4 Flashcards
(500 cards)
1
Q
Occipital
A
Part of brain that controls vision
2
Q
OD of tricyclic’s will cause all except
A
Inverted P wave
3
Q
Of the following, the most neurotoxic snakebite comes from the
A
Coral Snake
4
Q
Of the following, the one that is not a vasopressor is
A
Atropine
5
Q
Of the following, the one that is Not Highly Contagious is
A
Shingles
6
Q
Old lady thinking neighbors are out to get her
A
Remove her from the situation and keep talking to her.
7
Q
One Sx / Sx of Hypoglycemia is
A
Polyuria
8
Q
One of the first signs of shock
A
Restlessness, Elevated Heart Rate
9
Q
One of the following may occur during the aging process Except
A
Feel or Thirst
10
Q
One of the least important things to assess neurological status is if the patient has
A
Deep Tendon Reflexes
11
Q
One Pupil Blown, other Sluggish
A
Neuro Crisis
12
Q
Oral / Fecal disease
A
Hepatitis A
13
Q
Organophosphate poisoning
A
Atropine
14
Q
Organophosphate poisoning
A
Vomiting, Sweating, Diarrhea, (SLUDGE) Salivation, Lacrimation, Urination, Diarrhea
15
Q
Orthostatic
A
Taking the patients BP while patient is laying down, sitting up, then standing at 2 minute intervals
16
Q
Osmosis
A
Lesser Concentration to a Greater Concentration
17
Q
Over hydration can of a patient can cause
A
Rales
18
Q
Overdose of trycyclics causes all Except
A
Inverted P -Wave
19
Q
Over hydrating IV therapy
A
Pulmonary edema
20
Q
Pain in Chest and Back, Tearing / Shearing Pain Towards the Neck, Negative Brachial Pulse
A
Dissecting Aortic Aneurysm
21
Q
Pain in chest, “tearing and shearing” pain towards neck with no pedal pulses
A
Dissecting Aortic Aneurysm
22
Q
Pale skin (pallor) caused by
A
Vasoconstriction
23
Q
Palpate abdominal quadrants in what order
A
UL, UR, LR, LL, Unless with pain in specific area then palpate away from that area moving into the area slowly
24
Q
Paranoid patients should Not be dealt with by
A
Going along with the delusions
25
Parasympathetic Stimulation causes
Slowing of the Heart Rate
26
Parasympathetic Neurotransmitter
Acetylcholine
27
Peritoneum
Surrounding ABD wall
28
Part of Brain that Controls Posture
Cerebellum
29
Pathways to the brain
Sensory
30
Patient Choking, has Partial Obstruction, you
Encourage him to Keep Coughing
31
Patient complains of weakness, taking digitalis daily, awake, alert with vitals WNL you should
Monitor / Transport
32
Patient drooling with obvious Epiglottitis
Transport sitting up
33
Patient has ___ Gaze
Eyes Not Working Together
34
Patient has been decontaminated from radiation, comes to you
Low Threat
35
Patient has one blown pupil & the other reacts slowly to light
Neurological crisis
36
Patient in Diabetic Ketoacidosis will have
High Blood Sugar, Grossness in the Heart, Dry Skin
37
Patient in Diabetic Ketoacidosis will most likely have
Increased BP & Hot dry skin
38
Patient in Irreversible Shock, most likely have
Pulse Lower than Normal
39
Patient in nursing home has More Output then Input
Electrolyte Imbalance
40
Patient is Diabetic with a BS of 40. Which action would you Not do
IV Insulin
41
Patient is jaundice
Viral Hepatitis
42
Patient is numb from Zyphoid Process down
T - 4 / Thoracic
43
Patient is over hydrated, may have
Rales or Edema
44
Patient is talking very fast "suspect OD on"
Amphetamines
45
Patient lying down with S.U.B
Orthopnea
46
Patient presents with Jaundice, coke colored urine, etc
Hepatitis
47
Patient presents with Rhonchi and fever with no edema, etc.
Pneumonia
48
Patient presents with Urticaria, BP 80/40, P 120, Tachypnea, Wheezing
Anaphylaxis
49
Patient says "I hear bells in my head"
Aspirin OD
50
Patient shows signs of PE, 2 IV's have been started, Next you
Administer 0.4 mg of Nitro
51
Patient sitting at 45 degrees with JVD
Heart Failure
52
Patient sitting up with Pink, Frothy Sputum
Left Heart Failure
53
Patient taking Digoxin and is in V Tach, Why would it Not work
Because patient is taking Digoxin
54
Patient trying to commit suicide with grass detergent agent (Organophosphate) is
Atropine
55
Patient Unconscious with return to Normal in 3 - 5 minutes
Concussion
56
Patient unconscious, does Not respond to verbal or pain what is GCS
3
57
Patient who had a syncopal episode do all except
Lift patient in sitting position
58
Patient with A Fib, takes Dig, Unstable with rapid ventricular response, Problem to Sync, Why?
