CCPC Flashcards
(240 cards)
1
Q
Succinycholine (Anectine) administration effects to a patient with organophosphate OD =
A
Prolonged Duration of Action
2
Q
Marfin Syndrome =
A
Tall and Skinny that could result in aortic dissection
Fibers can not support organs/structures in the body
3
Q
Infant with “wide bodied” x-ray and slight cyanosis =
A
expanded rib cage and lung fields at the bottom
4
Q
Vent adjustments-
ARDS/CHF
A
Increase o2 (FiO2)
Increase PEEP
5
Q
Vent Adjustments-
PONS Damage/Stroke/Trauma
A
Increase Tidal Volume(pplat)
Increase Rate
(Waves=Headi injury)
6
Q
Postpartum hemorrhage treatment =
A
Oxytocin (Pitocin)
then IV Fluids
(Oxytocin makes uterus contract)
7
Q
Compartment syndrome on right arm due to recent break that required cast.
Arterial cut off occurs at _______
Proper pressure in tissues during normal conditions is close to ______
Fasciotomy indicated only with burns. For fingers, cuts would be ________ and _____ of each finger involved
A
Arterial cut off = 35mmHG
Propper pressure in tissues= 0mmHG
Fingers= medial and lateral
8
Q
Treatment for muscular rigidity after propofol administration ss/p RSI with Etomidate and Succs=
A
Use non-depolarizing neuromuscular blocker (NDMR), possibly Malignant Hyperthermia, use dantrolene sodium
Malignant Hyperthermia=Dantrolene sodium
9
Q
Needle Decompression to a patient after previous attempt did not have any release of air=
A
Chest Tube, Needles for proper decompression must be 10-14G and at least 3.25 inches long
10
Q
Dead, coma, or near death who you can’t maintain ventilation and oxygenation=
A
Crash airway
11
Q
Marfin Syndrome=
A
Tall and Skinny that could result in aortic dissection
Fibers can not support organs/structures in the body
12
Q
Infant with “wide bodied” x-ray and slight cyanosis=
A
expanded rib cage and lung fields at the bottom
13
Q
Vent adjustments-ARDS/CHF:
A
Increase o2 (FiO2)
Increase PEEP
14
Q
Vent Adjustments- PONS Damage/Stroke/Trauma:
A
Increase Tidal Volume (pplat )
Increase Rate
(Waves=Headi injury)
15
Q
Postpartum hemorrhage treatment=
A
Oxytocin (Pitocin)
then IV fluids
Oxytocin makes uterus contract)
16
Q
What is surfactant deficiency Syndrome? Treatment?:
A
Surfactant is missing/removed and causes respiratory distress in the neonate.
Give surfactant.
17
Q
Hyperkalemia vs. Hypokalemia:
Weak, paralysis, tall peaked T waves:
A
Hyperkalemia
18
Q
Hyperkalemia vs Hypokalemia:
Pain, Nausea/Vomitting, Hypotension:
A
Hypokalemia
(hypotension=hypokalemia)
19
Q
Treatment for Jimson Weed (Anticholinergic OD)=
A
Physostigamine
20
Q
Premature Rupture of Membranes (PROM) Treatment=
A
Steroids for the baby
Tocolytics for the Mother
21
Q
Hemopneumothorax treatment=
A
Chest Tube (due to blood)
(drain blood- midaxillary 4/5 lower)
22
Q
Result of Cushing’s syndrome=
A
hyperglycemic increased cortisol
23
Q
Result of Addison’s Disease
A
hypoglycemic
no cortisol/aldosterone
24
Q
Cant intubate/Cant Ventilate/No direct laryngoscopy due to MVA/no surgical option=
A
Alternate Airway
25
CAMTS
24 Hour Shift requires:
- uninterrupted rest
- place for rest
- ability to call "time out" due to fatigue
- management to oversee "time out"
26
CAMTS
Fatigue risk assessment=
Required by management
27
Who to contact if fatigued
Management/supervisor so a "time out" can be called
28
No A/C on the ambulance during a hot day and a call is dispatched=
cancel and check back in 2 hours vs cancel due to AC issues
29
RSI for a 4kg child, multiple drugs listed but dosage is important
Succs=
Vecuronium=
Valium=
Succs=1-1.5 mg/kg
Vecuronium= 0.06-0.1 mg/kg IV
Valium=2.5 mg
30
Reason for fluid shift in burn patients=
Due to permeability
31
Acid/Base question:
Cl: 110=
Hypercholoric respiratory Acidosis
32
What Vessel is occluding blood flow in a mangled knee that has a lack of
pedal pulses?
