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Paramedic_Review1
Stuff to review
| Question | Answer |
|---|---|
| What do J waves indicate? | Hypothermia |
| How do you determine position of fetus? | Leopold Maneuvers |
| Glucose dose for newborn | D10 |
| What is Graves Disease | Exphypothalmus |
| Medication for cocaine overdose | Diazepam |
| What is S3 heart sound? | CHF/ Ventricular irritability |
| Disease with increased risk to a baby/neonoate/fetus? | Rubeola |
| Babinskis Reflex | Big toe flexes toward the top of the foot and the other toes fan apart. Part of the REFLEX ARC.... |
| Complications of precipitous delivery | Maternal lacerations, neonate trauma |
| What does vertical Axis on ECG mean? | Voltage. |
| MVA, PT with abd pain,low bp,tachacardic, what kind of shock? | Hypovolemic |
| What is conversion reaction? | Pt has loss of function usually involving the nervous system(blindness,paralysis) unexplained by any medical illness. |
| Clonic part of seizure. | in/out of muscle spasms |
| Most common arrhythmia for adult in cardiac arrest? | VFib |
| PT with PH 7.2,PaCO2 58 | Respiratory Acidosis |
| Most communicable type of Hepatitis | A |
| What happens with depolarization? | Potassium leaves,(Sodium Salts)Na+ enters. |
| MVA with bus crash 4 critical patients, what is priority? | Request additional resources |
| Legs trapped for 12 hours what would you suspect when freed? | Metabolic Acidosis |
| Legs trapped for 2 hours what will happen to leg? | Rhadomyolysis |
| Why should you hyperventilate a patient? | rid CO2 |
| Size of tube in children is eqaul to what? | (Age/4)+ 4 |
| Child hit on back of head right eye is blown out what do you suspect? | ocular motor nerve |
| Low dose of Atropine causes what? | Reflex Bradycardia |
| Baby shittin and throwing up for 2 days, what is treatment? | fluid bolus |
| What is ambulance strike team leader? | 5 ambos and 1 strike team leader |
| Pt w 99% BSA what color triage tag do they get? | Black. |
| Pt with SOB, rhales, what is 1st drug? | Albuterol |
| Pt with Hypertension, low pulse rate, and irregular respirations. Whats the injury? | Head Injury, Cushings Reflex. |
| Kid with croup what drug do you give? | Racemic Epi |
| What % of O2 is deliverd with nasal cannula at 6lpm? | 44% |
| S/S of ruptured diaphragm? | Bowel sounds in the chest |
| Epi for Allergic reaction? | SQ .3-.5mg of 1:1000 |
| Epi for anaphylaxis | IV .1mg of 1:10,000 |
| Treatment for unstable SVT? | Consider sedation and cardiovert at 50J |
| Fly like a butterfly, sting like SVT= | Aflutter, SVT start cardiovert at 50J |
| Cushings reflex | Hypertension, low heart rate, irregular respirations. BIOTS! |
| Pt with chest pain is given NTG,MS,Pt has drop in BP to 76/40, next course of action? | Lay patinet down, 200cc fluid bolus |
| Tx for minor anaphylaxis after eating lobster. What treatment is is contraindicated? Solumedryl,Epi 1:10000 mg IV,Albuterol,Bendadryl | Epi |
| Adult with burns to ant/post arms,legs,and anterior chest. what is BSA? | 63% |
| Burn that is red with blisters? | Partial thickness 2nd degree |
| Tinnitus, hyper-excited, rapid & labored breathing,N/V,seizures.. what is the overose? | ASA Toxicity |
| Visual disturbances, abd pain, N/V, what is the Overdose? | Digitalis Toxicity |
| Process of clotting? | Vascular Injury,platelet aggregations,coagulation |
| MVA with c/o of paralysis.. | Use Keds board or vest like immob and c-collar |
| Diving accident with spinal cord trauma,brady and hypotensive. what is the pathophysiology/ | Lose sympathetic tone and vasodilate |
| Pt with head injury, brief LOC, lucent interval then unconsious.. | Epidural |
| #1 cause of bradycardia in kids? | Hypoxia |
| CO can cause? | Seizures |
| Treatment for evisceration | Moist sterile dressings |
| Heart Sounds S1 | AV/tricuspid and mitral valves close |
| Heart Sounds S2 | pulmonary and aorta/Semilunar valves close |