Prone to Clots and therefore Embolism
59
Patient with DKA Presents
Warm & Dry Skin
60
Patient with high fever
Use tepid towels
61
Patient with history of (WPW (Wolfe-Parkinson White) in PSVT, with No Sx/Sx
Adenosine 6 mg rapid IV bolus
62
Patient with history of WPW in PVST, with no Sx / Sx
Adenosine 6 mg rapid IV bolus
63
Patient with increased ICP, Expect
Increased BP and Decreased Pulse
64
Patient with Intracranial pressure. First treatment should be
Hyperventilate
65
Patient with JVD, Put patient in a
Semi- Fowlers at 45 degree angle
66
Patient with Low BP, Warm & Dry Skin, and with Bradycardia
Neurogenic Shock
67
Patient with Orthopnea, place him is a
Sitting position
68
Patient with pH -7.30, PCO2 - 50, PO2 - O2
Respiratory Acidosis
69
Patient with productive cough, fever, weight loss
Tuberculosis
70
Patient with pulsating mass in abdomen, obvious AAA threat: all Except
NorEpi IVP
71
Patients with chronic bronchitis are called
Blue bloaters
72
Pea - Shaped Gland
Pituitary
73
PEA
No heart rate with electrical activity
74
People with AIDS, how do most people present
Normal, unable to tell
75
Percentage of Blood consisting of Red Blood Cells
Hematocrit
76
Person Experiencing Mood Swings
Maniac Disorder
77
Ph Above 7.45
Alkalosis
78
PH below 7.35
Acidosis
79
Phrenic Nerve
Responsible for controlling the Diaphragm
80
Physician can best prepare for Pt. with what information
Chief Complaint, History & Interventions taken so far
81
Pink Puffers and Blue Bloaters are associated with what type of patient
Emphysema, Chronic Bronchitis
82
Pink Puffers have
Emphysema
83
Place for decompression
2nd or 3rd Intercoastal space, Midclavicular line, or 4th or 5th Midaxillary
84
Pneumonia
Patient presents not feeling well, fever, productive cough
85
Poisonous Neuro Toxic
Coral Snake
86
Position a patient with Abdominal Pain in
Lateral Recumbent
87
Possible Abdominal Aortic Aneurysm
All except Norepinephrine
88
Pre-hospital treatment for fever
Remove clothing
89
Primary concern in treating a near drowning victim is
Hypoxia & Acidosis
90
Primary problem with asthma attack
Bronchoconstriction
91
Principal Buffer
Bicarb
92
Process by which cell size decreases
Atrophy
93
Pryrogenic reaction
Fever, chills, nausea & vomiting
94
Psychotic patients are
Not in touch with reality
95
Pt. is Diabetic with a blood sugar of 40, which action would you Not do
IV Insulin
96
Pt. sitting up with pink frothy sputum
Left heart failure
97
Pt. with increased intracranial pressure should be
Hyperventilated
98
Pulse Oximetry Measures
O2 Saturation in Peripheral Tissue
99
Pursed lips and Barrel chest
Emphysema
100
Pryrogenic Reaction
Fever, Chills, N & V
101
Rapid cooling of a heat stroke patient is done to prevent
Irreversible Brain Damage
102
Rapid onset of this condition will cause brain damage
Hypoglycemia
103
Red, purple or blue lesions on AIDS patient
Kaposi's Sarcoma
104
Reentry may cause
Premature beats or Tachydysrhythmias (i.e. PAC)
105
Regarding a psychiatric patient, it is advisable to
Wait for assistance if the patient is violent
106
Regulates breathing, etc
Medulla
107
Rescue breathing pushes diaphragm
Increasing ventricular rate
108
Respirations of DKA
Kussmauls Respirations
109
Responding to a call, you get Clammy / Tachy
Sympathetic nervous system stimulated the pancreas
110
Restrain
Prone, One arm above head, Other by side, ankles together
111
Reye's syndrome could cause all of the following except
Dehydration
112
Rhonchi
Fluid in the larger airways
113
Rhythm strip shows some type of block you
O2, Monitor and transport
114
Rule of 9's, (adult) Chest (18). Abdomen (part of chest) and ANT of both upper extremities (4 - 5 each)? 27%
Burn
115
Rumbling sound, Fever, No Edema
Pneumonia
116
S / S anxiety
Increase Heart Rate
117
S / S of Anaphylaxis
Uticaria
118
Scenario: Muffle Heart Sound Left Chest Trauma
Do Not Decompress Right Side
119
Secondary assessment includes all, Except
Determining life threatening injuries
120
Seizure of one body part
Focal Motor
121
Seizure with Muscles Contracting and Relaxing, Unconscious, Incontinent
Grand Mal
122
Seizures without gaining consciousness in between 2 or more episodes
Status Epilipticus
123
Seizures without regaining consciousness in between
Status Epilipticus (Diazepam 2.5 mg (or 5mg) Incremental Dosing to 10 mg total IV dose)
124
Sellick's Maneuver is
Pressure on cricoid cartilage
125
Semi Fowler
45 degree angle JVD
126
Serious Membrane Covering Abdominal Organs
Visceral Peritoneum
127
Severing the Spinal Cord at C3 - 4 Causes
Total Paralysis and Can Not Breathe on Their Own
128
Shingles
Not Contagious
129
Side effect of Diuretic Therapy
Hypokalemia
130
Side effect of Hyperventilation
Carpopedal Spasms
131
Signs & symptoms of dehydration, Except
JVD
132
Signs / Symptoms of TB
Weakness, Night Sweats, Fever, Rapid weight loss, Cough with blood
133
Signs of Dehydration, Except
JVD
134
Signs of Kidney Stone Except
Frequent Urination
135