Popliteal
33
Critical Values for airway management indicating intubation =
pH-
CO2-
O2-:
pH - 7.2
CO2- >55
O2- <60
34
Succinylcholine administration effects to a patient with organophos- phate OD=
Prolonged duration of action
35
Treatment for muscular rigidity after propofol administration s/p RSI with Etomidate and Succs=
use non-depolarizing neuromuscular blocker
-possibly malignant hyperthermia, use Dantrolene Sodium
36
Needle Decompression to a patient after previous attempt did not have any release of air=
Chest Tube,
Needles for proper decompression must be 10-14g and at least 3.25 inches long
37
Definition of crash airway=
dead, coma, or near death who you can't main- tain ventilation and oxygenation
38
Marfin Syndrome
Tall and Skinny that could result in aortic dissection (fibers can not support organs/structures in the body)
39
Infant with "wide bodied" x-ray and slight cyanosis=
expanded rib cage and lung fields at the bottom
40
Adjust vent for ARDS/CHF
Increase O2 (FiO2) and Increase PEEP
41
Adjust Vent for Pons Damage/Stroke/Trauma:
Increase Total Volume (pplat)
Increase Rate
42
Treatment for Post Partum Hemorrhage=
Oxytocin(Pitocin)
then IV and Fluids
(Makes Uterus Contract)
43
MVA with left shoulder pain, suspect=
Spleen (Kehrs Sign)
44
Circumferential burns of the torso tx=
escharotomy, where and how to perform
45
Intubation with laryngeal tear, which item to not use=
intubation only if trachea is exposed
46
Capnography with "square" waveform=
normal respirations
47
Atropine for <1yr. old infant intubation=
0.02mg/kg minimum 0.1mg/kg
48
Asthma capnography waveform=
shark fin
49
Pregnant female on mag drip starts to seize
increase mag dosage/drip rate
50
Myasthenia Gravis=
Less available acetylcholine receptor sites for onset of action of succinylcholine
51
3 unsuccessful attempts at intubation=
BVM, Simple airway, or Blind Air-way insertion
52
Assist Control (A/C) Ventilation=
Causes "stacked breaths" in the patient, forces same tidal volume for set breaths and spontaneous breaths
53
Location in which to put pelvic splint=
At the level of greater trochanters
54
DOPES for ventilation stands for=
dislodgment, obstruction, pneumothorax, equipment issues, suction
55
Treatment for overdose on mag sulfate via DTR (deep tendon reflex) of 0=
Calcium
(Mag overdose tx=Calcium or calcium gluconate)
56
Calculate proper tidal volume to set on a ventilator=
4-8ml/kg
57
Parkland formula questions with weight in lbs not kg
Questions regarding urinary output post parkland fluid administration for pediatric:
parkland= 4mlx%BSAxkg; 1/2 over first 8 hours
urinary output= adult-0.5 cc/kg/h(average 30-50 ccc/hr) pediatric- 1cc/kg/h
infant- 2cc/kg/h
58
Status Asthmaticus on ventilator with Vt of 500ml but expirations only show 350ml, what do you change on the vent?
