Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Paramedic Quiz 4
| Question | Answer |
|---|---|
| mononeuropathy | any neuropathy of a single nerve trunk |
| polyneuropathy | A generalized disorder of peripheral nerves. |
| Cushing reflex | (Head Injury causing ICP) Increased B/P, Decreased Pulse, Decreased Respirations |
| Wernicke's Syndrome | Loss of memory & disorientation associated w/ chronic ETOH intake & diet deficient in thiamine. (Acute but reverasble) |
| Korsakoff's Psychosis | Disorientation, muttering, delirium, insomnia, delusions & hulluciantions/painful limbs & bilateralFOOT DROP & wrist drop. (Irreversible) |
| Aphasia | Cant speek |
| Dysphasia | Trouble speeking |
| Signs of Stroke (8) | 1. Facial drooping 2.H/A 3.Aphasia/Dysphasia 4.Hemiparesis 5.Hemiplegia 6.Parasthesia 7.Gait Disturbanes 8.Incontinence |
| Symptoms of Stroke (4) | Confusion, Agitation, Dizziness, Vision Problems |
| T.I.A. | Indicative of Carotid Artery Disease, Symptoms resolve in less than 24 hours, No long term effects. |
| Stroke Management (8) | 1. Airway 2.Support Breathing 3.Detailed Hx. 4.L Lat.Recumbrent 5.B/G Chem 6.IV 7.Put on Monitor 8. Protect Paralized Extrimities |
| Generalized Seizures (3) | Tonic-Clonic, Absence, Psudoseizures |
| Tonic-Clonic phases (7) | 1. Aura 2.Loss of Consciousness 3.Tonic Phase 4.Hypertonic Phase 5.Clonic Phase 6.Postseizure 7.Postictal |
| Partial Seizures (2) | Simple Partial (Focal) & Complex Partial (Petite Mal) |
| Simple Partial Seizures | (Focal) Involve one body area & can progres to a general seizure |
| Complex Partial Seizures | (Petite Mal) Charicterized by aura, 1 to 2 min in length & loss of contact w/ surroundings |
| Status Epilepticus | 2 or more Generalized Seizures w/o return to consciousness |
| Syncope | A sudden, TEMPORARY loss of consciousness (Extended unconciousness is NOT syncope) Jerking motions not usually present, & Pt regains consciousness almost immediately on becomming supine. |
| 3 types of Headache | Vascular, Tension, Organic |
| 2 types of Vascular H/A | Migraines & Cluster |
| Migraine H/A | Throbbing pain, photosensitivy, N/V, sweating, may last for extended periods of time, More frequent in women (Can mimic a stroke) |
| Cluster H/A | One sided w/ nasal congestion, drooping eyelid,and irritated or watery eye, ~1 to 4 hrs, more frequent in men |
| Organic H/A | Due to tumors, infection, or other diseas of the brain,eye, or other body system. H/A associated w/ fever, confusion, N/V, or rash can be indicative of an infectious disease. |
| Neoplasms = | Tumors |
| 2 types of Tumors | Benigh & Malignant |
| Tumor S/S | Reoccuring or severe H/A, N/V, Weakness or Paralysis, Lack of coordination/unsteady gait, Dizzynesss or double vision, SEIZURES W/O A PRIOR HISTORY |
| Brain Abscess | (Puss on or in the brain) Lethargy,Hemiparesis, nucal rigidity, H/A, N/V, Seziures |
| Alzheimers | Most frequent cause of dementia in the elderly resulting in atrophy of the brain due to nerve cell death in the cerebral cortex. |
| Muscular Dystrophy | Charicterized by progressive muscle weakness |
| Multiple Sclerosis | Unpredictable disease resulting from deterioration of the myelin sheath. |
| Dystonias = | A grp of disorders characterized by muscle contractionsthat cause twisting repetitive movements, abnormal postures or freezing inthe middle of an action. |
| Parkinson's Disease | Chronic/Progressive motor system disorder. Tremor, regidity, bradykinesia, postural instibility. |
| Central Pain Syndrome | Condition resulting from damage or injury to the brain, brainstem, or spinal cord. Steady intense pain described as burning, aching, tingling feeling. A pins & needle sensation. |
| Bells Palsy | One sided facial paralysis w/ unknown cause/inability to close eye, pain, tearing of the eyes, drooling, hypersensitivity, to sound & impairment of taste. Caused by virus or trauma & usually resolves in 3 monthe. |
| Myoclonus | Temporary involuntary twithching or spsam of a muscle group. Usually one of several S/S of a variety of nervous system disorders, MS, Parkinson's, or Alzheimer's (Hic ups are myoclonus) |
| Poliomyelitis | (Polio) Infectious, inflamatory viral disease of the CNS that sometines results in permanent paralysis |