Signs of Pneumothorax is
Distended neck veins
136
Signs of Renal Calculus, all Except
Increased Urination ( low UTI)
137
Single Most Important of Brain Function
LOC
138
Sodium Bicarb
Is Main Buffer in Body
139
Spinal Cord Ends
Lumbar
140
Spinal Injury cause No Diaphoresis
Because Lost Stimulation of Sympathetic
141
Spleen is located, where
Left Upper Quadrant LUQ (Liver RUQ)
142
Spontaneous Pneumothorax sx/sx
Sudden pain of short duration, Shortness of breath, Knife like pain
143
Stable Angina
During Exercise and Stress
144
Stages of Stress
Stress, Resistance, Exhaustion (page 46)
145
Status Epilipticus
No break between seizures
146
Stenosis
Abnormal narrowing of opening of passage way in a body structure
147
Stimulus of sympathetic nervous system
Blood vessel constriction / increased heart rate
148
Strain
Muscle over stretching
149
Stroke
Inadequate Tissue Perfusion
150
Stroke
No Fluid Bolus
151
Suctioning a Tracheotomy
3 - 5 inches
152
SX / SX Anaphylaxis
Uticaria
153
Sx / Sx Heat Exhaustion
101 temp. Athlete
154
Sx / Sx of Anaphylaxis
Increase Heart rate, Decrease Blood Pressure, Flushing, Itching
155
Sx / Sx of Anxiety
Increase Glucose (Hyperglycemia)
156
Sx / Sx of Asthma
Agitation, Anxiousness, Hypoxia, & Wheezing
157
Sx / SX of Croup
Slow onset, generally wants to sit up, barking cough, no drooling, fever of 100 - 101 degree
158
Sx / Sx of Croup includes all except
Bacterial (it's a viral infection)
159
Sx / Sx of Epiglottitis
Rapid onset, prefers to sit up, no barking cough, drooling, painful to swallow, fever between 102 - 104 degree, Occasional stridor
160
Sx / Sx of Tuberculosis (TB)
Weakness, Night Sweats, Fever
161
Sympathetic Nervous System Causes
Blood Vessels Constriction, Rapid Heart Rate, Constriction of Sphincter Muscles
162
Symptoms due to Tachycardia are related to
Decreased Ventricle Filling, Time & Stroke Volume
163
T - 10
Umbilicus down
164
T - 4
Nipple line down
165
Taking a Palpable Blood Pressure only gives you
Systolic Pressure
166
Tall, thin 21 yr. old male with chest pains after coughing
Spontaneous Pneumothorax
167
TB is Transmitted by
Air Droplets
168
Tendons connect
Muscles to the bone
169
Term associated with 3rd degree burns
Eschar
170
The best characterization of an alcoholic would be a person that
Likes to drink alone, Goes on binges, and drinks in the early day
171
The best description of a crisis intervention technique it that it is
Suitable for application in many situations faced by the medic
172
The bodies primary respiratory drive is based on
Increase P Co2
173
The chemical mediator for the parasympathetic nervous system is
Acetylcholine
174
The common Tricyclic antidepressants are
Elavil & Tofranil
175
The end of the Femur which is toward the foot is referred to as
The Distal End
176
The following is "false" about treating a paranoid patient
Don't take the family aside to talk
177
The Intelligence Part of the Brain (Learning, Memory, Analysis)
Cerebrum
178
The iron containing pigment of the red blood cells
Hemoglobin
179
The main distinguishing characteristics between the psychotic patient and the neurotic patient is that
The Psychotic patient is Not in touch with reality
180
The Major Extracellular Cation
Sodium
181
The medical term for coughing up blood (pink, blood filled sputum) is
Hemoptysis
182
The most common cause of coronary occlusion is
Thrombus
183
The most common cause of PID is
Gonorrhea
184
The Most Common Urinary Tract Infection is
Cystitis
185
The most effective drug (after oxygen) in a patient with an acute MI is
Morphine Sulfate
186
The most sensitive indicator of progressive disorder of the nervous system is
Change in mental status
187
The movement of water across a membrane from an area of lower concentration to higher is
Osmosis
188
The order in which a primary survey is conducted to search for immediate life threatening emergencies is to check
ABC's - Breathing, pulse, bleeding
189
The Oxygen Delivery Device used for Emphysema is the
Nasal Cannula or Ventura Mask
190
The part of the brain that controls respirations / heart rate
Medulla
191
The part of the brain that controls vision
Occipital (back)
192
The patient has blood gases of pH - 7.15, PCO2 - 60, PO2 -60. The patient is in
Respiratory Acidosis
193
The patient has blood gases of pH - 700, PCO2 - 35, PO2 - 95, HCO3 - 12. The most appropriate immediate action is to give
Sodium Bicarbonate
194
The patient has blood gasses of pH - 7.15, PCO 2 - 95, PO2 - 60. The patient is in
Respiratory Acidosis
195
The patient is cyanotic, comatose and has agonal breathing, so we
Initiate BLS (ABC's)
196
The patient that depends on Hypoxic Drive to trigger breathing and might experience respiratory arrest from high flow O2 would have
COPD
197
The patient with Increased ICP Varies from the expected in that
Pulse Decreases and Blood Pressure Increases. (Cushing's Response)
198
The patient with the greatest chance of false imprisonment is the
Psychiatric patient
199