Reduce rate to allow for longer expiration time
59
Normal Range for potassium=
3.5-5.0
60
Posterior MI on ECG=
Depressed ST segment in leads V1-V4
61
Treatment for "dark brown" urine s/p leg crush injury=
Sodium Bicarb
62
HHNK treatment=
(Hyperglycemic Hyperosmolar Non-Ketosis) non-acidotic:
at 300mg/dl of serum glucose, switch to D5W
First line treatment is fluid administration, then IV insulin to reduce blood glucose levels
63
Esophageal varices tx=
Osteocide (sandostatin), also known as somato- statin
64
Pancreatitis signs and symptoms=
Cullens sign-discolor at the abdomen (belly button)
Grey Turners Sign- Bruising at the Flanks
65
FiO2 calculation based on pressure. Formula=
(P1xFiO2)/P2
66
Number of atmospheres based on dive depth=
0ft=1
33ft=2
66ft=3
99ft=4
67
Barodentalgia=
Teeth hurt on ascent
68
Number 1 cause of death for divers
AGE
69
Treatment for hyperemic hypoxia
give fluids/blood
Caused by CO/anemia/hemorrahe
70
AMRM=
Air Medical Resource Management
71
Critical Phases of Flight
Landing, Take-off, refueling, and taxing
72
Flight following=
15 min during transport
45 min if standing by
73
Alcohol and flight=
8 hours and BAC<0.04%
74
IFR=
Instrumental Flight Rules
75
Post Crash Sequence on what to turn off=
Throttle, Fuel, Battery
"Too freaking bad"
76
Frequency for ELT=
121.5 MHz
77
Number 1 place for accident in an ambulance=
intersections
78
Repeat EVOC every
2 years
79
CAMTS and certification checks=
annual basis
80
Hazmat exposure while getting out of unit
leave the hot zone and decon unit
81
Active hazmat scene with multiple patients down=
wait for firefighters
82
Artery affecting ventricular fibers
LAD
Left Anterior Descending Artery
83
Assess for spinal damage/sensitivity
Dermatome chart testing for pain, temperature and touch
84
Pericarditis with previous MI
Dressler's Syndrome
85
Cardiac Tamponade treatment
Fluid Bolus and pericardiocentesis
86
Cast on right arm due to humoral fracture, now fingers are numb to sensation. Treatment?
Remove constricting object
If unable, monitor and elevate extremity
(Circumferential burns require escharotomy)
87
Arterial Line leveling location
Phlebostatic axis
(3th intercostal space at the right edge of the sternum)
88
IABP graph, what is the stage (widened appearance)
Late Deflation
89
Meningitis treatment=
Fluids, Steroids, and Antibiotics
90
Calculate MAP from BP=
(SBP-DBP)/3+DBP
91
Le Forte II=
Fracture of the maxilla and nasal bones
92
Brain x-ray asking which type of hemorrhage
intraventricular
93
Epidural hematoma treatment
Mannitol and hypertonic fluids
(Mannitol=Osmotic Diuretic
3% Normal Saline = hypertonic
Both create osmotic effect to reduce fluid in brain)
94
Anterior Cord Syndrome=
Lower paralysis with loss of pain and temperature sensation
(The incomplete spinal cord injury due to bone fragments into anterior portion of the spinal cord)
95
Most commonly injured solid organ due to penetrating injury=
Liver
96
Treatment for pneumothorax=
Needle decompression, if unsuccessful, chest tube
97
Hemothorax treatment
Chest tube due to fluids
98
Neonate with scaphoid abdomen treatment
Use gastric decompression
diaphragmatic hernia is the cause
(sunken abdomen=decompress)
99
Zones of burns=
Coagulation
Stasis
Erythmia
100
Estimation of burns
Know rule of 9's
101
Neutralize hydrofluoric acid
Calcium Gluconate
102
Pit Viper bite resulting in inter facility transport and pain increases... treatment=
Crofab (10 vials) vs. pain medication
103
Patient having AMS (Confused) while in the heat
