Term
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Definition
| Rules, standards, morals governing the activities of a group or profession. |
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Definition
| Medical director, protocols, standing orders |
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Definition
| radio, phone, physician on scene (most authority) |
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Definition
| physician at scene (not patients physician) |
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Term
Emergency medical services act- FL law
What chapter?
Defines what? |
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Definition
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Term
| ______ is rules and regs of state EMS division. Same authority as law. |
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Definition
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Term
| Delegation of authority means? |
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Definition
Paramedics must act under physician license.
Medical director. |
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Definition
| Protects those stopping to render care. Must follow standard of care as if on duty. |
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Term
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Definition
| following laws, rules, protocols |
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Term
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Definition
| Civil law, as opposed to criminal. includes negligence. |
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Term
Elements of negligence:
1.
2.
3. |
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Definition
Duty to act
Failure to act
Damages/harm/injury |
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Term
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Definition
"The thing speaks for itself"
Blatant malpractice case |
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Definition
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Definition
Informed
Implied
Refusal (cannot be "under influence" or altered LOC) |
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Definition
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Definition
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| most likely to claim false imprisonment? |
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Definition
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Definition
| Injuring reputation by false or malicious wording |
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Definition
| Same as libel, only VERBAL |
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Term
| Best protection from lawsuit |
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Definition
| Good care, following standard of care, proper training |
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Term
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Definition
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Term
| Any questions as to DNR validity? What to do? |
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Definition
| Start resuscitation and contact med control |
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Term
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Definition
| Legal document where person designates another to make healthcare decisions |
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Term
Comfort measures are?
1.
2. |
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Definition
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Term
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Definition
Alarm
Resistance
Exhaustion |
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Term
| Can seeing eye dog ride in ambulance? |
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Definition
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Term
| If pt doesn't speak english, try to use what first? |
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Definition
| Family member if available |
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Term
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Definition
Adduct=away from midline
Abduct=towards midline |
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Term
What order?
Tissue, Cell, System, Organ |
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Definition
| Cell, Tissue, Organ, System |
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Definition
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Term
| Microorganisms that cause infections? |
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Definition
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Term
Internal balance, equilibrium?
Body tries to maintain this? |
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Definition
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Term
Fluids that do not contain large particles?
Such as NS, LR, 5% D/W... |
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Definition
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Term
| Fluids that stay in blood vessels longer, large particles or proteins |
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Definition
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Term
Normal saline, Lactated Ringers
Examples of Iso, Hyper, or Hypo tonic solutions? |
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Definition
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Term
50% Dextrose, 10% Dextrose
Draws fluid from cells into the vascular space
Iso, Hyper, Hypo? |
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Definition
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Term
1/2 Normal Saline
Iso, Hyper, Hypo? |
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Definition
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Term
| Fluid that buffers most like plasma? |
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Definition
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Term
D5W used for?
NOT used for? |
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Definition
Used for Cardiac and CHF.
NOT for fluid replacement. |
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Term
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Definition
| Movement of fluid from area of LESSER concentration to HIGHER concentration. |
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Term
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Definition
| Positive charged particles |
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Term
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Definition
| Negative charged particles |
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Term
| Most common extracellular cation? |
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Definition
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Term
| Most common intracellular cation? |
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Definition
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Term
| Most common extracellular anion? |
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Definition
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Term
Natremia?
Kalemia?
Calcemia? |
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Definition
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Term
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Definition
| Removes waste, delivers O2, hormones, Temp regulation |
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Term
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Definition
| Transport electrolytes, glucose, hormones, ect. |
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Term
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Definition
6 Liters (or 12 units)
1 unit = 1 pint = 500ml |
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Term
| Red Blood Cell aka Erythrocyte functions? |
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Definition
| Carries oxygen on hemoglobin |
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Term
| White Blood Cell aka Leukocyte functions? |
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Definition
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Term
| Platelets aka Thrombocytes function? |
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Definition
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Term
ABO typing of blood
AB can receive from?
O neg can give to who? |
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Definition
AB universal recipient
O neg universal donor |
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Term
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Definition
| 10mL/hr (could also be 25 mL/hr) |
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Term
| Most common IV complications? |
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Definition
INFILTRATION
cellulitus, thrombephlebitis, local hematoma |
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Term
| Systemic IV complications? |
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Definition
Air embolus, catheter shear sepsis, pulmonary embolus
remove bag tube and needle and save for analysis |
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Term
| Transfusion reaction and pyrogenic reaction? |
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Definition
Fever, back pain, chest pain, shock
Remove bag tube and needle and save for analysis |
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Term
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Definition
| Dry, thirst, sunken eyes, skin tenting, tachycardia |
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Term
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Definition
| JVD, rales, SOB, Pulmonary adema |
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Term
| Metabolic acidosis treatment? |
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Definition
| Ventilation with O2. Bicarb. |
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Term
| Metabolic alkalosis treatment? |
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Definition
| Let it wear off. Too much bicarb. |
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Term
| Respiratory acidosis treatment? |
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Definition
| Increase respirations to blow off CO2. |
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Term
| Respiratory alkalosis treatment? |
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Definition
| Slow respirations. Blowing off too much CO2. |
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Term
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Definition
| Inadequate tissue perfusion. |
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Term
| One of the first signs of shock? |
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Definition
| Tachycardia. Weak pulses. No radials. |
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Term
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Definition
caused by decreased O2, lactic acid buildup.
High flow O2, IV therapy. |
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Term
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Definition
| Able to maintain perfusion. |
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Term
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Definition
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Term
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Definition
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Term
Fluid replacement?
