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Paramedic Prep - 1
Paramedic Prep - lung sounds & advanced skills
| Question | Answer |
|---|---|
| Lung Sound: intermittent or brief; sounds like "popping" & more commonly heard on inspiration, though may be expiration too | Crackles lung sounds |
| Lung Sound: lower pitch, sounds like snoring & is more continuous | Rhonchi lung sounds |
| Trauma turnover report should include these 4 key things: | M - mechanism I - injury (start c more serious) V - v/s (last set if unchanged) T - tx |
| Pulmonary Embolism (PE): lung sounds will be? | clear |
| Skin signs on a CHF pt: | pale & cool |
| Skin signs on a pneumonia pt: | hot & flushed |
| Lung sounds on a CHF pt: | Crackles (Rales), possibly wheezing and/or dimished |
| Lung sounds on a pneumonia pt: | scattered crackles or rhonchi |
| CHF pt will have what in lower extremities? | pedal edema |
| Pneumonia pt will have what? | fever & cough or sputum brown, green or yellow in color |
| CHF pt may have what colored sputum? | pink/frothy |
| COPD (emphysema) pt will have what lung sounds? | wheezing and/or dimished |
| COPD (emphysema) pt will have what signs? | barrel chest, chronic cough, on home O2, hx of smoking |
| Bronchitis pt will have what lung sounds? | wheezing and/or crackles |
| Bronchitis pt will have s/s? | recent respiratory tract infection, productive cough, poss hx of smoking |
| If the pt can catch their breath after exertion, is it pneumonia or CHF? | pneumonia |
| If exertion makes the pt's breathing and condition worse, is it pneumonia or CHF? | CHF |
| Abruptio | - due from trauma - 2nd or 3rd trimester - EXCRUTIATING PAIN - small amt of blood - if Mom is bleeding out, baby prob dies |
| Placenta Previa | - 2nd or 3rd trimester - NO PAIN - Large amt of blood - Mom needs c-section |
| Cushings Response | - BP increases and widens - Pulse decreases - sporadic resp (cheynne stokes) |
| What does the pt's BP do in cardiac tamponade & tension pneumo? | narrows |
| Orthostatic v/s confirm what type of prob? | Interval hypovolemia (volume prob) |
| 4 R's in OPQRST? | - region - radiation - reoccurrence - relief |
| Pulse in ABC's | - is pulse present? (if hypotension = get BP!) - if tachy or irreg = get EKG |
| Norm range for blood glucose? | 75-120 or norm for that Pt |
| Norm range for ETCO2-Capnography | 35-40 |
| Which color do you place the peds pt's head on broselow tape? | Red to the head |
| Which color do you reference when using the broselow tape? | the color where the pt's heels lay |
| Synchronized cardioversion is used when? | SVT pt |
| Synchronized cardioversion delivers the shock on which wave? | "R" wave; pre-treat with versed, b/c it hurts like a bitch |
| When performing a 12-lead, where are leads V1 &V2 palced? | 4th intercostal space |
| Which lead during a 12-lead, gives us our rythm and rate? | Lead II |
| External pacing is used when? | unstable bradycardic pt |
| For external pacing, set the rate at? | 70 |
| For external pacing, set the MA at? | start goig until we get capture |
| What angle is IM administered at? | 90 degrees |
| What angle is SC administered at? | 45 degrees, into fatty tissue under skin |
| Endotracheal intubation goes into what? | trachea |
| Combitube airway goes into what? | esophagus |
| King airway does what? | seals off upper pharynx |
| NG tube goes into what? | stomach |
| When using a handheld nebulizer device, what do you set your O2 @ | 6 lpm |
| When performing a needle t (thoracostomy), what size IV cath & where is it inserted? | 14 ga., midclavicular between 2nd & 3rd intercostal space |
| What 3 things do we do in SD Co. for pre-hosp stroke scale? | 1)it pt up right, have them close their eyes 2)have pt hold arms out, with palms up for 10 sec 3) have pt repeat: "The sky is blue in SD" |
| Where are stroke centers in North SD Co? | Palomar & Tricity |
| What is the norm range when using pulse ox? | 97; 94 for a smoker |
| When may we attempt re-allignment of Fx? | - with + abnormality - only if obstruction of blood flow/circulation |
| When may we remove an impaled object? | only if there is an airway obstruction |
| When needed to slow the pt's HR down, what 3 steps may be used? | 1)Valsalva maneuver 2)adenosine 3)cardioversion |
| IO goes into what? | bone marrow |
Created by:
Wisniewski
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