The physician can best prepare a patient with MI with what info
Complaint & history of present illness
200
The primary buffer system is
Bicarbonate
201
The primary concern in treating a near drowning victim is
Hypoxia and Acidosis
202
The primary spread of Varicella, mumps & rubella
Respiratory Droplets
203
The purple colored lesions on the face and body from AIDS is called
Karposi Sarcoma
204
The purpose of Kussmauls Respirations in a Diabetic person is to
Combat Metabolic Acidosis
205
The senior citizen has a special problem inherent to the aging process. The correct description of body change due to the aging process is
Diminished Vision
206
The single most important indicator of the patient’s brain function is
Level of consciousness
207
The Spleen is located in the
Left Upper Quadrant
208
The statement that best describes how to deal with the effects of the patients behavior on the performance of the physical exam is to
Modify the exam if necessary
209
The Systolic Portion of the Blood Pressure is the
Pressure of Blood Against the Atrial Wall During the Heartbeat
210
The way to treat a person on a bad LSD trip is to use the
Talk Down Method
211
Thorazine and Mellaril
Antipsychotic
212
Thrombi arising in deep veins of the legs are most likely to migrate to the
Lungs
213
TIA
Temporary memory Loss
214
Time Frame Fibrolytics
3 Hours
215
Tissue anoxia from diminished blood flow, caused by narrowing or occlusion of the arteries
Ischemia
216
Tonic Clonic
Grand Mal
217
Toxic Blood in the Liver
Hepatoxin
218
Toxic Blood is called
Hemotoxin
219
Transient Loss of Consciousness, followed by a Lucid Interval
Epidural Hematoma
220
Transport SCUBA diver
Left lateral recumbent position & fly as low as possible
221
Treat Hyperkalemia
Calcium Chloride
222
Treating a patient in mid July with hot, dry skin, has a temperature of 106, and is unconscious is having a
Heat Stroke
223
Treatment for pre - hospital fever
Remove clothing
224
Treatment for Pulmonary Edema after O2, IV
NTG 0.4 mg (1 / 150 grain) SL
225
Treatment of heat stroke victim, you should first
Rapid cooling en route
226
Treatment with Diuretics can have what as a side effect
Hypokalemia
227
Two sided heart failure results in
Pulmonary Edema
228
Types of Muscles, Except
Involuntary (Connective)
229
Universal Blood Donor
O
230
Universal Blood Recipient
"AB" ( Universal Donor "O")
231
Unresponsive baby with frantic mother
Never use restraint for mother
232
Urticaria is
Hives
233
Use caution to restrain
Psychotic Patient
234
Vagus Nerve Neurotransmitter
Acetylcholine
235
Venipuncture causes
Air Embolism
236
Violent LSD withdrawal
Utilize "talk down" technique
237
Visceral Pleura
Covers the Lungs
238
Volume in the thoracic cavity increases
Pressure decreases
239
Voluntary muscles
Move bones
240
Vomiting Green like substance is a sign of rupture to the
Gallbladder
241
Waddell’s Triad includes
Left femur, spleen or chest, and right sided head injury
242
Water Movement from Low Concentration to High
Osmosis
243
What airway problem will cause stridor
Croup
244
What connects Descending Aorta to Spine
Ligamentum Arteriosun ( Ligamentum Teres - Liver)
245
What Controls Respirations and Blood Pressure
Medulla Oblongata
246
What happens in Acute Inflammatory Response
Vascular Permeability Increases
247
What is a priority for transporting a seizure patient
When Not responsive in between seizures
248
What is Not a sign of Epiglotitis
A febrile
249
What is Not a sign of Meningitis
Depressed Fontanels
250
What is a sign of Meningitis
Stiff neck, fever
251
What is Not transmitted through the blood
Hepatitis A
252
What is the best method to use on an LSD patient
Talk down
253
What is the neurotransmitter for the parasympathetic nervous system
Acetylcholine
254
What is the primary concern with a patient suffering from Status Epilipticus
Hypoxia may result from impaired respiration
255
What must occur to Maintain Relative Homeostasis
The Input must be Equal to the Output
256
What organ excretes excesses H + Ions
Kidney
257
What Organ Produces Bile
The Liver. It is stored in the Gall Bladder
258
What should you do for asthma patients
Relieve bronchospasms
259
What to do before admin. Of D50
Glucose check
260
What to expect in an aspirin OD, causes
Tinnitus, Headache, Hyperventilation, Agitation, Mental Confusion, Lethargy, Diarrhea & Swearing.( Don't recall choices )
261
When a patient is vomiting green like substance that is a sign of rupture to the
Gallbladder
262
When beta-receptors are stimulated
The heart rate increases
263
When dealing with a patient exhibiting a hostile, aggressive behavior, appropriate action would be to
Contact the police department and remove bystanders from the scene
264
When do you do a Slow Code
Never it's All or Nothing
265
When does a Seizure Patient Qualify as a Priority
If it does Not Respond between Seizures
266
When encountering a patient that is disoriented, you should try to
Reorient the patient
267
