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Emergency Medical Technician book > Chapter 8 > Flashcards

Chapter 8 Flashcards

1
Q

accessory muscles

A

The secondary muscles of respiration. They include the neck muscles (sternocleidomastoids), the chest pectoralis major muscles, and the abdominal muscles.

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2
Q

auscultate

A

To listen to sounds within an organ with a stethoscope

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3
Q

AVPU scale

A

A method of assessing the level of consciousness by determining whether the patient is awake and alert, responsive to verbal stimuli or pain, or unresponsive; used principally early in the assessment process

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4
Q

blood pressure

A

The pressure of circulating blood against the walls of the arteries

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5
Q

bradycardia

A

A slow heart rate, less than 60 beats/min

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6
Q

breath sounds

A

An indication of air movement in the lungs, usually assessed with a stethoscope

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7
Q

capillary refill

A

A test that evaluates distal circulatory system function by squeezing (blanching) blood from an area such as a nail bed and watching the speed of its return after releasing the pressure

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8
Q

capnography

A

A noninvasive method that can quickly and efficiently provide information on a patient’s ventilatory status, circulation, and metabolism

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9
Q

capnometry

A

The use of a capnometer, a device that measures the amount of expired carbon dioxide

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10
Q

carbon dioxide

A

Carbon dioxide is a component of air and typically makes up 0.3% of air at sea level. It is also a waste product exhaled during expiration by the respiratory system.

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11
Q

chief complaint

A

The reason a patient called for help; also the patient’s response to questions such as “What’s wrong?” or “What happened?”

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12
Q

coagulate

A

To form a clot to plug an opening in an injured blood vessel and stop bleeding

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13
Q

colorimetric devices

A

Capnometer or end-tidal carbon dioxide detectors are devices that use a chemical reaction to detect the amount of carbon dioxide present in expired gases by changing colors (qualitative measurement rather than quantitative)

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14
Q

conjunctiva

A

The delicate membrane that lines the eyelids and covers the exposed surface of the eye

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15
Q

crepitus

A

A grating or grinding sensation caused by fractured bone ends or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling

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16
Q

cyanosis

A

A bluish gray skin color that is caused by a reduced level of oxygen in the blood

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17
Q

DCAP-BTLS

A

A mnemonic for assessment in which each area of the body is evaluation for Deformities, Contusions, Abrasions, Punctures/penetrations, Burns, Tenderness, Lacerations, and Swelling

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18
Q

diaphoretic

A

Characterized by profuse sweating

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19
Q

diastolic pressure

A

The pressure that remains in the arteries during the relaxing phase of the heart’s cycle (diastole) when the left ventricle is at rest

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20
Q

end tidal carbon dioxide

A

The amount of carbon dioxide present in exhaled breath

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21
Q

focused assessment

A

A type of physical assessment that is typically performed on patients who have sustained non-significant mechanisms of injury or on responsive medical patients. This type of examination is based on the chief complaint and focuses on one body system or part.

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22
Q

frostbite

A

Damage to tissues as the result of exposure to cold; frozen, or partially frozen body parts are frostbitten

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23
Q

full-body scan

A

A systematic head-to-toe examination that is performed during the secondary assessment on a patient who has sustained a significant mechanism of injury, signs and symptoms, and the chief complaint

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24
Q

general impression

A

The overall initial impression that determines the priority for patient care; based on the patient’s surroundings, the mechanism of injury, signs and symptoms,and the chief complaint

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25
Q

Golden Period

A

The time from injury to definitive care, during which treatment of shock and traumatic injuries should occur because survival potential is best

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26
Q

guarding

A

Involuntary muscle contractions (spasms) of the abdominal wall in an effort to protect an inflamed abdomen; sign of peritonitis

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27
Q

history taking

A

A step within the patient assessment process that provides detail about the patient’s chief complaint and an account of the patient’s signs and symptoms

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28
Q

hypertension

A

Blood pressure that is higher than the normal range

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29
Q

hypotension

A

Blood pressure that is lower than the normal range

30
Q

hypothermia

A

A condition in which the internal body temperature falls below 95 degrees F (35 degrees C) after exposure to a cold environment

31
Q

incident command system

A

A system implemented to manage disasters and mass- and multiple-casualty incidents in which section chiefs, including finance, logistics, operations, and planning, report to the incident commander. Also referred to as the incident management system

32
Q

jaundice

A

Yellow skin or sclera that is caused by liver disease or dysfunction

33
Q

labored breathing

A

Breathing that requires visibly increased effort; characterized by grunting, stridor, and use of accessory muscles

34
Q

mechanism of injury (MOI)

A

The way in which traumatic injuries occur; the forces that act on the body to cause damage

