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SRJC EMT D3 EXAM
questions for mr.snow's D3 test
119
Health Care
Professional
03/25/2007

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Term
generic
Definition
the medication name found in the US Pharmacopoeia
Term
trade name
Definition
the medication name a pharmaceutical company gives to a drug. It could also be referred to as a brand name.
Term
inhaler
Definition
a spray device with a mouthpiece that contains an aerosol form of a medication that a patient can spray into his airway.
Term
chamical name
Definition
the medication name that reflects the chemical structure of the medication
Term
nebulized
Definition
process of mixing air and medication to produce a mist, which is inhaled.
Term
sublingual
Definition
beneath the tongue
Term
transdermal
Definition
through or by way of the skin
Term
indication
Definition
reason a medication is administered
Term
route
Definition
how the medication is administered
Term
dose
Definition
how much of the medication is administered
Term
actions
Definition
desired responses in the body a medication may cause. Also called the desired effect.
Term
side effects
Definition
any action of a drug other than the desired action.
Term
contraindications
Definition
situations where a medication should not be administered because it may do more harm than good.
Term
the six rights
Definition
right: medication, dose, route, patient, time, documentation
Term
epinephrine
Definition
a medication used to treat serious allergic reactions called anaphylaxis
Term
nitroglycerin
Definition
a medication used to treat chest pain
Term
smooth-muscle relaxant
Definition
a medication that relaxes smooth muscles, for example as nitroglycerin relaxes the muscle in blook vessels and permits an increases blood flow.
Term
activated charcoal
Definition
a medication used to treat certain cases of poisoning or overdose
Term
oral glucose
Definition
a medication used to treat patients with suspected low blood sugar
Term
carbohydrate
Definition
source of fuel for the body
Term
inhaled bronchodilators
Definition
medication used to poen up bronchioles that are constricted due to a respiratory disease such as asthma
Term
aspirin
Definition
medication used both during a heart attack and as a method to prevent heart attacks.
Term
blood clotting
Definition
clumping together of blood cells
Term
platelets
Definition
components of bloot, membrane-enclosed fragments of specialized cells.
Term
oxygen
Definition
a medication used to increase the amount of circulation O2 in the blood stream.
Term
when receiving an order from medical direction you should...
Definition
repeat the order as confirmation, write down the order, administer the medication.
Term
pathophysiololgy
Definition
the study of how disease affects normal body processes
Term
aspiration
Definition
when foreign substances enter the lungs
Term
parietal pleura
Definition
membrane that is attached to the chest wall
Term
visceral pleura
Definition
membrane that is attached to the lung surface
Term
dead space
Definition
areas of the lungs outside the alveoli where gas exchange with the blood does not take place.
Term
hypoxia
Definition
an insufficiency of O2 in the body's tissues
Term
hypercarbia
Definition
excessive CO2 in the blood
Term
tripod position
Definition
position that may be assumed during respiratory distress to facilitate breathing. The patient usually sits or may stand or crouch, leaned forward with hands placed on the bed, chair, table, or knees.
Term
accessory muscles
Definition
muscles in the neck, chest, back, and abdomen used to assist ventiliations in respiratory distress.
Term
wheezing
Definition
high-pitched musical lung sounds created by air moving through constricted air passages.
Term
gurgling
Definition
intermittent low-pitched sounds, Indicative of fluids in the upper airway
Term
snoring
Definition
intermittent low-pitched sounds heard during inhalation. Often indicative of partial upper airway obstruction caused by the tongue and associated soft tissue.
Term
stridor
Definition
a harch high-pitched sound that generally occurs during inhalation but can also occur during exhalation, indicative of a partial upper airway obstruction.
Term
work of breathing
Definition
effort needed for adequate ventilation.
Term
pertinent negatives
Definition
questions that are important to know the answers to - even if the answer is no.
Term
pules oximetry
Definition
use of an electronic device, a pulse oximeter, to determine the amout of O2 carried by the hemoglobin in the blood, known as the O2 saturation or SpO2.
Term
Cheyne-Stokes respirations
Definition
deep respirations alternating with very shallow respirations. There may also be a period of apnea in the cycles. Seen in patients who have brain injury or end-stage brain tumors.