When evaluating the symptoms of a patient with a real complaint, one must quickly establish several important factors, except
Last physicians appointment
268
When exporting Diabetic in Coma that has Not taken Insulin do all, Except
Administer Insulin via IV
269
When managing a suicide crisis
Every attempt needs to be evaluated by a physician
270
When patient is Vomiting Green Like Substance it's a Sign of
Ruptured Gallbladder
271
When transporting diabetic in coma that has not taken insulin, do all except
Administer Insulin IV
272
When you get old, you get Thirsty because
Decrease in Bone Mass, Skin Turgor, Decrease in
273
When you stimulate the vagus nerve, it produces
Acetylcholine
274
Where are the hydrogen protons that makes the PH balance
Kidneys
275
Which do you Not expect to see in Organophosphate Toxicity
Dilated Pupils
276
Which drowning causes Hemodilution or Hemolysis
Fresh Water
277
Which is Not a Beta Effect
Bronchoconstriction
278
Which is Not a characteristic problem in old people
Increased Thirst
279
Which is Not "fight or flight" response Sympathetic Stimulation
Pupils Constricted
280
Which is not an organic cause of an altered LOC
Death of family member
281
Which is Not blood to blood transmitted
Hepatitis A
282
Which Lobe Controls Vision
Occipital
283
Which of the following do you Want to Induce Vomiting if patient Ingests
Toadstools
284
Which of the following is Not associated with COPD
Viral Pneumonia
285
Which of the following is Not considered a Muscle Type
Connective
286
White or Pallid Skin Color Indicates
Peripheral Vasoconstriction
287
Women faints after seeing (you) at a bad accident
Vasovagal
288
You are called to the scene of a drug user. Friends tell you he is a heavy cocaine user and has snorted and injected coke 30 minutes prior. He is experiencing a Grand Mal Seizure and is Cyanotic. He has remained unresponsive. The first step to management is
Airway
289
You can expect organophosphate poisoning in which types of patients most
Farmers
290
You can transfuse blood into a patient w / out cross checking with
Frozen Plasma
291
You encounter a non-combative, emotionally disturbed patient. You should
Identify yourself to the patient & interview the patient in front of the rest of the crew
292
You give 25 gm of dextrose from a 100 cc amp of 50% dextrose
50 cc's of dextrose will be given
293
You have a patient that is tachy and talking very fast, you suspect what
Amphetamines
294
#1 cause of death in children over 1 year
Trauma
295
#1 cause of pediatric cardiac arrest is
Respiratory Arrest
296
10 yr. Old male, who parents say he is not himself. Patient has flu like symptoms, sudden onset of N/V, personality changes, and irrational behavior
Reye's Syndrome
297
17 lb pediatric patient, what is the Lidocaine dose
8 mg
298
2 yr. old with very high fever, you should
Cover in towels soaked in Tepid water
299
2nd week pregnancy
Ectopic Pregnancy
300
3 yr old with Barking (brassy) Cough
Croup
301
3rd trimester changes
B/P down, CO up, blood volume up 40 - 50%
302
3rd Trimester Pregnancy
Toxemia
303
40 lb patient is in V - Fib, Defibrillate at
40 Joules
304
5 yr. old Dyspneic / Drooling
Don Not Lay Flat
305
A 22 yr. old female with LLQ pain. She is 2 weeks late on her period & shocky. She is diagnosed as having
An Ectopic pregnancy
306
A 23 yr. old female that is obese and approximately 8 months pregnant just had a grand mal seizure. P +145, BP 240/130, and has Edema of Extremities. She can be diagnosed with
Eclampsia
307
A 3 yr. old is suffering from an asthma attack. The dose of Epinephrine 1:1000 is
0.01 mg / kg
308
A 6 yr. old was burned. He has blisters on arms and hands, blistered chest and abdomen. The rule of nine states that his burn percentage is
0.27
309
A baby is born, delivery finds its Body is Pink, Extremities are blue, Pulse120, Crying lustily while jerking arms / legs. The APGAR score is
9
310
A child complains of "bells ringing in his head" and is hyperventilating. This can be caused by an
Aspirin Overdose
311
A child has stridor & Dyspnea. The following that is Not a cause is a
Pneumothorax
312
A child that has a headache, stiff neck, vomiting, high fever, lethargic, and pale has
Meningitis
313
A life threatening infection that causes upper airway in small children accompanied by reluctance, pain upon swallowing, high fever, and drooling
Epiglottitis
314
A pediatric is seated upright, drooling, and has fever of 104. The patient has
Epiglottitis
315
A single important indication in neonatal distress is
Bradycardia
316
A typical 1 year old baby should weigh about
21 pounds
317
Abdominal pain and dark bleeding is characterized by
Abruptio Placenta
318
Abruptio Placenta
Premature separation of the placenta from the wall of the uterus
319
Abruptio Placenta Characterized by
Abdomen Pain and Dark Red Bleeding
320
Acute viral infection of upper and lower airways that occur primarily in infants, and young children up to the age of 4 yrs.
