Prep/Prehospital Management

Question 1

Physician on scene that is not the patient’s

Answer 1

intervener physician

Question 2

Emergency medical services act

Answer 2

Chapter 401- Law

Question 3

Rules and regulations of the state EMS division

Answer 3

64J-1

Question 4

Tort law

Answer 4

civil law

Question 5

Elements of negligence

Answer 5

duty to act, failure to act(breach of duty), damages, harm or injury, proximate cause

Question 6

Types of consent

Answer 6

informed and implied

Question 7

Assault vs Battery

Answer 7

threat vs touching

Question 8

Libel vs Slander

Answer 8

written vs verbal

Question 9

DNRO

Answer 9

must be original copy, Dr. signature, yellow. Contains comfort measures

Question 10

Energy source of cell

Answer 10

mitochondria

Question 11

Microorganisms causing infections

Answer 11

fungus, bacteria, virus

Question 12

Homeostasis

Answer 12

maintain internal balance, equilibrium

Question 13

Isotonic solutions

Answer 13

NS, LR stays where you put it

Question 14

Fluid that stays in blood vessel longer,large particles or proteins

Answer 14

colloid (albumin, HESPAN, dextran, Plasmanate

Question 15

What fluid buffers like plasma

Answer 15

LR give to all trauma pt

Question 16

Which fluid is used for mixing meds and may be used for cardiac and CHF

Answer 16

D5W (nitro, dopamine, lido[premixed])

Question 17

Movt of particles from higher to lower concentration

Answer 17

defusion

Question 18

Movt of fluid from lower to higher concentration

Answer 18

osmosis

Question 19

Most common EXTRAcellular cation

Answer 19

sodium

Question 20

Most common INTRAcellular cation

Answer 20

potassium

Question 21

Components of blood

Answer 21

1 unit = 1 pint = 500ml

12 units in adult = 6 liters

Question 22

Functions of blood

Answer 22

removes waste, delivers O2, hormones, temp regulation

Question 23

ABO blood typing

Answer 23

AB universal recipient

O neg universal donor

Question 24

Drip formula gtts/min

Answer 24

ml/hr X dripset OVER time in min

Question 25

Drip formula ml/hr

Answer 25

gtts/min X time OVER drip size

Question 26

KVO or TKO

Answer 26

10 ml/hr

Question 27

Local IV complications

Answer 27

hematoma, infiltration(most common), cellulitis, thrombophlebitis

Question 28

Systemic IV complications

Answer 28

air embolus, catheter shear, sepsis, PE

Question 29

Metabolic Acidosis

Answer 29

cardiac/respiratory arrest, DKA, ASA overdose. tx: inc ventilation then bicarb

Question 30

Respiratory Acidosis

Answer 30

hypercarbia, resp distress due to any medical or traumatic resp condition. Tx inc ventilation with BVM

Question 31

Metabolic Alkalosis

Answer 31

too much bicarb, tx: let it wear off

Question 32

Respiratory Alkalosis

Answer 32

hyperventilation syndrome, some brain injured pt, in response to DKA, bagging too fast. tx: slow ventilations

Question 33

S/S of shock

Answer 33

restless, anxious, dec LOC, cold, clammy, pale, N&V, muscle weakness, thirst, dilated pupils, hypotn, tachycardia(first sign), tachypnea

Question 34

Hypovolemic shock s/s

Answer 34

tachycardia, tachypnea, diaphoresis, restlessness, thirst narrow pulse pressure, dilated pupils

Question 35

Neurogenic Shock s/s

Answer 35

vascular problem. paralysis, hypotn, bradycardic, skin warm and flush. Failure of sympathetic ns

Question 36

Cardiogenic Shock s/s

Answer 36

pump problem. tachycardia, hypotn, tachypnea, diaphoresis, restlessness, thirst, narrow pulse pressure, dilated pupils, may develop pulm edema. Give dopamine

Question 37

Fluid replacement in adult

Answer 37

3 liters for each 1 lost or 20 ml/kg

Question 38

Schedule I vs II meds

Answer 38

no medical use vs medical use

Question 39

Purple foxglove

Answer 39

digitalis/digoxin

Question 40

Belladonna plant

Answer 40

atropine

Question 41

Sympathetic NS

Answer 41

chemical mediators norepi and epi, control from lower thoracic and upper lumbar area of spine fight or flight response

Question 42

Inotrope

Answer 42

contraction

Question 43

Chronotrope

Answer 43

rate

Question 44

Parasympathetic NS

Answer 44

chemical mediator acetylcholine control from vagus nerve

Question 45

tsp = _____ml

Answer 45

5ml

Question 46

tbsp = _____ml

Answer 46

15ml

Question 47

1 grain = ______mg

Answer 47

60 mg

Question 48

Drug Calc volume to administer

Answer 48

dose X weight X dripset OVER concentration X time

Question 49

Drug routes fastest to slowest

Answer 49

IV/IO/ET, IM, SQ, PO

Question 50

Enteral routes

Answer 50

given via GI tract

Question 51

Parenteral/peripheral routes

Answer 51

given other than GI tract

Question 52

Drugs that can be given down ET tube

Answer 52

Lidocaine, Epi, Atropine, Narcan 2-2 1/2 times dose

Question 53

``` ACID/BASE BALANCE ph norm? CO2 norm? HCO3 norm? match CO2/HCO3 with ph does CO@/HCO3 go opposite ph? PaO2 & SaO2 normal? ```

Answer 53

``` ph: acid 7.35 - 7.45 alk CO2: alk 35 - 45 acid (resp) HCO3: acid 22 - 26 alk (met bicarb) PaO2: 80 - 100 SaO2: 94 - 99 ```

Question 54

Cushing's Reflex

Answer 54

HTN, bradycardia, irreg resp