Heat stroke
104
Beta blocker (Labetolol, Carvidolol, Esmolol) OD treatment
Glucagon
105
Tricyclic Antidepressants (Amitriptyline(Elavil), Nortriptyline(Pamelor)) OD treatment for:
Ingestion=
ECG Changes=
Hypotension=
Seizures=
Ingestion= Activated Charcoal
ECG Changes= Sodium Bicarb
Hypotension= Catecholamine
Seizures= Benzos
106
Organophospate OD Treatment=
Atropine 2mg and
2 PAM 1-2 G IV
(PAM=GRAM)
107
Jimson Weed OD Treatment
Phystigomine for reversal, Benzos for seizures
108
Late Decelerations
Uteroplacental insufficiency (always concerning)
109
Fetal Monitoring: Accelerations of increased 15-20 bpm=
Normal Variability (Don't be alarmed)
110
HELLP (Hemolysis/ Elevated Liver Enzymes/ Low Platelets ) Treatment=-
: Definitive treatment=
-delivery,
-steriods (Celestone or Dexamethasone)
-antihypertensives(Labetalol, Hydralazine, Methyldopa) -mag sulfate (4-6 g over 30min)
-Blood Products (FFP)
(HELLP S&S= PreEclampsia/Eclampsia
RUQ pain, jaundice, malaise)
111
Painless bright red bleeding in pregnant female =
Painful bleeding=
Painless= Placenta Previa
Painful= Abrupto Placenta
112
You feel baby parts through the mother's abdomen=
Uterine Rupture
113
ICP Shunt with signs of increasing ICP
Drain off some fluid
114
Neonate with cardiomegaly and hepatomegaly (enlarged heart and liver) treatment
Treat CHF with Digoxin
115
Neonate with signs of poor circulation and transposition of the great vessels treatment
PgE for ductus arteriosis
Knees to chest, Morphine if no resolve, RSI, intubate, 100% O2
possible tet spell
116
Child with "TET spells" due to=
Tetralogy of Fallot
117
Pediatric maintenance fluid calculation:
1-10kg=
10-20kg=
>20kg=:
1st 1-10kg= 4cc/kg/hr 2nd 10-20kg= 2cc/kg/hr >20kg= 1cc/kg/hr
(ex. 25kg child needs fluids. First 10kg= 40cc, Second 10kg= 20 cc, last 5 kg= 5cc....Total fluid required=65cc/hr)
118
X-ray shows "steeple" in the airway
Croup
119
Bronchiolitis cause=
RSV (Respiratory Syncytial Virus)
120
Tourniquet width and size
2" wide x6" long
121
CAMTS: Family members listed by name that will accompany transfer=
Listed in the communication center
122
Fibrinolytic Exclusions
History of: AV (malfunction)
Bleeding Disorder
Stroke
Major Surgery in the last 3 months Systolic BP > 180
Currently Pregnant
1 month post-delivery
123
Pregnant patient with MAST pants
Inflate Legs only
124
Left atrial hypertrophy identified via 12 lead
Look for double hump on P wave
125
CPR patient with DNR & palliative care
Call palliative care
126
Negative effects of massive transfusion (10 PRBC, 3FFP, and 4 platelets)
hypothermia
Blood isn't at body temp, cools body excessively
127
Definition of crash airway=
Patients in cardiopulmonary arrest, deep coma, or near death, who can't maintain ventilation and/or oxygenation
128
Patient intubated at hospital with Etomidate and Succinylcholine, then held under sedation with propofol. Patient develops forearm tetany. What medication would you give next?
Versed or Dantrolene Sodium
Relax forearm=versed
Hand Spasm-seizure=versed
Hyperthermia= Dantrolene
129
Abdominal x-ray on a pediatric asking what type of hernia you see=
Little Hernia
130
Pediatric x-ray of the chest
Diaphragmatic hernia
131
Pediatric on HFOV(High frequency oscillatory ventilator) and chest wig- gle decreases on the left side with absent breath sounds=
Tension Pneumothorax
132
Adult intubated and on a vent after traumatic accident with decreased Sp02 and increased subcutaneous emphysema. What do you do?