Croup
321
After delivery, women has sudden Dyspnea, SOB
Pulmonary Embolis
322
All are causes of Dehydration in an infant except
Polyuria
323
All of the following possible cause for uterine bleeding during the first trimester, Except
Placenta Previa
324
All of the following would cause a bulging fontanel except a
Linear Skull Fracture
325
Along with Pitocin to help control Postpartum Hemorrhage, you should
Massage the Fundus and place the baby on the mother's breast
326
An aspect Not evaluated by the APGAR score is
The Pupils
327
An early sign of pregnancy in the first trimester is
Amenorrhea
328
An inappropriate action when dealing with a child is to
Refuse the Mother and Father to travel with the baby
329
An O.B patient BP will
Decrease
330
An obese patient w/ Eclampsia treat with all of the following, Except
Attempting to open her mouth with a padded tongue depressor.
331
Antepartum
Prior to the delivery of the fetus
332
Anterior fontanel
Infant where bones are Not fused yet, Slightly sunken, May pulsate
333
APGAR
Appearance, Posture, Grimace, Heart Rate, Respirations & #'s
334
APGAR scores are assessed at
One and five minutes after birth
335
APGAR 9
Neonates
336
Appropriate pre-hospital treatment for child with fever
Tepid (mild warmth) water towels
337
Baby at 1 minute, Pink with Blue extremities, HR 130, Active and Crying, etc
APGAR 9
338
Baby born, body pink & extremities blue, pulse 120, crying lustily, jerking it's arms and legs
APGAR 9 (1+2+2+2+29)
339
Baby's weight should double
In 6 months
340
Barking Cough
Croup
341
Best way to assess a child is from
Toe to Head
342
Braxton - Hicks or False Labor
Cannot be determined in the field
343
Breech Presentation
Buttock first
344
Bright Red Blood with Cramping in the 1st Trimester
Spontaneous Abortion
345
Bronchiolitis is an
Inflammation of the Bronchioles
346
Care must be given when examining a child with a swollen Epiglottitis because this may cause
Laryngospasms that are common in children with Epiglottitis
347
Causes of Dehydration in a Child
Vomiting, Diarrhea, Fever, Burns
348
Child (up to 18 yrs.) complains of headache, stiff neck, vomiting
Meningitis
349
Child abuse
Notify (1) social worker at ER or (2) Document & report to proper authority
350
Child Compressions Depths
1 - 1.5 inches
351
Child has fever and is drooling, do all Except
Lay Him Down
352
Child has Stridor & Dyspnea. The following that is Not a cause is
Pneumothorax
353
Child Hearing "Bells Ringing" suspect
ASA Overdose
354
Child in Cardiac Arrest is usually from
Respiratory Arrest or Respiratory Problems
355
Child in Shock
Crystalloid Fluid Replacement 20 ml / kg
356
Child Inhales Freon, What is the common Side Effect
PVC's, V-Tach, V-Fib
357
Child presents with Tinnitus, Fever, Vomiting
ASA Overdose
358
Child presents with wheezing on one side
Foreign Body
359
Child very Quiet, Tripod, Drooling
Do Not Lay Down (Epiglottitis)
360
Children playing with dry ice, boy held a piece in his hand for 5 minutes, treatment?
