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EMT TEST #4 (Final)
study help for our EMT final
88
Health Care
Undergraduate 4
12/06/2014

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Cards

Term
what tools do we use to assess breath, look, listen, feel.
Definition
Auscultate with stethoscope
Term
What do we look for when assessing someones airway?
Definition
Rate
Rhythm
Quality
Depth
Term
what is the presence of air in the soft tissue called?
Definition
Subcutaneous Emyphsema
Term
Respiratory rate of an Adult
Definition
12-20
Term
Respiratory rate of a child
Definition
15-30
Term
Respiratory rate of a infant
Definition
25-50
Term
What is the number one cause of cardiac arrest in a patient?
Definition
Airway! (breathing)
Term
unwitnessed and unconscious patient, what your initial airway intervention.
Definition
Jaw thrust
Term
Atruamaatic SOB patient what the first thing you assess for respiratory?
Definition
Rate and quality of respiration
Term
Preference in airway intervention
Definition
Pocket mask. mouth to mask
Term
order in setting up oxygen delivery to patent
Definition
NR sheet
Term
CPR compression rates
Definition
Single rescuer 30-2
2 rescuer infant 15-2
Term
Liter flow for O2 devices
Definition
NRB 90% O2 at 15 lpm
Term
how to suction a patient
Definition
only what you can see, only on the way out, no more than 15 seconds
Term
Contra-indications for NPA OPA
Definition
OPA- Gag reflex
NPA- head injury
Term
How many CC's of air does a BVM hold?
Definition
1000-1600
Term
Pulmonary anatomy
Definition
left lung(lobe) has 2 right(lobe) has three
Term
Order of airway treatment on trauma Pt.
Definition
C-spine, Airway, etc.
Term
O2 concentration on nasal canula
Definition
24-44% O2
Term
How to measure OPA
Definition
corner of the mouth to the base of the ear
Term
How to measure NPA
Definition
Corner of the nose to the ear lobe
Term
How much air does an O2 tank typically hold
Definition
2000 psi
Term
How does a NRB mask work?
Definition
The Pt. breaths O2 in and the 1 way valve allows air to be exhaled and not breathed again
Term
Before admin of nitro what should you check?
Definition
BP and it has to be greater than 100 systolic
See if they are on any contra-medications
Term
Non-exertion onset chest pain, most likely?
Definition
MI
Term
How much nitro can be administered?
Definition
3 doses
Term
Aspirin contra-indications?
Definition
Asthma, allergies, bleeding disorders, blood thinners, or prego
Term
S/S of shock in a MI Pt.
Definition
refer to cardiogenic-shock

Confusion or lack of alertness
Loss of consciousness
A sudden and ongoing rapid heartbeat
Sweating
Pale skin
A weak pulse
Rapid breathing
Decreased or no urine output
Cool hands and feet
Term
S/S of a MI
Definition
Chest pain, weakness, SOB, NV, Diaphoresis, pain radiating to the jaw and arms
Term
What causes an AMI
Definition
usually blockage
Arteriosclerosis- Hardening of the elasticity in large arteries in the body
Atherosclerosis- Build up of plaque in the walls of vessels
Term
S/S of CFH
Definition
SOB, orthopnea (liquid in the lungs), JVD, Rapid/shallow respiration, anxiety, lung sounds, pink frothy sputum, pedal edema.
Term
Presenting rhythm in cardiac arrest
Definition
Ventricular fibrilliation
Term
Pulse-less, ventricular tachycardia what should you do?
Definition
AED defibrilliation
Term
Pt. with chest pain goes cyanotic and apnic what is first intervention?
Definition
Make sure airway is open
Term
Angina VS AMI
Definition
Angina- Exertion onset, last >30 mins treat with rest and O2