Intubate right main stem
133
X-ray of brain that shows bleed in the middle of the brain=
interparachemyl bleed
134
Patient with (2) types of diseases and mass of the back at the base of the neck and purple striations
Cushing disease (Percadiso Cortisol - hump back)
135
CAMTS- Not checking in on time will result in activation of which plan=-
Post incident action plan
136
COPD with breath stacking (decreasing exhaled Vt)=
reduce respiratory rate
137
EVOC is required every
2 years
138
What type of DI (Diabetes Incipidus) with lack of vasopressin secretion from posterior pituitary
Neurogenic/Central
(Diabetes Incipidus= Kidney can not stop excretion of water)
139
Pediatric burn patient with oliguria (low urine output)=
Increase fluid rate/infusion
140
Pregnant patient with palpable fetal parts s/p MVA
Uterine Rupture
141
Multiple questions about possible CRIC situations due to failed intubation attempts
142
Adult female with symptomatic wide QRS tachycardia rhythm (HR increased, decreased BP and shocky)
Synchronized cardioversion
143
Obese patient with COPD on home oxygen
Critical value of CO2>55, so intubate
144
Concerns of obese patient for RSI with no other medical issues
increased sedation needed or decreased oxygen compensations faster
145
Adult intubated patient with no ETCO2 availability, how to confirm tube placement
feel chest wall for movement
146
Pediatric submersion pt, how to treat?
Bipap vs lasix vs fluids
147
Patient with tactile fremitus
palpable vibrations of the chest wall
(Pneumonia-substance invades long space)
148
ETCO2 capnograph of shark fin, how to treat
increase expiratory time
149
Induction agent for patient in shock
Ketamine
(Introduce ketamine for shock value)
150
Patient with Cushing's triad, BP 260ish systolic, how to treat
Nicardipine
151
Paced patient in transport when pacer fails, how to treat
Epinephrine
152
Adult patient intubated and on vent with SIMV(synchronized intermittent mandatory ventilation) and patient is trying to breath, what to do=
sedate patient
(Curae cleft on waveform capnography)
153
Adult male patient in MCA with hypotension and muffled heart tones.
During transport, he goes into cardiac arrest, what to do?
Pericardiocentesis
(Muffled heart tones=pericardiocentesis)
154
Neonate patient becomes irritable, not wanting to eat, with bulging fontanelles and separated sutures on x-ray=
hydrocephalus (water in the brain)
155
Patient with ICP S/S with EVD (external ventricular drain), what to do?
Drain ICP Fluid
156
Patient with arterial BP line monitor has alarms going off but patient has no compaints/changes
re-zero transducer
check the machine and re-zero
157
Pregnant Patient with slight changes to RBC Count, Liver Enzymes, and platelets
HELLP
Hemolysis, Elevated Liver Enzymes, Low Platelets
158
Pregnant patient on mag drip with decreased DTR(Deep tendon re-flex)
Give calcium
159
Pregnant patient on mag drip begins to seize, what to do?
give benzodiazepine
(versed-benzo-seizure)
160
Adult patient with respiratory distress and hypotensive, what do you do?
give fluid bolus first
161
Curae Cleft present on waveform capnography, what to do?
Administer Sedation
162
Patient has low pressure alarm on vent going off, what happened?
Leak/disconnection
163
Patient with chest tube has increased bubbling without any present issues
leak in the line
bubbles where the leak is
164
Patient with Ascites and bruising to the flanks
Ruptured Pancreas
Grey-Turners Sign
165
Patient with increased amylase and lipase
Acute Pancreatitis
166
Most commonly injured solid organ in penetrating trauma
liver
167
Most commonly injured solid organ in blunt trauma
Spleen
most blunt trauma in abdomen is due to MVC
massive hemorrhage due to vascular supply of spleen
168
Patient has left shoulder pain and hypotensive, what is the issue?
Ruptured Spleen
Spleen is in the upper left abdomen
Left shoulder pain = Kehrs Sign
169
Pediatric patient with "double bubble" on x-ray=
blockage/duodenal blockage
bowel obstruction
170
Adult patient with bilateral diffuse infiltrates
ARDS (acute respiratory distress syndrome)
(Ground glass)
171
Adult patient with insulin infusion begins to show muscular weakness, why?
Hypokalemia
172
Appropriate renal output for patient with rhabdomyolysis?
2-4ml/kg (100ml/hr)
173
Adult patient with cheek spasms when touched, what to give?:
Calcium
174
Patient with S/S ICP, what to give?