35
Q

nasal flaring

A

Flaring out of the nostrils, indicating that there is an airway obstruction

36
Q

nature of illness (NOI)

A

The general type of illness a patient is experiencing

37
Q

OPQRST

A

An abbreviation for key terms used in evaluating a patient’s pain: ONset, Provocation or Palliation, Quality, Region/radiation, Severity and Timing of pain

38
Q

orientation

A

The mental status of a patient as measured by memory of person (name), place (current location), time (current year, month, and approximate date), and event (what happened)

39
Q

palpate

A

To examine by touch

40
Q

paradoxical motion

A

The motion of the chest wall section that is detached in a flail chest; the motion is exactly the opposite of normal motion during breathing (i.e., in during inhalation, out during exhalation)

41
Q

perfusion

A

Circulation of blood within an organ or tissue

42
Q

personal protective equipment (PPE)

A

Clothing or specialized equipment that provides protection to the wearer

43
Q

pertinent negatives

A

Negative findings that warrant no care or intervention

44
Q

primary assessment

A

A step within the patient assessment process that identifies and initiates treatment of immediate and potential life threats

45
Q

pulse

A

The pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries

46
Q

pulse oximetry

A

An assessment tool that measures oxygen saturation of hemoglobin in the capillary beds

47
Q

rales

A

A crackling, rattling breath sound that signals fluid in the air spaces of the lungs; also called crackles

48
Q

reassessment

A

A step within the patient assessment process that is performed at regular intervals during the assessment process. Its purpose is to identify and treat changes in a patient’s condition. A patient in unstable condition should be reassessed every 5 minutes, whereas a patient in stable condition should be reassessed every 15 minutes.

49
Q

responsiveness

A

The way in which a patient responds to external stimuli, including verbal stimuli (sound), tactile stimuli (touch), and painful stimuli

50
Q

retractions

A

Movements in which the skin pulls in around the ribs during inspiration

51
Q

rhonchi

A

Coarse, low-pitched breath sounds heard in patients with chronic mucus in the upper airways

52
Q

SAMPLE history

A

A brief history of a patient’s condition to determine sings and symptoms, allergies, medications, pertinent past history, last oral intake, and events leading to the injury or illness

53
Q

scene size-up

A

A step within the patient assessment process that involves a quick assessment of the scene and the surroundings to provide information about scene safety and the mechanism of injury or nature of illness before you enter and begin patient care

54
Q

sclera

A

The white portion of the eye; the tough outer coat that gives protection to the delicate, light-sensitive inner layer

55
Q

secondary assessment

A

A step within the patient assessment process in which a systematic physical examination of the patient is performed. The examination may be a systematic full-body scan or a systematic assessment that focuses on a certain area or region of the body, often determined through the chief complaint.

56
Q

shallow respirations

A

Respirations that are characterized by little movement of the chest wall (reduced tidal volume) or poor chest excursion

57
Q

sign

A

Objective findings that can be seen, heard, felt, smelled, or measured

58
Q

sniffing position

A

An upright position in which the patient’s head and chin are thrust slightly forward to keep the airway open

59
Q

spontaneous respirations

A

Breathing that occurs with no assistance

60
Q

standard precautions

A

Protective measures that have traditionally been developed by the Centers for Disease Control and Prevention for use in dealing with objects, blood, body fluids, and other potential exposure risks of communicable disease

61
Q

stridor

A

A harsh, high-pitched, crowing inspiratory sound, such as the sound often heard in acute laryngeal (upper airway) obstruction; may sound like crowing and be audible without a stethoscope

62
Q

subcutaneous emphysema

A

The presence of air in soft tissues, causing a characteristic crackling sensation on palpation

63
Q

symptom

A

Subjective findings that the patient feels but that can be identified only by the patient

64
Q

systolic pressure

A

The increased pressure in an artery with each contraction of the ventricles (systole)

65
Q

tachycardia

A

A rapid heart rate, more than 100 beats/min

66
Q

tidal volume

A

The amount of air (in milliliters) that is moved in or out of the lungs during one breath

67
Q

triage

A

The process of establishing treatment and transportation priorities according to severity of injury and medical need

68
Q

tripod position

A

An upright position in which the patient leans forward onto two arms stretched forward and thrusts the head and chin forward

69
Q

two- to three-word dyspnea

A

A severe breathing problem in which a patient can speak only two to three words at a time without pausing to take a breath

70
Q

vasoconstriction

A

Narrowing of a blood vessel

71
Q

vital signs

A

The key signs that are used to evaluate the patient’s overall condition, including respirations, pulse, blood pressure, level of consciousness, and skin characteristics

Emergency Medical Technician book (39 decks)

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