratory rate, change in mental status)

47
Q

Other names of chest pain

A

Angina

48
Q

How to assist ventilations in a new born

A

BVM

49
Q

AAA

A

Abdominal Aortic Aneurysm
Pulsating mass felt in the abdomen, rarely associated with its symptoms, occurs slowly, if aneurysm tears and ruptures massive hemorrhage may occur and patient will present with acute peritoneal irritation and hemorrhagic stroke