Term
apnea
Definition
absence of any breathing or respiratory effort
Term
hyperventilation
Definition
breathing that is abnormally rapid and deep
Term
central neurogenic hyperventilation
Definition
very rapid deep respirations usually caused by head injuries or strokes that involve the brainstem
Term
Kussmaul's respirations
Definition
rapid, deep ventilations usually caused by very acidic blood such as some diabetic conditions and aspirin OD.
Term
asthma
Definition
a disease that has attacks involving bronchoconstriction and mucus production with significant difficulty breathing
Term
bronchoconstriction
Definition
constriction of the bronchioles in the lungs caused by allergies, respiratory infections, exercise, or emotion.
Term
triggers
Definition
alleries, respiratory infections, exercise, or emotion that may cause bronchoconstriction.
Term
mucus
Definition
slippery secretion that lubricates and protects airway surfaces
Term
status asthmaticus
Definition
prolonged life-threatening asthma attack, often not responding to the patient's own medications.
Term
chronic bronchitis
Definition
condition whtere the lining of the bronchiole is inflamed. Excess mucus is formed and remains in the ariway. The accumulations become severe as teh body is unable to clear the mucus from the airway.
Term
emphysema
Definition
condition where the walls of the alveoli break down and lose surface area
Term
stale air
Definition
air that remains in the alveoli incerasing CO2 levels in the lungs
Term
drive to breathe
Definition
stimulation to breathe. Usually related to the level of CO2 in the blood.
Term
hypoxic drive
Definition
when the stimulus to breathe is the amount of O2 in the blood rather thatn the normal drive to breathe that is related to the amount of CO2 in the blood.
Term
ascultation
Definition
assessment technique of listening, usually with a stethoscope
Term
midaxillary
Definition
a line drawn vertically from the middle of the armpit to the ankle
Term
pulmonary edema
Definition
a condition of fluid in the lungs.
Term
crackles
Definition
lung sound created in pulmonary edema when alveoli, closed because of fluid, open. They are usually heard on inspiration as fine crackling sounds.
Term
ronchi
Definition
low-pitched snoring or rattling sounds caused by secretions in the larger airways. These may be seen in chronic lung diseases and possibly pneumonia
Term
croup
Definition
viral illness characterized by inspiratory and expiratory stridor and a seal bark-like cough
Term
metered-dose inhaler
Definition
device that patients use to breathe in medication
Term
sympathetic nervous system
Definition
part of the nervous sustem that activates 'fight or flight'
Term
Small Volume Nebulizer (SVM)
Definition
method of continuously administering a vaporized medication, as opposed to the inhaler that provides a one-time dose.
Term
cardiac arrest
Definition
the stopping of the heart, resulting in a loss of effective circulation
Term
automates external difibrillator (AED)
Definition
electrical device that automatically analyzes the heart rhythm and, if appropriate, provides a measured dose of electricity through the heart in an attempt to defibrillate or converth the heart into a normal rhythm.
Term
circulatory system
Definition
the system made up of the heart, blood vessesl, and the blood. Also called the cardiovascular suster.
Term
perfusion
Definition
the adequate supply of well-oxygenated blood to the body tissues, especially the vital organs.
Term
atria
Definition
the two upper chambers of the heart. RA -receives unoxygenated blood from the body and LA which receives oxygenated blood from the lungs.
Term
ventricles
Definition
the two lower chamebrs of the heart. RV - sends O2 poor blood to the lungs, LV sends O2 rich blood to the body
Term
automaticity
Definition
the ability of all heart muscle cells to generate an electrical impulse
Term
canduction pathway
Definition
the pathway of electrical impulses throught the heart, which causes the heart to beat. The cardiac conduction athway begins at the sinoatrial node and flows down the center of the heart eventually branching across both venticles.
Term
sinoatrial node
Definition
beginning of the cardiac conduction pathway, located at the top of the heart near the right atrium.
Term
arteries
Definition
any blood vessels carrying blood away from the heart
Term
veins
Definition
any blood vessel returning blood to the heart
Term
arterioles
Definition
the smallest kind of artery
Term
venules
Definition
the smallest kind of vein
Term
capillaries
Definition
tiny vessels that connect arterioles and venules
Term
the 4 steps of the chain of survival
Definition
early access, early cpr, early defibrillation, early advanced care
Term
myocardial infarction
Definition
occlusion of blockage of one or more of the coronary arteries resulting in damage to the heart muscle. Also called a heart attack.