How many liters for each one lost? |
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Definition
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Term
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Definition
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Term
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Definition
| Vascular problem such as spinal injury |
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Term
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Definition
Elderly or young. May or may not have fever.
History of being and looking "sick" |
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Term
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Definition
| Tension Pneumo, Cardiac Tapanade... |
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Term
| Who enforces Controlled Substance Act? |
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Definition
| FDA (Food and Drug Administration) |
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Term
Schedule 1 drugs can or cannot be used in medicine?
What are they? |
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Definition
Cannot.
Crack cocaine, LSD, heroin. |
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Term
| Federal Food, Drug and Cosmetics act |
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Definition
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Term
| Purple foxglove - Digitalis used for? |
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Definition
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Term
| Belladonna plant used for? |
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Definition
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Term
| Sympathetic nervous system releases? |
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Definition
Catecholimines
Epi and NorEpi. |
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Term
| Parasympathetic response releases? |
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Definition
Acetylcholines
Slow heart rate. Constricted Pupils. SLUDGE |
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Term
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Definition
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Term
tsp = ?ml
tbsp = ?ml
oz = ?ml
1 grain = ?ml |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
lbs divided by 2.2kg
minus 10% |
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Term
| Fastest to slowest drug routes |
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Definition
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Term
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Definition
90 degree into large muscle
45 degree into connective tissue |
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Term
| Enternal means what route? |
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Definition
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Term
| Parenteral means what route? |
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Definition
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Term
| Sublingual (SL) Where and how long? |
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Definition
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Term
| Drugs down tube? times how much and what drug do you not double? |
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Definition
most drugs 2-2 1/2 times.
Vasopressin do not double. |
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Term
| Upper airway ends at what? |
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Definition
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Term
| Vallecula is where? What blade is associated? |
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Definition
Base of tongue. Macintosh blade.
Bland passage. |
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Term
| Epiglottis and glottic opening where? |
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Definition
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Term
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Definition
| Vagal, split in bronchus. |
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Term
| Where does gas exchange take place? |
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Definition
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Term
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Definition
| Area of greater to an area of lesser. |
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Term
Respiratory drive in brain is?
Chemoreceptors located where? |
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Definition
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Term
| Brain stem responds to hypercarbia (increased CO2) by stimulating? |
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Definition
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Term
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Definition
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Term
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Definition
| Pulmonary ventilation. Breathing. |
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Term
| Oxygen is transported on compound containing what in hemoglobin? |
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Definition
| Iron containing compound. |
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Term
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Definition
Amount of air breathed in or out in one breath.
500-600ml |
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Term
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Definition
| Amount of air moved in one minute. |
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Term
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Definition
Low oxygen in blood.
Increased carbon dioxide in blood. |
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Term
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Definition
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Term
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Definition
Vomiting occurs with removal.
Doesn't maintain c-spine alignment. |
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Term
| Best way to improve ventilation and oxygenation? MOST secure airway? |
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Definition
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Term
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Definition
| Thyroid cartilage, CTM, cricoid cartilage. |
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Term
| ICP will increase during intubation attempts? |
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Definition
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Term
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Definition
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Term
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Definition
| 15 sec max. Only on the way out. |
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Term
what % of oxygen does each provide?
NC
Mask
NRM
BVM with Sup O2 |
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Definition
NC less than 40%
Mask 40-60%
NRB 90+%
BVM 90-100% |
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Term
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Definition
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Term
| Best blade for intubating peds? |
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Definition
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Term
| No cuff on tube under what age? |
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Definition
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Term
| Smallest area of ped airway? |
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Definition
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Term
| Measure tube by what formula for pecs? |
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Definition
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Term
| Partial airway obstruction in child, hear what? |
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Definition
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Term
| Pulse ox measures 02 saturation where? |
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Definition
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Term
| Capnography measures 02 sat where? |
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Definition
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Term
| Normal capnography (Ph level) |
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Definition
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Term
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Definition
| Cant speak in full sentences. |
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Term
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Definition
| cocaine, epinephrine, amphetamines |
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Term
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Definition
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Term
JVD best seen at what angle?
Sign of? |
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Definition
45 degree.
Tension pneumo, RIGHT heart failure, cardiac tamponade, Traumatic asphyxia |
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Term
| Flat neck veins caused by? |
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Definition
| Hemothorax. Dehydration. Hypovolemia |
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Term
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Definition
| Bruising around umbilicus |
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Term
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Definition
| Pain in shoulder due to blood under diaphragm |
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Term
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Definition
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Term
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Definition
| Ecchymosis in flank, may be bleeding from kidneys |
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Term
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Definition
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Term
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Definition
| Difference between systolic and diastolic. |
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Term
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Definition
| Pressure in arteries during ventricular contraction. |
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Term
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Definition
| Pressure in arteries during ventricular relaxation. |
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Term
| Who licenses, assigns channels and frequencies, and monitors? |
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Definition
| FCC Federal Communication Commission |
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Term
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Definition
| Shorter range, but less interference. Clearest transmission. |
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Term
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Definition
Ultra high frequency. Most common in EMS.
Very high frequency |
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Term
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Definition
| two split frequencies. Talk, listen and send ECG's |
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Term
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Definition
| Need multiplex system, UHF transmission of life signs such as ECG |
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Term
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Definition
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Term
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Definition
| Group of frequencies close together |
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Term
| Device that transforms electrical energy into sound waves - |
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Definition
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Term
| Transmission increases with |
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Definition
| Flat land or water, less obstructions, antenna VERTICAL. |
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Term
| Transmission decreases with |
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Definition
| Mountains, high buildings, antenna in HORIZONTAL position. |
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