EMT Exam #4 Flashcards

(59 cards)

1
Q

Name Respiratory Emergency:

Caused by inflammation and swelling of pharynx, larynx, and trachea.

Typically seen in children age 6 months to 3 years
Stridor and seal-bark coughing

Responds well to humidified oxygen

A

Croup

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2
Q

Name Respiratory Emergency:

Bacterial infection causing inflammation of epiglottis

Children are often found in tripod position and drooling

Position comfortably and provide oxygen

A

Epiglottitis

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3
Q

Name Respiratory Emergency:

Common cause of illness in young children
Causes infection in the lungs and passages
Look for signs of dehydration

Treat airway and breathing problems, humidified oxygen is helpful

A

Respiratory Syncytial Virus (RSV)

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4
Q

Name Respiratory Emergency:

Viral illness often caused by RSV

Bronchioles become inflamed, swell and fill with mucus

A

Bronchiolitis

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5
Q
Name Respiratory Emergency:

Affects people who are chronically ill
Fever
Can affect both lungs
Viral presents more gradually and is less severe, Bacterial will come on quickly and result in high fever
A

Pneumonia

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6
Q

Name Respiratory Emergency:

Airborne bacterial infection that mostly affects children under 6
Patients will be feverish and exhibit a “whoop” sound after coughing

A

Pertussis (Whooping Cough)

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7
Q

Name Respiratory Emergency:

Bacterial infection that most often affects the lungs
Wear gloves, eye protection, and an N-95 respirator at minimum

A

Tuberculosis

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8
Q

Name Respiratory Emergency:

Heart muscle can’t circulate blood properly
Fluid builds up w/in alveoli and in lung tissue
Result of CHF
Crackles and rails heard

A

Acute pulmonary edema

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9
Q

Name Respiratory Emergency:

Patient will have “dry” lung sounds
Wheezing and diminished lung sounds

A

COPD

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10
Q

Name Respiratory Emergency:


Result of an allergic reaction to inhaled, ingested or injected substance

A

Anaphylaxis

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11
Q

Name Respiratory Emergency:

Acute spasm of small air passages
Produces characteristic wheezing

A

Asthma

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12
Q

Name Respiratory Emergency:


Collection of fluid outside the lung, compresses the lung and causes dyspnea

A

Pleural effusion

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13
Q

Name Respiratory Emergency:

Blood clot that circulates through the venous system
S/S: Dyspnea, tachycardia, cyanosis

A

Pulmonary embolism

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14
Q

Name Respiratory Emergency:

Over-breathing to the point that arterial carbon dioxide falls below normal
Balling of fists, pins and needles feeling
May be indicator of life-threatening illness or panic attack

A

Hyperventilation

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15
Q

Name Cardiovascular Emergency:
Heart tissues are not getting enough oxygen
Transient (short-lived) chest discomfort caused by partial or temporary blockage of blood flow to the heart muscle

A

Angina Pectoris

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16
Q

Name Cardiovascular Emergency:


A group of symptoms caused by myocardial ischemia; includes angina and myocardial infarction.

A

Acute coronary syndrome

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17
Q

Name Cardiovascular Emergency:

Pain signals the actual death of cells in the area of the heart muscle where blood flow is obstructed
Heart attack that is new or happening currently

A

Acute myocardial infarction (AMI)

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18
Q

Name Cardiovascular Emergency:

Associated with impaired heart function; compromised heart function prevents wastes and nutrients from moving around the body effectively.

A

Cardiogenic shock

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19
Q

Name Cardiovascular Emergency:

Ventricular heart muscle is so permanently damaged that it can no longer keep up w/ the return flow of blood from the atria

Can occur after an MI, setting of heart valve damage or consequence of high BP

A

Congestive Heart Failure (CHF)

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20
Q

Name Cardiovascular Emergency:


Usually occurs only w/ systolic greater than 180 mm Hg or rapid rise

A

Hypertensive emergencies

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21
Q

Name Neurological Emergency:
Stroke that happens when blood flow to a particular part of the brain is stopped by a blockage inside a blood vessel, usually a blood clot.

