Shared Flashcard Set

Details

Paramedic Pearls Vol 7
Questions for final review for Paramedic Certification
26
Medical
Professional
02/12/2013

Additional Medical Flashcards

 


 

Cards

Term
Tricyclic Antidepressant Toxicity
Definition

Your patient presents with dry mouth, blurry vision, has difficulty urinating, or has not been urinating at all; further, they have been constipated and appear confused.

 

Your assessment reveals a history of depression for which they have been treated by a physician. What do you suspect as the cause?

Term
Tricyclic Antidepressant Toxicity
Definition

You encounter a patient whose only history is depression. They are compliant with their meds and have been seeing their treating physician on a regular basis. They called because they are experiencing hallucinations,  running a high fever and their heart is racing. Further, they have had one or more seizures.

 

Monitor reveals they have a dysrhythmia, their BP is abnormally low and respirations are 8. what do you suspect?

Term

Sodium Bicarbonate

 

Raising the pH level and creating a more alkaline state will cause the tricyclic level to drop off, subsequently correcting dysrhythmias and other symptoms.

Definition
You are treating a patient you strongly suspect is suffering from Tricyclic Antidepressant Toxicity. What drug will you administer and why?
Term
Tuberculosis
Definition
You encounter a patient who presents with nausea, weakness, fatigue, fever, night sweats and productive cough who additionally complains that they have recently lost a concerning amount of weight. While you are assessing the patient, you note Levine's sign and see that there are traces of blood in the corners of their mouth and on the tissue they are using to stifle their coughing. What do you suspect is wrong with this patient?
Term

Tuberculosis

 

N95 Respirator

Definition
You respond to a call for a patient with productive cough, weakness, fever, night sweats and chest pain. Upon assessment, you notice some dried blood in the corner of the patient's mouth and sores on the patient's legs. What do you suspect and what critical component of your BSI arsenal do you want to employ?
Term
Bacteria
Definition

What class of pathogen causes Tuberculosis?

(viral or bacterial?)

Term
Inhalation of microscopic airborne droplets from a person with active TB.
Definition
How is Tuberculosis typically transmitted?
Term
Tuberculosis
Definition
What disease involves rapid weight loss that initially gave rise to it's original name "consumption"?
Term
Upper GI Bleeding
Definition

You respond for a patient who is complaining of an upset stomach with "bad pain" they indicate is in the upper quadrants. They state they have been vomiting and are worried that it appears bloody, and upon further questioning, the reveal that their bowel movements are unusually dark (black) and tarry.

 

Your assessment reveals that they are tachycardic with otherwise normal vitals. What do you suspect is the issue here?

Term
Ligament of Trietz
Definition
What structure is considered the dividing line between the upper and lower GI system?
Term
The bacteria H-Pylora
Definition
What is the #1 cause of ulcers in the United States?
Term
"Coffee Ground" Emesis
Definition
What sign will tip you off to upper GI bleeding, particularly if the patient reveals a history of ulcer, alcoholism or chronic ingestion of aspirin?
Term
Upper Respiratory Infection
Definition
You encounter a patient who called because they have no way to the hospital and are experiencing fever, chills, myalgias (muscle pains) with associated fatigue. What do you suspect is wrong with them?
Term
Withdrawal Syndrome
Definition
You encounter a patient on the street who is exhibiting significant tremors in his hands and eyelids and states that he has been vomiting, feels weak all over, has a headache  and is "ready to crawl out of his skin". Your primary assessment reveals that he is diaphoretic, tachycardic and that his BP drops significantly when he stands up. Further, as you investigate his history, you discover he hasn't been sleeping and is worried because he has been experiencing hallucinations "since he quit drinking." What do you suspect is wrong with this person?
Term
Resp 30-60, Heart Rate 100-180, Syst BP 60-90
Definition
What are considered to be the normal vitals for a newborn baby?
Term
Resp 30-60, Heart Rate 100-160, Syst BP 87-105
Definition
What are considered to be the normal vitals for an infant (up to 1 year)?
Term
Resp 24-40, Heart Rate 80-110, Syst BP 95-105
Definition
What are considered to be normal vitals for a Toddler (aged 1-3)?
Term
Resp 22-34, Heart Rate 70-110, Syst BP 95-110
Definition
What are considered to be the normal vitals for a Preschool aged child (3-5)?
Term
Resp 18-30, Heart Rate 65-110, Syst BP 97-112
Definition
What are considered to be the normal vitals for a school aged child (6-12)?
Term
Resp 12-26, Heart Rate 60-90, Syst BP 112-128
Definition
What are considered to be the normal vitals for an adolescent (aged 13-18)?
Term
Resp 12-20, Heart Rate 60-100, BP 120/80
Definition
What are considered to be the normal vitals for an adult?
Term
Activity (muscle tone), Pulse, Grimace (Reflex irritability), Appearance (skin color), Respirations
Definition
What do the letters in the acronym "APGAR" stand for?
Term
1 and 5 minutes
Definition
At what interval are the APGAR assesments done following birth?
Term

1. General Impression

 

2. C-spine consideration / control

 

3. Assessment of baseline vitals

 

4. ABCs (or more appropriately: CABs)

 

5. Determination of Priorities

Definition
What are the 5 components of the initial impression?
Term
Fick Principle
Definition
What principle is key in the way we evaluate blood's oxygenation in the body?
Term

1. Air must be 21% and at proper Torr pressure

 

2. Ventilation must occur

 

3. Pulmonary respiration and alveolar gas exchange

 

4. Transport of oxygenated blood by the circulatory system.

 

5. Cellular respiration: exchange of O2 / CO2 in the cells

Definition
Name the five components necessary for adequate respirations to occur?
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