Term
angina
Definition
literally a pain in the chest. Occurs when one or more of the coronary arteries are unable to provide an adequate supply of oxygenated blood to the heart muscle. Also called angina pectoris.
Term
Congestive Heart Failure
Definition
An overload of fluid in the body's tissues that results when the heart is unable to pump an adequate volume of blood
Term
coronary arteries
Definition
small arteries that carry oxygenated blood to the heart muscle itself. A disruption in flow through these arteries can cause pain and damage to the heart muscle.
Term
chronic
Definition
slow onset or long term (opposite of acute)
Term
acute
Definition
sudden onset (opposite of chronic)
Term
jugular vein distention
Definition
bulging of the neck veins.
Term
dysrhythmias
Definition
any variations from the normal rate or rhythm of the heart. Also called arrhythmias
Term
ventricular fibrillation (v-fib)
Definition
one of the most common electrical rhythms associated with sudden cardiac arrest in which the ventricles of the heart contract spontaneously and in an uncoordinated manner, thus preventing the heart from circulating any meaningful amount of blood.
Term
Altered Mental Status
Definition
appearing abnormally sleepy, confused, violent, or even completely unresponsive.
Term
hypoglycemia
Definition
abnormally low blood glucose level
Term
hyperglycemia
Definition
abnormally high blood glucose level
Term
siezures
Definition
interruptions of normal brain function caused by bursts of abnormal signals in the brain
Term
stroke
Definition
condition that coours whtn the blood supply to an area of the crain is interrupted
Term
dementia
Definition
condition involving gradual development of memory impairment and cognitive disturbance.
Term
3 elements of GCS
Definition
Eye opening(4), verbal response(5), motor response (6)
Term
diabetes
Definition
medical condition that results when a person's pancreas will no longer produce an adequate supply of insulin or when the body loses the ability to utilize isulin properly
Term
insulin
Definition
hormone required for the transfer of lucose from the blood to the tissues and cells where it can be used.
Term
glucose
Definition
blood sugar
Term
diabetic ketoacidosis
Definition
a hyperglycemic condition in which an absence of insulin causes the body to metabolize other sources of energy such as fat. THe blood becomes acidic and the condition that may result in a fruity breath odor and AMS.
Term
diabetic coma
Definition
altered mental status resultin from untreated hyperglycemia
Term
insulin shock
Definition
condition resulting from untreated hypoglycemia
Term
convulsions
Definition
full body muscle contractions lasting up to several minutes
Term
epilepsy
Definition
a neurological disorder characterized by sudden recurrin attacks of motor, sensory, or psychic malfunction with or without loss of consciousness or convulsive siezures.
Term
febrile seizures
Definition
seizures caused by a sudden increase in fever. Most common in children.
Term
generalized tonic-clonic seizure
Definition
seizure characterized by a loss of consciousness, convulsions. Als called a grand mal seizure
Term
postictal
Definition
period following a generalized seizure where patient will remain unresponsice or also may be sleepy or groggy for up to 30 min or so.
Term
status epilepticus
Definition
multiple seizures without a period of consciousness between them or one continuous seizure lasting 10 min or more.
Term
transient ischemic attack (TIA)
Definition
also called a mini-stroke, this condition presents as a stroke but signs and symptoms resolve usually within 24 hrs.
Term
allergic reactions
Definition
the body's exaggerated response when exposed to specific substances to which it has sensitivities
Term
allergens
Definition
substances that cause sensitivity
Term
anaphylaxis
Definition
sudden, severe allergic reaction
Term
hives
Definition
red, itchy, possibly raised blotches on the skin, possibly from insect bites or food allergy.
Term
epinephrine
Definition
a hormone produced by the body. As a medication, it constricts blood vessels and dialates respiratory passages and is used to relieve severe allergic reactions.
Term
Adult Epi-pen dose
Definition
0.3mg
Term
child epi-pen dose
Definition
0.15mg
Term
side effects of epinephrine
Definition
increased heart rate, pale skin, dizziness, chest pain, headache, nausea/vomiting, excitability and anxiousness.
Term
the effect of epinephrine lasts as little as ___ min.
Definition
10-20
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