AMI- Non-exertion onset, last <15 mins, treat with MONA(Morphine, O2, Nitro, Aspirin)
Term
What is the patho-physiology of an emphysema Pt.
Definition
loss of elasticity in aveoli causing air trapping.
Term
What is the patho-physiology of a CHF Pt.
Definition
Occurs when >25% of left ventricle is damaged and heart cant pump blood effectively
Term
Why don't you typically defibrillate a pediatric Pt.
Definition
Usually fixing the airway/ breathing fixes the problem
Term
What is the artery of sudden death?
Definition
Coronary artery (heart)
Term
S/S of hypoglycemia?
Definition
Normal to rapid, deep respiratoins
pale, moist skin
diaphoresis, dizziness, headache
rapid pulse
Term
What questions do you ask diabetics?
Definition
do you take insulin?
have you taken your usual dose for today?
have you eaten normally today?
had any illness? been more active? stress?
what do you think is wrong?
Term
Field delivery complications
Definition
Give O2 and transport,
Placenta previa, Abruto placenta, Prolapsed cord, Nuchal cord (wrapped around the neck), meconium (fecal matter), breech delivery, limb presentation, enraptured amniotic sac.
Term
Aphasia (disarthria, Dysphasisa)
Definition
Patient is unable to speak.
Term
S/S of TIA (transient ischemic attack-mini stroke)
Definition
(CVA cerebral vascular accident- interruption of blood flow to the brain that results in loss of brain function)
Term
Order of interventions for Pt. with dizziness and near syncope
Definition
O2(goal is 94%)
Call ALS
Loose clothing around the neck
lay flat (supine)
treat for fall injuries if the fell.
Term
What causes heat cramps?
Definition
low electrolytes (sodium, potassium, calcium, magnesium) and over exertion.
Term
Hot flushed dry skin?
Definition
Heat stroke
Term
Patho-physiology of Anaphlaxsis
Definition
Immune response
extreme allergic reaction
vasodilation of vessels, constriction of bronchi-oles, decreased CO2.
Term
Hypoxic drive of a cold Pt.
Definition
amount of O2 insted of CO2
Term
Types of bronchodilators
Definition
Proventil, Ventolin, Alupent
Term
Pediatric assessment triangle (PAT)
Definition
Assess TICLS (Tone,Interactivity,Consolability, Look, Speech)
Work of breathing
circulation to skin
Term
3 stages of labor
Definition
1st onset contractions, end cervical dilation "bloody show"
2nd end with delivery of baby
3rd delivery of placenta
Term
Placenta Previa.
Definition
PP- Placenta attaches to uterus over cervical opening, bleeding, 3rd tri.
Term
Abrupto Placenta
Definition
Premature separation of the placenta from uterus wall, bleeding 3rd tri.
Term
Ectopic Pregnancy
Definition
Egg in implanted outside the uterus in fallopian tube, w or w/o bleeding.
Term
How to time contractions
Definition
contractions lasting 30 sec- 1 min, every 2-3 mins. delivery may be imminent.
Term
S/S of dehydration in Pediatrics
Definition
Diarrhea, vomiting, dry lips and gums decreases in saliva, fewer diapers during the day.
Term
febrile seizures
Definition
sudden increase in body to temp due to fever
Term
Types of bronchodilators
Definition
Proventil, Ventolin, Alupent
Term
Pediatric assessment triangle (PAT)
Definition
Assess TICLS (Tone,Interactivity,Consolability, Look, Speech)
Work of breathing
circulation to skin
Term
3 stages of labor
Definition
1st onset contractions, end cervical dilation "bloody show"
2nd end with delivery of baby
3rd delivery of placenta
Term
Placenta Previa.
Definition
PP- Placenta attaches to uterus over cervical opening, bleeding, 3rd tri.
Term
Abrupto Placenta
Definition
Premature separation of the placenta from uterus wall, bleeding 3rd tri.
Term
Ectopic Pregnancy
Definition
Egg in implanted outside the uterus in fallopian tube, w or w/o bleeding.
Term
How to time contractions
Definition
contractions lasting 30 sec- 1 min, every 2-3 mins. delivery may be imminent.
Term
S/S of dehydration in Pediatrics
Definition
Diarrhea, vomiting, dry lips and gums decreases in saliva, fewer diapers during the day.
Term
febrile seizures
Definition
sudden increase in body to temp due to fever
Term
Rule of nines
Definition
Arms=9%
Head=9%
Upper Chest=9%
Lower Chest=9%
Upper Back=9%
Lower back=9%
LEGS=9% EACH!
Groin=1%
Term
How to treat evulsions of the scalp
Definition
put the flap back and apply dressing
Term
Who gets rapid Trauma assessment?
Definition
MOI,Major bleeding.
Term
Eviscerated Abdomen
Definition
Cover with moist sterell dressing than dry on top
Term
3 Stages of shock
Definition
Compensated shock
Decompensated
Irreversable
Term
Order of shock findings in Pt.
Definition
ALOC, Pale cool clammy skin, nausea vomiting, vital signs change, others such as thirst dilated pupils and cyanosis
Term
When do you do a detailed exam?
Definition
on the way to the hospital.
Term
S/S of head injury
Definition
ALOC
Headache
Unequal pupils
Slurred speech
N/V
Term
what do you do with an amputated body part?
Definition
Wrap in sterile dressing place in plastic bag and place in cool container
Term
Tension pneumothroax
Definition
air is in the plural space
Term
Flail Chest
Definition
2 or more broken ribs in three or more places.
Term
dressing gets soaked?
Definition
put another one on top.
Term
Rule of nines for peds.
Definition
Head=7%
ARMS=9%
Front torso=18%
Back torso=18%
Legs=16% each
Groin=1%
Term
Components of the Glasgow Coma Scale
Definition
Eyes-4
Motor-6
Speech-5
EMS465
Term
what do you do after GCS?
Definition
Term
where do you park at a HAZ MAT scene?
Definition
Upwind
Uphill
Upstream
Term
SIN Stands for?
Definition
Safety
Isolate and deny entry
Notification
Term
3 HAZ MAT zones
Definition
Exclusion Zone (chemical is handled)
Contamination Reduction Zone (decontamination)
Support Zone- EMS
Term
Written consent for treatment?
Definition
Advance directive: Written document that specifies medical treatment for Pt.
Term
START triage
Definition
The system of tagging Patients according to a series of questions.

GREEN - Minor injury (walking wounded)
YELLOW - Delayed- can wait
RED - Immediate!
BLACK - Deceased

remember 30 to 2 can do
Term
Randolph Mantooth played what part on the show emergency?
Definition
Paramedic John Gage (131 episodes) 1972-1979
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