3% NS
(up the salt to absorb the fluid/hypertonic)
175
Patient with increased BGL, Kussmaul respirations, and lab values, no ketones present=
HHNK
(Hyperglycemic Hyperosmolar Nonketotic Coma)
176
Patient has veins popping out on the abdomen, what is the issue?
Portal HTN
(High B/P in Portal Vein)
(Portal=Belly veins)
177
Patient has increased ALP, ALT, AST, what is the issue?
Liver failure
(ALP, ALT, AST= Liver Enzymes)
178
Diving depth and number of atmospheres, calculate:
0=1
33=2
66-3
99=4
179
Patient has hyperemic hypoxia, what to do?
Give PRBC
180
Aerobic Metabolism steps
glycoysis, Kreb cycle, oxidative phosphorylation
181
Accepted transport when air conditioning is broken in the unit, what to do with the pt?
182
Adult patient with decreased Cl (2.1) but increased SVR (1700), what to do?
Give Fluids
183
Patient with cardiogenic shock, what to give?
Milrinone
184
Pediatric patient with pit viper bite, what to give?
Crotalidine Polyvalent Immune Fab
(Crofab)
185
Pregnant patient with HTN, how to treat
Hydralazine
186
Adult patient with HTN Episode, how to treat?
Nicardipine (Calcium Channel Blocker)
187
Patient with different BP on upper extremities (right vs. left) and radiating back pain, how to treat?
Esmolol (Beta Blocker)
188
Reboa contraindication zone with pt having no femoral pulses s/p MVA?
Zone 3
REBOA=Resuscitative Endovascular Balloon Occlusion of the Aorta
189
REBOA patient with hypotension, how to treat?
give fluids
190
Adult patient with signs of shock, LVAD/impella, no pulse, what to do?
Fluid Bolus
191
You are told patient has meningococcal bacteria. How do you test your patient?
Brudzinski and Kernig signs
(Meningitis)
Head lift cause hips and knees to flex
Inability to straighten legs
192
Patient involved in trauma shows multiple fractures radiating from impact on x-ray. What type is it?
Linear stellate
193
Patient presents with crescent moon pattern on brain x-ray, what is the issue?
subdural bleed
194
Myasthenia gravis
Nerve issues, weakness, arms/legs, vision problem,
drooping eyelids or head
195
Adult female ejected s/p MVA stated she can't bend at the knees. Where is the spinal nerve damage?
L1-L2
L1-L2=Knees
196
Post delivery female with vaginal bleeding, how to treat
Methergine
197
Female patient with blood transfusion develops urticarial reaction, how to treat?
Diphenhydramine
(Uticaria=redness=allergic reaction)
198
Pediatric patient receiving fluids (A LOT) develops rales, what is the
issue?:
Fluid Overload Rales=Fluid
199
Area of burn with no activity and protein denaturation
zone of coagulation
200
Pediatric patient receiving fluids s/p burn injury becomes hypovolemic, why?
Vascular Permeability
201
How to perform circumferential chest burn escharotomy=
Anterior Axillary with traverse incision
202
Adult patient with HF hand burns gets supportive care only at the hospital. You pick up the patient to transfer. How to treat?
Apply Calcium Gluconate to hands
hydrofluoric acid=Calcium gluconate
203
Adult patient pulled from fire with SOB, how to treat?
Amyl/sodium nitrate and sodium thiosulfate
204
Treatment for Organophosphate Exposure
Atropine 2mg and 2-Pam 1-2 Grams
205
Pre-term Pregnancy patient 3cm dilated, 80% effaced with constant contractions every 2-1/2 minutes. what to do?
Administer Terbutaline
206
Pregnant patient with late decelerations is what?
uteroplacental insufficiency
207
Pregnant patient with increased BP, increased edema, and protein in urine, you suspect what?
Preeclamptic
208
Neonate is limp, HR44 upon delivery, what to do?
1st) Epi (1:10,000)
0.1 to 0.3 ml/kg by IV or ETT
2nd) Glucose (2cc/kg D10)
209
Pediatric with history of tetralogy of fallot becomes cyanotic, how to help?
Put them in a knee to chest (squat) position
210
Neonate with good upper extremity pulses but weaker/non existent in the lower extremities, what do you suspect?