| Low Back Pain causes | Disk injury, vertebral injury, cysts, tumors, & other causes. |
| Shock = | The state otf inadequate tissue perfusion occuring secondary to circulatory failure. |
| 4 causes of Shock | Hypovolemia, Pump Failure, Loss of Vascular Tone, Obstruction of Cardiac Filling |
| Shock Early Phase CIRCULATORY Compensatory mechanisms | Geared to protect critical organs(Brain, Heart, Kidneys).Catechoalmine release produces increased H/R & contractility, Constriction of vessels & capillary spincters to redistribute blood away from non-critical organs(Skin, GI, Skeletal Muscles), ^PreLoad |
| Shock Early Phase Neuroendocrine Compensatory Mechanisms | Hormone driven by the Hypothalamus. Geared to optimizing blood flow & delivering nutrients to the cells |
| Later Phase of Shock = | When the Compensatory Mechanisms begin to fail. |
| Shock Later Phase Circulation Pathophysiology | As circulation fails, the B/P & C.O. drops(@ ~35% blood loss), Precapillart sphincters relax but post capillary remain intact causing blood to back up in the extrimities,Low o2 produces celluler changes leading 2 irreversable Shock. |
| Shock Later Phase Cellular Pathophysiology | cells starving for o2 shift to anarobic metabolism prodicing lactic acid & metanbolic efficiency decreases. Cell membrain can't be maintained & sodium enters cell. Cell dies as lysozymes leakautodigesting the cell. |
| 3 causes of Hypovolimic Shock | Hemorrhage, Burns, Acute Dehydration (10% dehydration causes "Tenting") |
| 6 causes of Hemorrhagic Shock | 1. Blunt Trauma 2.Penetrating Trauma 3.Ruptured /Dissecting Aneurysms 4.GI Hemorrhage 5.Ruptured Ectopic Pregnancy 6.Massive Vaginal Bleeding |
| Initial S/S of Hemorrhage Shock | 1.Cool/Diaphoritic 2.Delayed Cap Refil 3.^H/R 4.Narrowing pulse pressure 5.^ Resp Rate. |
| Later S/S of Hemorrhage Shock (6) | 1.Low B/P 2.Marked Tachycardia 3.Diminished periferal pulses 4.Pallor 5.Agitation 6.Decreased urine output |
| Terminal S/S of Hemorrhage Shock (3) | Coma, Irregular or Absent Respirations, Unmeasurable B/P |
| Hemorrhage Shock Management Goals (3) | Control bleding, Rrestore circulating blood volume, maintain o2 delevery |
| Treatment for hypotension in Hemorrhage Shock | 2 large bore IVs20cc for kids & 30cc for adults |
| Cardiogenic Shock causes (4) | (PumpFailure) 1.MI 2.Arrhythmias 3.Mitral Valve Failure(Chordae Tendinae Rupture) 4.CHF |
| S/S of Cardiogenic Shock (6) | 1.Diaphoresis 2.Delayed cap-refil 3.^H/R or irregular rhythm 4.Dyspnea 5.Hypotenaion 6.Agitation |
| 4 types of Distributive Shock (Loss of Vascular Tone) | 1.Sepsis 2.SpinalShock(Injury to cervical or Upper Thorasic) 3.Anaphylaxis 4.Heat Stroke |
| Early S/S of Septic Shock(7) | 1.Vasodilitation 2.Warm/Flushed appearance 3.Hyperdynamic Heart 4.Widened Pulse Pressure(BOUNDING PULSES) 5.Variable Temp 6.Agitation/Confusion 7.Hyperventilation (Look 4 in MERSA cases) |
| Later S/S of Septic Shock (2) | 1. More of a typical shock pattern 2.May show signs of coagulation Defects |
| 4 causes of Obstruction of Cardiac Filling | 1.Tension Pneumo 2.Pericardial Tamponade 3.Pulmonary Embolus 4.Aortic Dissection |
| In the majority of cases of injured Pts, what is the most common cause of shock? | Hemorrhage |
| Children in hypovolemic shock can... | 1.Max out their H/R in a short period of time 2.maintain relatively constant B/P 3.Cease respirations just prior to cardiac arrest |
| Antishock pants are counterindicated for_____ injuries. | Penetrating liver |
| To formula calculate a Pts blood volume? | Weight in Kg x 70 (kids are slightly higher) |
| Distinded neck veins are not present in what kind of shock? | Hypovolemia |
| Initial bolus of fluid for a child in shocl is... | 20 cc/kg |
| Initial bolus of fluid for an adult in shocl is... | 30 cc/kg |
| Early septic shock has what kind of pulses? | Wide Pulse Pressures (Bounding) |
| 4 events that can lead to shock due to obstruction to cardiac filling? | Tension Pneumo, pericardial Tamponade, Pulmonary Embolus, Aortic Dissection |
| Lactic Acidosis is a/an _____ sign of shock. | Late |
| Blood volume loss that consistantly produces a drop in B/P is____% | 35% |
Created by:
rcathey