Immerse with warm water (100 - 105 degree)
361
Clamp Cut Cord, if Still Bleeding
Clamp it Again
362
Common Fracture of Pediatric Long bone
Greenstick
363
Common place for IO Placement
Proximal Tibia
364
Concern with Prolapsed Cord
Fetal Circulation
365
Croup
Inflammation of the upper & lower respiratory tract ( 3months - 3 years) Sx /Sx are Hoarseness, fever, harsh, brassy cough, inspiratory stridor (Laryngotracheobronchitis)
366
Croup
Racemic epinephrine
367
Defib. Pediatric
2 J / kg
368
Definition of Antepartum
The time interval prior to delivery of the fetus
369
Definition of Spontaneous Abortion
Loss of Fetus during First Trimester
370
Delivery imminent
Contractions 1 - 2 minutes apart
371
Delivery with Meconium staining present
Suction, Position, Stimulate
372
Developed Diabetes during Pregnancy
Gestational Diabetes
373
Do Not Give Fluid Challenge to Pregnant with
Edema to Feet
374
Drooling Child
Epiglottis
375
Drug of choice for Pediatric Asthma
0.01 mg / kg 1:1000 EPI SQ
376
During pregnancy, this decreases
Blood pressure
377
Early sign of pregnancy
Amenorrhea (absence of period)
378
Eclampsia
3rd Trimester
379
Ectopic
Implantation of fertilized ovum outside uterus
380
Ectopic pregnancy
Shoulder pain
381
Epiglotitis
Drooling kid, Inflammation of epiglotitis, Sore throat, croupy cough
382
Epiglottitis
Drooling kid
383
ER birth - You have to separate the child from the mother, What do you do
Clamp 10" then 3" back towards the baby from the 10” clamp & Cut , Deliver Placenta and No cut
384
Facilitates in Child Intubation
Finger Pressure on Larynx
385
Female with pain & Minor Bleeding
Abruptio Placenta
386
Fluid resuscitation of neonate baby
5 mg /kg
387
Fracture when bone is bent but only broken on outside bet, common in kids
Greenstick
388
Fundal Massage
Women still bleeding after birth
389
Gestational Diabetes
Diabetic problem during pregnancy
390
Giving Fluids to Neonate
Umbilical Vein
391
Gravidity
Total number of pregnancies
392
Healthy kid with No lung sound on one side
Foreign Obstruction
393
How many joules do you shock a 16 lb. Neonate or infant
2 J / kg 16 J
394
How Much Fluid to a Neonate
10 cc /kg
395
How much Lidocaine do you administer to a 17lb child / infant / neonate
8 ml
396
How to Measure Pediatric ET
Size of Smallest Finger
397
If a baby delivers in a "Bag of waters" you should
Puncture the bag with your fingers and remove the membrane from the baby's mouth and nose
398
If a baby is having difficulty with shoulder delivery, assist by
Gently pressing the baby downward
399
If a mother is bleeding after delivery, what do you do
Fundal Massage
400
If Baby and Mother must be Separated
Tie Cord at 7" and 10", Cut Cord Between
401
In 4 - 6 months a baby
Doubles weight
402
In delivering a child with Meconium Staining, you first
Intubate and Suction
403
In Eclampsia what symptoms can be seen
Seizures
404
In normal delivery of a baby, the head should be
Face down
405
In pediatric arrest, the initial dose of Sodium Bicarbonate is
1mEq / kg
406
In the field, how can you tell if it's real or false labor
You can't, treat as if it were real
407
Infant
Position, Suction, Stimulation
408
Infant born and APGAR checked at 1 min
Score of 9
409
Infant Not breathing after 1 - 2 min. begins spontaneous respirations
Assist ventilations (think BLS)
410
IO
Below the Tibia Tuberosity
411
IV drugs are administered to a premature infant in the field should
Administer only if the HR remains < 60 bpm. Tracheal route is generally the most rapidly accessible route for drug administration during resuscitation: the umbilical vein is the most rapidly accessible venous route
412
IV drugs are administered to a premature infant in the field should
Incubate and Suction
413
IV Fluid Bolus for Neonate is
10 cc to 20 cc/kg
414
Kids playing with Dry Ice, how do you rewarm the body
Warm Water 101 / 105 degree F
415
Know APGAR
A couple of questions
416
Laryngotracheobronchitis (croup) is characterized (one of many) by
Nighttime Stridor
417
Location for IO
Below the Tibia tuberosity
418
Maternal blood volume increases
0.4
419
Measles, Mumps, Chicken Pox
Respiration Droplets
420
Meconium staining is a sign of
Fetal distress
421
Minimal Bleeding, Rigid Uterus, and Shock
Abruptio Placenta
422
Most common place for IO infusion
Proximal Tibia
423
Mother is bleeding after delivery. What do you do?
