clair review

Question 1

the 5 solid organs

Answer 1

liver, spleen, kidneys, pancreas, ovaries

Question 2

read about PID (pelvic inflammatory disease)

Answer 2

is an infection of the upper female reproductive organs-specifically, the uterus, ovaries, the fallopian tubes-that occurs almost exclusively in sexually active women

Question 3

Diseases stds

Answer 3

chlamydia - lower abdominal pain, low back pain, nausea, fever, fever, pain during sexual intercourse

bacterial vaginosis - itching, burning, pain and accompanied by a fishy smell in discharge.

gonorrhea - painful urination, with burning or itching; yellowish or bloody vagina discharge, usually with a foul odor, blood associated with vaginal sexual intercourse

Question 4

if patient refuses transport

Answer 4

respect the patients wishes, ensure that the appropriate documentation is complete.

Question 5

what to do with patient vagina bleeding

Answer 5

place the patient in a supine position. Cover the patient to keep her warm, and then transport to the nearest appropriate receiving facility for the treatment

Question 6

what can lead to premature

Answer 6

bacterial vaginosis

Question 7

read about rape

Answer 7

offer to call the local rape crisis center for her

Question 8

read about rape table 23-1

Answer 8

step 1. Document the patients history, assestment, treatment, and response to treatment in detail because you may have to appear in court as long as 2 to 3 years later. RECORD ONLY FACTS

step 2. complete the SAMPLE history objective

step 3. follow any crime scene policys established

step 4. do not examine the genitalia unless their is major bleeding

step 5. whenever possible, reduce the patients anxiety by using an EMT who is the same gender as the patient.

step 6. discourage the patient from bathing, voiding, cleaning any wounds until the hospital staff has completed an assessment.

step 7. if possible transport the patient to a hospitals with specialized staff such as sexual assault nurse experience (SANE) who can fully evaluate these patients

Question 9

assessment and management way to do en rout to hospital

Answer 9

comfort patients etc

Question 10

scenario and grade APGAR score

Answer 10

2,1,0 points 
appearance. 
pulse.
grimace or irritable.
activity or muscle tone.
respiration.

Question 11

patient that has a stroke or hypoglycemia have an

Answer 11

altered mental status (AMS)

Question 12

signs and symptoms for appancredtits, colesystitis, appendicitis

Answer 12

appendicitis - nausea vomiting, fever, chills rebound tenderness

colesystitis - vomiting, indigestion, bloating

appendicitis - nausea, vomiting, anorexia (lack of appetite for food), fever, chills.

Question 13

OPQRST and definition

Answer 13

O- onset 
P- provocation 
Q- quality
R- radiation
S- severity
T- timing

Question 14

tenderness, regular pain, guarding rebound tenderness, lack of appetite

Answer 14

appendicitis

Question 15

AAA

Answer 15

abdominal aortic aneurysm (worst back pain ever)

Question 16

esophageal varices

Answer 16

occurs when the amount of pressure within the blood vessels surrounding the esophageal increases resulting in liver failure

Question 17

function of the liver, spleen, kidney, pancreas

Answer 17

liver - assists in digestion by secreting bile which aids in digestive system

spleen - is part of the lymphatic system and plays a significant role in relations to the reed blood cells and the immune system. also produces anti body’s to help the body fight off diseases and infections

kidneys - plays an important role in the regulation of acid-based balance the body’s PH and blood pressure

pancreas - secretes juice containing enzymes that help break down starches fats and proteins also produce bicarbonate and insulin

Question 18

talks about seizure (vomiting) put patient

Answer 18

securing and maintaining the air way in a patient, suction ready if vomiting

Question 19

scenarios about angina

Answer 19

give nitro

Question 20

difference between the 2 strokes hemoraggic & iscemic

Answer 20

hemorrhagic stroke occurs as a result of bleeding in the brain caused by a rupture

iscemic stroke occurs when blood flow to a particular part of the brain is stopped by a blockage (blood clot) inside a blood vessel.

Question 21

S&S of intracranial pressure

Answer 21

headache, nausea, vomiting, decreased consciousness, reduced vision, and dizziness.

Question 22

what happens in left & right hemisphere

Answer 22

in the left side of the hemisphere has been affected by the stroke. patients has aphasia (loss of expressed speech)

if the right cerebral hemisphere of the brain is not getting enough blood the patient will have trouble moving the muscles on the left side of the body

Question 23

scenario AMS Altered mental

Answer 23

Check blood sugar status

Question 24

if a patient is apneic, pulseless what do you do

Answer 24

you perform CPR and get the AED

Question 25

regulation of blood flow

Answer 25

Determined by cellular need

Question 26

nitroglycerin patches and what to do with them. remove patch and then what ?

Answer 26

whip away the excess residue before use of AED

Question 27

types of bleeds subarachnoid

Answer 27

bleeding occurs into the subarachnoid space, where the CSF circulates it results in bloody CSF and signs of meningeal irritation (such as neck rigidity, headache) causes - trauma or rupture of an aneurysm

Question 28

if a bystander is performing CPR

Answer 28

assess the affectedness of chest compressions by palpating for a carotid pulse. if you do, leave your fingers in that position and stop compressions.

Question 29

oxygenated blood

Answer 29

(pulmonary veins) (left side of heart)

Question 30

know angina if chest pain doesn't go away. what do you do

Answer 30

angina occurs when the heart need for oxygen exceeds it supply chest pains nitro. unstable angina pain response to progressively less exercise -------------?

Question 31

scenario pulsless apnetic patient

Answer 31

begin chest compression until AED is available

Question 32

when inadequate breathing (Not BMV)

Answer 32

secure and maintain the airway. clear the mouth and throat of any obstructions.

Question 33

action of hormones epi & no-epinephrine

Answer 33

hormones is a chemical substance regulates the activity of organs and tissue , regulates body functions, growth, body temperature Epi and norepinephrine cause changes in certain body functions increases heart rate, also cause vasoconstriction (the contraction of blood vessels) areas in the skin and gastro

Question 34

primary survey

Answer 34

check life threats first

Question 35

the 3 non-cardiovascular shock

Answer 35

anaphylactic shock, psychogenic shock, hypovolemic shock

Question 36

scenario & know what kind of shocks and s&s

Answer 36

cardiogenic shock, obstructive shock, distributive shock, septic shock, neurologic shock, anaphylactic shock, phycogenic, hypovolemic

Question 37

basic cause of shock

Answer 37

pump failure, low fluid volume, poor vessel fluid

Question 38

basic cause of shock

Answer 38

pump failure, low fluid volume, poor vessel function