A

Ischemic stroke

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22
Q

Name Neurological Emergency:

Stroke that occurs as a result of bleeding inside the brain

A

Hemorrhagic stroke

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23
Q

Name Neurological Emergency:
Mini stroke where no actual death of tissue occurs

A disorder of the brain in which the brain cells temporarily stop function causing stroke-like symptoms that resolve completely within 24 hours of onset.

A

Transient Ischemic Attack (TIA)

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24
Q

Name Neurological Emergency:

Neurological episode caused by a surge of electrical activity in the brain

25
What are the signs and symptoms of shock?
``` Low BP (late sign) Clammy Rapid pulse/breathing Changes in mental status Pale skin LOC ```
26
What does OPQRST stand for and what questions should you ask for each?
O: Onset; "When did it start?" P: Provoke; "Does anything make it better or worse?" Q: Quality; "What does it feel like?" R: Radiate; "Does it travel anywhere else?" S: Severity; "How bad is it, 1-10?" T: Time; "How long has it been going on?"
27
What are the routes that toxins/poisons enter the body?
Inhalation Injection Ingestion Absorption
28
Name type of seizure: Results from abnormal electrical discharges from large areas of the brain, usually involving both hemispheres.
 Characterized by unconsciousness and generalized severe twitching lasting several minutes or longer
Generalized (tonic-clonic) seizure
29
Name type of seizure: | Begins in one part of the brain, can be simple or complex
Partial (focal) seizure
30
Name type of seizure: | Seizures that result from sudden high fevers; most often seen in children.
Febrile seizure
31
Seizures lasting more than 5 minutes are likely to progress to ___________________, which describes seizures that continue every few minutes w/o person regaining consciousness or last longer than 30 minutes.
Status epilepticus
32
What is the dose for EpiPen?
0. 3 mg for adults | 0. 15 mg for children
33
What is the dose for a MDI?
1 to 2 inhalation 5 minutes apart
34
What is the dose for Nitroglycerin?
0. 3 - 0.4 SL | 0. 4 spray
35
What is the dose for Aspirin?
160 to 325 mg
36
What is the dose for Narcan?
0.4 mg injector | 2 mg IN
37
What is the dose for Insta Glucose?
1/2 to 1 tube
38
What are the indications for EpiPen?
Anaphylactic reaction
39
What are the indications for a MDI?
Asthma
40
What are the indications for Nitroglycerin?
Chest pain cardiac origin
41
What are the indications for Aspirin?
Chest pain cardiac origin
42
What are the indications for Narcan?
Opioid poisoning
43
What are the indications for Insta Glucose?
Low blood sugar
44
What are the contraindications of EpiPen?
Chest pain cardiac origin Hypothermia Hypertension
45
What are the contraindications of a MDI?
Hypersensitivity | Tachycardia, cardiac chest pain
46
What are the contraindications of Nitroglycerin?
Hypotension ED meds w/in 24 hrs Unconscious, head injury
47
What are the contraindications of Narcan?
Hypersensitivity
48
What are the contraindications of Insta Glucose?
Decreased LOC | Nausea and vomiting
49
What are the normal heart rate and blood glucose levels for adults?
HR: 60-100 | Blood glucose: 80-100
50
What are the signs of ICP?
High BP Deep respirations Slower pulse
51
What type of effect do MDI's have on the body?
Dilate bronchioles (bronchodilator)
52
What type of bag is evidence in a sexual assault best kept in?
Paper
53
In diabetics, when insulin levels decrease, what happens to blood sugar?
It rises
54
What should you do for a patient who has chronic renal failure?
Lay flat and treat for shock (hypotension)
55
How should you use the Cincinnati Stroke Scale?
F: Facial drooping; Show teeth or smile A: Arm drift; Close eyes and hold both arms out palms up S: Speech; Say simple sentence
56
What are the ventilations for adults and children?
Children: 20-30 Adults: 12-20
57
Should you use an oral airway on a children experiencing epiglottitis?
No, BVM only
58
___________________ is a condition that has a gradual onset in children with low grade fever, seal-like bark cough
Croup
59
__________________ is a condition that is more rapid with a higher fever in mostly children, difficulty swallowing with drooling; life-threatening emergency.
Epiglottitis