Fundal massage
424
Mother gave birth 24 hours ago, Now has Sudden Onset of Sharp Dyspnea
Pulmonary Embolism
425
Mother gave birth 24 hrs. ago, now has sudden onset of Dyspnea and chest pain
Pulmonary Embolism
426
Mother of 3 gave birth 24hrs. Ago, now has sudden onset of Dyspnea
Pulmonary Embolism
427
Muscular structure located below (behind) the cervix
Fundus
428
Neonate Fluid Bolus, Challenge
10 ml/ kg
429
Neonate Inverted Pyramid
1690
430
Newborn, Body Pink, Extremities Blue, P 120, Crying Lustily, Jerking it's Arms and Legs, APGAR Score
9
431
Normal delivery of a full term infant 1 min. after delivery finds that it's body is pink, extremities are blue, P 120, and is crying lustily while jerking it's arms and legs. The APGAR score is
9
432
Normal pregnancy length
280 days, 9 months, 40 weeks, 10 lunar months
433
Not a sign of infant Dehydration
Polyuria (frequent urination)
434
Nuchal Cord
Umbilical cord wrapped around baby's neck
435
Ominous sign of Respiratory Failure in 6 yr old
Hypothermic Breathing 10 x p/min
436
Parents say there 10 yr. old male is Not himself, patient has flu, sudden onset of N / V. Personality change, and Irrational behavior
Reyes Syndrome
437
Patient drooling with obvious Epiglotitis
Transport sitting up, Do Not inspect throat
438
Patient is 6 yrs. Old with Unilateral chest wheezing
Foreign Body Obstruction
439
Patient is 8 months pregnant, with Seizures, Edema, HTN
Eclampsia
440
Patient is Most likely to Suffer from Toxemia
Female during 3rd Trimester
441
Patient is suffering from abruption placenta you
Administer: O2, IV Ringers, Monitor vital signs
442
Patient presents Prolapsed Cord
Sterile Gloved Hand in Canal, Hold Babies Face Away from Cord, Transport
443
Patient with Spasmodic LLQ pain Radiating to shoulder, Vaginal bleeding
Ectopic Pregnancy
444
Ped 104 Temp lethargic
Transport
445
Pedi with Flu, "Not acting right" is
Reyes Syndrome
446
Pediatric Assessment
Toe to Head
447
Pediatric Atropine dose
0.02 mg / kg
448
Pediatric cardiac arrest is most commonly from
Respiratory arrest
449
Pediatric Ingested Lye
Give milk
450
Pediatric patient in bradycardia, first line drug
Oxygen
451
Pediatric patient with flu, not acting right, nausea, vomiting
Reye's Syndrome
452
Pediatric weight in 6 months should be
Be double the birth weight
453
Pediatric with headache, stiff neck, Petechia
Meningitis
454
Pediatrics should double their weight by
6 months
455
Placenta Abruption
Separate prematurely from wall
456
Placenta Previa
Attachment of the placenta low in the uterus, so it covers the internal cervical opening
457
Placenta Previa is
Placenta covers cervical opening and patient bleeds bright red blood and is painless
458
Postpartum Bleeding, do what
Fundal Massage
459
PPE during delivery
Gloves, Mask, Gown, Protective eyewear
460
Pregnancy Vaginal Bleeding
Massage Fundus
461
Pregnant patient
Transport left side @ 10 - 15 degree tilt
462
Pregnant patient in eclampsia having seizures, how much valium
2.5 - 10 mg
463
Pregnant patient usually has vitals of
Low BP, Elevated pulse, Low blood volume
464
Pregnant patient with seizures
5 - 10 mg Valium IV ( Magnesium Sulfate)
465
Pregnant patient, what change occurs in body 1st trimester
Low Blood Pressure
466
Primagravida
First Pregnancy
467
Primapara
Women who has delivered her first child
468
Prior to Birth is called
Prenatal, Antepartum
469
Prolapsed Cord Concern
Fetal circulation
470
Prolapsed Cord
Gloved hand stuff and transport
471
Rapidly Progressing, Life Threatening Swelling of Upper Airway Structure in Children
Epiglottis (Avoid lying down)
472
Reye's Syndrome could cause all of the following, Except
Dehydration
473
Routes of Administration of Valium to a 4 yr. old
IV, IO, Rectal
474
Rye Syndrome
Unexplained viral sickness in children
475
Sac around baby's face
Puncture and Pull Amniotic Sac from Baby's Face
476
Scenario: Pregnant on Backboard
Tilt Backboard 10 - 15 on Left Side
477
Second Stage of Labor
Begins with Full Dilation, Ends with Delivery of the Baby
478
Separate child from mother
Clamp 8" & then 2" and cut
479
Separation of Placenta from Uterine Wall
Abruption Placenta
480
SIDS occurs between
2 week and 1 year, Most occur between 2 - 4 months
481
Sign that Patient is about to deliver baby now
Urge to Push
482
Signs & Symptoms: Minimal bleeding, Rigid uterus and shock,
Abruptio Placenta
483
Size of ET Tube for Infant
Infants Smallest Finger
484
So newborn can breathe
Puncture & Pull Amniotic Sac from Mouth and Face
485
Sodium Bicarb pediatric dose
1 mEg / kg
486
Station of Labor
1) Onset of contraction to cervix fully dilated. 2) Dilated to expulsion of baby. 3) Baby out to placenta delivery
487
Superior Position Bulge of Uterus
Fundus
488
Suspect patient is suffering from Abruption Placenta you
High O2, IV Ringers, Monitor V/S
489
The best way of delivering oxygen to an asthmatic child in acute distress is
Humidified Oxygen
490
The Best way to assess a child is from
Toe to Head
491
The characteristics of an Ectopic Pregnancy can be all, Except
Third Trimester Pregnancy
492
The common cause of convulsions in a child 6 months - 6 yrs is
Febrile Illness
493
The correct landmark for the IO in Infants is
2" - 3" below the Tibial Tuberosity ( Medially)
494
The Fundus is Massaged after Placental Delivery in order to
Control Bleeding
495
The Hand Position on an Infant for CPR is
Two fingers One finger length Below the Nipple Line
496
The least important care of a newborn is
EKG monitoring
497
The Most dangerous Disorder causing Upper Airway Stridor
Epiglottitis
498
The normal time of labor for a women having her first baby is
18 hours
499
The number one cause of child death is
Trauma
500
The Number One Cause of Pediatric Cardiac Arrest
Respiratory Arrest