Coarctation of the aorta
211
What depth does 3 thin black lines mean on pulmonary artery catheter?
30 cm
212
Management of CVA patient?
Maintain ETCO2 to 30-35 mmHg
213
Target mgmt. CVA with HTN?
decrease map by 10%
214
Apneustic respirations indicate damage to?
pons
(Deep gasping-pause-at full inspiration and insufficient release=head injury)
215
Patient extubated after high dose steroids for asthma exacerbation. Patient develops loss of motor function in extremities. What is the cause?
steroid myopathy
216
TPA exclusion criteria
cerebroarterial malformation (AV malformation)
bad artery in the brain
217
Calm patient during transport no becomes agitated and beginning to unbuckle/get off the stretcher. What is your first step?
Choices are
-Contact law enforcement
-try to calm patient
-administer sedation
218
Elevated PIP with elevated Pplat is caused by
Tension Pneumothorax
219
Neonatal patient still hypotensive s/p fluid bolus. What do you do?
Give another fluid bolus
220
DNR patient becomes apneic and begins to Brady down during transport. What do you do?
Do nothing (Palliative care)?
221
Abdominal trauma patient has urinary catheter during transport and the pressure rises to 18mmHg and she begins to experience sharp pain. What is the first step?
Decompress GI
222
NIPPV vents require
high flow rates of oxygen
223
Soccer player found unresponsive with crescendo-decrescendo res- pirations and S4 murmur on auscultation. What it the issue/cause?
blunt trauma to the chest
(Cheyne Stokes resp-Heart Murmur=Chest Trauma)
224
Target temperature management post ROSC
Arterial Dilation and Decreased CVP
225
Pediatric patient with partial and full thickness burns receives 4 liters of NS in 5 hours and becomes SOB.What is the likely cause?
Pulmonary Edema
226
Additional question: 24 hours post C-6 (possibly C-7) lesion/injury, pt is hypertensive (200/100) and anxious, other vitals are normal. What meds to give?:
Dexamethasone, Labetalol, or Lorazepam
227
Additional question:
CHF patient: what are expected ABG's?
Hyper or Hypocapnia
Metabolic vs Respiratory
Aid or Alkali
Hypercapnia Respiratory Acidosis
228
Additional question:
Unvaccinated 15 month-old with cough,( there were more s/s listed, but i dont remember them):
TB, Varicella, Pertussis
229
Additional question:
CO2 of 55, SpO2 of 93% on a NC at 2 LPM, morbidly obese, short of breath for several days; What do you do?:
Intubate,NRFM(non rebreather), NPPV (CO2 55=critical value=intubate)
230
Additional question:
Cushing syndrome: what ABG's to expect:
Too much cortisol?
Hypercapnia Respiratory Acidosis
231
What to do with IABP during CPR?
Switch from ECG to pressure, put on standby, manually inflate every 15 min
232
Additional question:
Partner is a 20 year vet of EMS. Declining work performance with no par- ticular trigger or instance:
PTSD, Cumulative Stress Disorder, Acute Stress Disorder
(I selected tell supervisor)
233
Additional question: Medication error and you report it to your supervisor, in "just world" how would they respond?
Terminate you,
Develop training to include education on 5 R's of medications
234
Additional question:
Review of ambulance driver's license when?
Yearly,
At time of hire,
after incident/accident
235
Additional question:
Crofab Generic Name
Crotalidae Polyvalent Immune Fab
(Pit Viper Antivenin)
236
Additional question:
S1Q3T3=
S wave on lead 1, Q and T inversion on lead 3 on an ECG is Pulmonary Embolism (PE)
(Question is read way differently
237
Additional question:
2 questions regarding hydroflouoric acid burns:
Picked Calcium for both Study guide says Calcium Gluconate
238
Additional question:
Chest X-ray showing what appears to be more than normal white in the left side and what appeared to be tracheal shift to the right=:
Tension Pnuemothorax
239
paroxysmal hypercyanotic episodes
Tet of Fallot
240
Pawp Balloon
1.5 mL to fill
