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EMT Exam 5
Chapter 16,17,18,19
25
Other
Not Applicable
09/29/2016

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Cards

Term
Forms of Medications
Definition
  • Compressed powders or tablets
  • Liquids for injection
  • Gel
  • Suspensions
  • Fine powder for inhalation
  • Gases for inhalation
  • Sublingual
  • Liquid that is vaporized
Term
Rights of giving medication
Definition
  • Do I have the right patient?
  • Is this the right medication?
  • Is this the right dose?
  • Am I giving this medication by the right route of administration?
  • Right temp?-Patient and drug
  • Right concentration?
  • Right timing?
  • Right rate?
Term
Drug administration routes
Definition
  • Oral
  • Sublingual
  • Inhaled
  • Intravenous
  • Intramuscular
  • Intranasal
  • Subcutaneous
  • Endotracheal
  • Rectally
Term
Parietal pleura
Definition
Attached to the ribs
Term
Visceral pleura
Definition
Attached to the lungs
Term
Wheezing
Definition
  • High-pitched, musical, whistling
  • Constriction of bronchioles** 
  • Best heard on exhalation
  • Usually heard in asthma, emphysema, chronic bronchitis, pneumonia, CHF
  • Wheezing that is diffused is primary indication for administration of beta agonist medication
Term
Rhonchi
Definition
  • Rattling noises, thick sounds
  • Caused by thick mucous secretions and inflamed bronchi
  • Heard in chronic bronchitis, emphysema, aspirations, and pneumonia as snoring or rattling sounds
  • Quality of sound changes if person coughs or changes positions
Term
Crackles/Rales
Definition
  • Bubbly or crackling sounds
  • Associated with fluid around the alveoli (fluid pulled downward by gravity), crackling associated with alveoli and terminal bronchioles "popping" open with each inhalation
  • Gas exchange impeded by fluid between alveolus and capillary
  • 1 liter of fluid to hear rales
  • Indicate pulmonary edema or pneumonia
Term
Hypoxemia
Definition
Decreased oxygen in the blood stream
Term
Hypoxia
Definition
Decreased oxygen in the tissues
Term
Dyspnea
Definition
Shortness of breath
Term
Apnea
Definition
Respiratory arrest
Term
Chronic bronchitis 
Definition
  • Bronchiole lining is inflamed and excess mucus is formed
  • Cilia in bronchioles are damaged or destroyed and can't clear away accumulations of mucus 
  • Shortness of breath, wheezing, fever
  • Alveoli remain unaffected, recurrent infections leave scar tissues that further narrow airway
Term
Emphysema
Definition
  • More common in men, causation factor is cigarette smoking or exposion to environmental toxins
  • Decreased surface area
  • Can't register high levels of CO2
  • Losing elasticity, alveoli distended with trapped air
  • Wheezing and rhonchi
  • "Pink puffer"
  • Thin, barrel chest appearance
Term
Pneumonia
Definition
  • Acute infectious disease-caused by bacteria,virus,fungus
  • Results from inhalation of certain microbes or toxic irritants that grow in the lungs and cause inflammation
  • Coughing, fever, chest pain, severe chills, shortness of breath, chest pain, fatigue, decreased mental status
  • Up to 20% mortality rate
  • Radiating pain in shoulder
  • Additional risk factors: cigarette smoking, alcoholism, exposure to cold temps
Term
Asthma
Definition
  • Bronchioles become narrowed and overproduction thick mucus
  • Exhalation is hard-wheezing, nonproductive cough
  • Chest tightness
  • Reversible
  • Triggered by outside antagonist
Term
Spontaneous Pneumothorax
Definition
  • Lung collapses without injury or any other obvious cause
  • Usually result of rupture of a bleb, a small section of the lung that is weak
  • More likely in tall, thin males-males going through growth spurt or between ages 20-40
  • Change in pressure causes lung to collapse
  • Sharp pleuritic chest pain, shortness of breath, tire easily, tachycardic, breathe fast, cyanosis
  • Decreased or absent breath sounds on injured lung
  • Visceral pleura stretches when pt experiences increase in intrathoracic pressure
Term
Abnormal breathing is a result of several possibilities: 
Definition
  • Increased width of the space between alveoli and blood vessels
  • Lack of perfusion of the pulmonary capillaries from right ventricle of the heart
  • Filling of the alveoli with fluid, blood, or pus
Term
Kussmaul respirations
Definition
Deep and labored breathing pattern often associated with DKA, severe metabolic acidosis, and kidney failure
Term
Status Asthmaticus
Definition
  • Prolonged life-threatening attack producing inadequate breathing and severe S/S
  • Does not respond to either oxygen or medication 
  • Requires immediate and rapid transport to hospital, consider ALS backup
Term
Signs and symptoms of asthma:
Definition
  • Dyspnea
  • Nonproductive cough
  • Wheezing
  • Tachypnea
  • Tachycardia
  • Anxiety and apprehension
  • Possible fever
  • Chest tighness
  • Inability to sleep
  • SpO2 less than 95%
  • allergic reaction S/S
    • runny nose, sneezing, red or bloodshot eyes, stuffy nose
Term
Pulmonary Edema
Definition
  • Related to an inadequate pumping function of the heart that drastically increases the pressure in pulmonary capillaries
    • Forces fluid to leak into space between alveoli and capillaries
  • Most frequently seen in pts with cardiac dysfunction leading to CHF
  • Hypoxia is common
Term
Acute Respiratory Distress Syndrome (ARDS) also known as Noncardiogenic pulmonary edema
Definition
  • Results from destruction of capillary beds that allows fluid to leak out
  • Common causes are severe pneumonia, aspiration of vomit, submersion, narcotic overdose, inhalation of smoke or other toxic gases, ascent to high altitude, and trauma
Term
Hyperventilation Syndrome
Definition
  • Pt often anxious and feels unable to catch his breath
  • Pt breathes faster and deeper
  • Will "blow off" excessive amounts of CO2 
  • Calcium in body decreases, causing muscles of the feet and hands to cramp
Term
Epiglottitis
Definition
  • Inflammation affecting the upper airway
  • Can be acute, severe, and life-threatening condition if left untreated
  • Conditions that cause it are: infectious, chemical, traumatic agents, and viruses, fungi, and bacteria 
    • Previous years H influenza Type B was most common
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