NREMT Flashcards

(40 cards)

1
Q

The pathway of blood through the heart

A

superior/inferior vena cava right atrium tricuspid valve right ventricle lungs for oxygenation pulmonary valve left atrium bicuspid valve left ventricle aortic valve aorta.

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2
Q

Beck’s Triad consists of what 3 signs?

A

Muffled heart tones, hypotension and jugular vein distension

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3
Q

What blood pressure is represented when the ventricles are filling with blood?

A

Diastolic

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4
Q

triad of symptoms that indicates abdominal aortic aneurysm

A

abdominal pain, hypotension, and pulsating abdominal mass

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5
Q

There are two types of valves in the heart. The mitral and tricuspid valves are which kind of valve?

A

Atrioventricular

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6
Q

Semilunar valves of the heart include…

A

The pulmonic and aortic valves are both semilunar valves.

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7
Q

What is the preferred method of ventilation in the field for a patient who is not able to breathe on his own?

A

Mouth-to-mask ventilation

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8
Q

Types of bronchodilators include all of the following EXCEPT: Alupent Pulmicort Proventil Metaprel

A

Pulmicort

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9
Q

The three signs of imminent respiratory failure in a patient experiencing acute respiratory distress:

A

The three signs of imminent respiratory failure in a patient experiencing acute respiratory distress: - cyanosis - decreased consciousness - inability to maintain respiratory effort

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10
Q

List the presentation of patients with acute respiratory distress syndrome (ARDS)

A

ARDS: - hypotension - diaphoresis - tachynpea - dyspnea - dizziness/confusion - exhaustion - cyanosis - edema - absent lung sounds

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11
Q

Steps of assessment

A

Pulse airway is open and clear respiratory rate and depth & work of breathing level of oxygenation level of consciousness

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12
Q

Ataxic respirations

A

completely irregular breathing punctured by periods of apnea (cessation of breath)

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13
Q

Cheyenne-Stokes respiration

A

characteristic form of ataxic respiration—a pattern in which breathing deepens progressively and occasionally becomes progressively more rapid as well, punctured by periods of apnea. Pattern repeats in a cycle taking from 30s-2 minutes

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14
Q

What is the normal rate of breathing for someone who is 6-12 months old

A

24-30 breaths/minute

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15
Q

What is the normal rate of breathing for someone who is 1-6 years old

A

1-6 yo = 20-30 breaths/min

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16
Q

What is end tidal CO₂? How is it measured and what does an elevated value and a decreased value represent?

A

End tidal CO₂ is the amount of CO₂ present in exhaled gases and is measured by capnography. Elevated end tidal CO₂ = hypoventilation or increased metabolic activity Low end tidal CO₂ = decreased cardiac output, low pulmonary perfusion

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17
Q

Recovery position is recommended for patients who are (conscious/unconscious) and (breathing spontaneously / not breathing spontaneously)

A

Recovery position = unconscious + NOT breathing spontaneously

18
Q
A

Bone 2 = fibular

Bone 3 = tibia (think tibia = taler = wider & fatter than fibular)

19
Q
A

Bone 4 = Humerous

Bone 5 = Radius (lateral)

Bone 6 = Ulnar (medial)

Bone 10 = Phalanx

20
Q

Three layers of the skin?

A
  1. Epidermis
  2. Dermis
  3. Subcutaneous
21
Q
A
  1. Mandible
  2. maxilla
  3. nasal bone
  4. frontal bone
  5. temporal bone
  6. parietal bone
  7. zygomatic bone
  8. sphenoid bone
22
Q

RUQ main organ (2)

organs present here and also in other areas (4)

A

RUQ = Liver + gallbladder

also right kidney, colon, pancrease, small intestines

23
Q

LUQ main organ (2)

organs present here and also in other areas (4)

A

LUQ = spleen + stomach

Other = liver (small portion), left kideny, colon, pancreas, small intestines

24
Q

RLQ main organ (1)

organs present here and also in other areas (3)

A

RLQ: Appendix

Other: utererus, colon, right ovary

25
Visceral pain Describe what causes it How it feels
## Footnote Felt when noxious stimuli affect an abdominal viscus Poorly localized dull gnawing or burning
26
Parietal pain Describe what causes it How it feels
Parietal pain = noxious stimuli affect the parietal peritoneum Precisely localized intense aggravated by movement
27
Referred pain Describe what causes it How it feels
Referred pain felt in remote areas supplied by the same neurosegment as the diseased organ well localized appears with intense visceral stimulus
28
Hollow organs do what when injured and they include what? (6)
Hollow organs: Leak Include: Stomach, intestines, gallbladder, urinary bladder, ureters, uterus
29
Solid organs do what when injured and they include what? (4)
Solid organs BLEED when injured Include: KLOPS Kidneys liver (ovaries) pancreas Spleen
30
How many vertebrae in the spinal cord and how are they classified?
Spinal cord = 33 vertebrae 7 cervical 12 thoracic 5 lumbar 5 sacral 3-5 coccyx
31
4 necessary elements of negligence
Duty of care breach of duty damages causation
32
What plane divides the body into: left & right top & bottom front & back
left & right: midline/midsagittal top & bottom: transverse/horizontal front & back: frontal/coronal
33
Bones of the sternum (upper, middle, lower)
Manubrium: upper portion of the sternum Body: middle portion of the sternum Xiphoid process: inferior tip of the sternum
34
Arm bones from upper arm to fingers (6)
Humerus: upper arm **Radius**: **lateral** bone of forearm (**thumb side**) **Ulna**: **medial** bone of forearm Carpal bones (wrist) Metacarpals (base of the fingers) Phalanges (fingers)
35
primary muscle of respiration
Diaphragm
36
Portion of the brain that's responsible for respiratory drive?
The Pons
37
Pink puffers smoking lower airway disease wheezing
Emphysema
38
blue bloaters
Chronic bronchitis
39
BP & CO equations
``` BP = SVR x CO CO = HR X SV ```
40
SV vs. SVR
``` SVR = total resistance of arterioles to flow of blood SV = amount of blood pumped by the heart each cycle ```