| Heart Sounds S3 | Vent gallop resulting from a dilated ventricle |
| Adrendergic drugs will increase or decrease afterload? | Increase |
| Ped dose for lido. | 1mg/kg |
| Most plentiful Ion in the body? | Calcium |
| Ventilation rate for adult with BVM | 1 breath every 5-6 seconds, 10-12/min |
| Ventilation rate for adult with ETT | 1 breath every 6-8 seconds, |
| Contraindication for Nitrous Oxide. | Emphysema, Pregnancy, Pneumothorax |
| Parkland Formula | Kg x 4ml x BSA%. Amount of fluids given over 24 hours, give half the amount in the first 8 hours. |
| Pediatric weight for Kg formula. | (Age x 2) + 8 |
| Average amount of tidal volume | 500mL |
| Most common type of Hepatatis. | A, transmitted by poo |
| Hepatatis, Bacteria or Virus | Virus |
| What is the worst type of Hepatitis? | Hep C, causes cirrhosis of the liver. |
| Drug Dose Formula | Desired Dose X Volume on Hand / Concentration |
| Chronotrope affects: | Heart Rate |
| Inotrope affects: | Myocardial Contractillity, (strength of contraction) |
| Dromotrope affects: | AV Conduction Velocity (excitability or willingness of the heart to conduct an impulse) |
| Pressure/Volume in the left ventricle at the end of the diastole | Preload. |
| Preasure or resistance against which the heart must pump. | Afterload. |
| Contraction of extensor muscles of the extremities from a lesion in the brainstem. Patient presents with stiff and extended extremities and retracted head | Decrebrate Posture |
| Characteristic posture assosciated with lesion at or above the upper brainstem. Patient presents with arms flexed,fists clenched,and legs exteded | Decorticate Posture |
| What drug do you give for beta blocker overdose | Glucagon |
| How is Hep C transmitted? | Blood |
| Furosemide pushed too fast can cause? | Temporary deafness, transient flushness. |
| a shift in intracellular water to the extracellular space leads to dehydration, increased intracellular osmolarity, and intracellular ice crystal formation. | Frostbite |
| Breath sounds that consist of a quiet, wispy inspiratory phase followed by a short almost silent expiratory phase. | Vesicular Lung Sounds |
| NFPA 704 Color Coded Hazmat Placards, what do the four areas in the placard represent? | (Blue) Health Risks,(Red) Flammability, (Yellow) Reactivity, Specific Hazard. |
| NFPA 704 Color Coded Hazmat Placards, What do the numbers represent, 0-4 inside the | Good rule of thumb, 0 is no risk, 4 is the worst risk. |
| NFPA 704 Color Coded Hazmat Placards, What does the blue area represent? Think EMS wears BLUE uniforms | HEALTH. 0 no hazard.1 exposure = irritation. 2 intense, continued,not chronic exposure = temp incapacitation,possible residual injury.3 short exposure = serious temp or residual injury. 4 very short exposure = death or major residual injury. |
| NFPA 704 Color Coded Hazmat Placards, What does the red area represent? Think RED fire trucks | Flammability |
| NFPA 704 Color Coded Hazmat Placards, What does the Yellow area represent? Think Yellow roses on your coffin if this shit blows up. | Reactivity |
| Situations Intubation is contraindicated. | Epiglottitis, |
| Situations LMA is Contraindicated. | Gag reflex even if minimal, ingestion of caustic materials(oven cleaner), Upper GI Bleed, Morbidly Obese |
| Antipsychotic drug used for treatment of schizophrenia and, treatment of acute psychotic states and delirium. | Haldol,(Haloperidol) |
| Overdose on Elavil, Pt is red as a beat, mad as a hatter, dry as a bone.. What type of drug and what medication do you give? | Elavil,aka Vanatrip, Amitriptyline is a Tricylic Antidepressant. |
| What is considered Hypoglycemic in pediatric patient, and what is treatment? | <40mg/dl. Treatment with D10, 5-10mL/kg, Treatment with D25 2-4mL/kg. |
| What part of the body does crones disease cause? | Small Intestine |
| Pt with high levels of CO2 they are said to be? | Hypercapnia. |
Created by:
SullenFF
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