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