Unit 11 (chp 9)/ 13(chp 12)

Question 1

what is a sign

what is a symptom

Answer 1

sign- objective condition you observe

symptom- subjective condition from pt

Question 2

what does your scene size up begin with

Answer 2

dispatch info

Question 3

factors to consider when predicting serious injury from MOI

Answer 3

amount of force, length of time it was force and where on the body

Question 4

someone who falls _____ is considered at risk for multiple system injuries

Answer 4

3 times their height or more than 15 to 20 ft

Question 5

Determining the mechanism of injury will contribute to your decision of whether you should:

Answer 5

perform a rapid assessment or focused exam.

Question 6

how do we figure out a pts orientation who is alert

Answer 6

person , place, time and event

Question 7

pitting edema scale

Answer 7

+1 0-1/4”
+2 1/4”-1/2”
+3 1/2” - 1”
+4 greater than 1”

Question 8

what is a palliating factor?

Answer 8

something that happened to alleviate symptoms

Question 9

Which of the following skin findings suggest liver dysfunction?

Answer 9

Jaundice and dry

Question 10

In general, you should assess the blood pressure in all patients who are at least ____ years of age.

Answer 10

3

Question 11

The finer and somewhat fainter breath sounds noted in the lateral wall of the chest are known as:

Answer 11

vesicular sounds.

Question 12

soft breezy low pitched sounds at the midclavicular line are known as

Answer 12

bronchovesicular sounds

Question 13

Rales, rhonchi, and wheezing are examples of:

Answer 13

. adventitious breath sounds.

Question 14

Loud, high-pitched and hollow sounds auscultated over the manubrium are called:

Answer 14

bronchial sounds.

Question 15

loud and harsh sounds over trachea are called

Answer 15

tracheal sounds

Question 16

In adult females and adolescents, systolic blood pressure is considered critically low when it is less _____ mm Hg or less.

and critically low for men

Answer 16

80

90

Question 17

Which of the following are clinical indicators of respiratory failure?

Answer 17

Lethargy and bradypnea

Question 18

5 main parts of assessment process

Answer 18

size up, primary, history, secondary , reassessment

Question 19

key signs used to evaluate pt conditon

Answer 19

vital signs

Question 20

what does stridor sound like and indicate

Answer 20

partial upper airway obstruction

brassy crowing

Question 21

inspiration to expiration ratio

Answer 21

1:3

Question 22

what are pleural friction rubs / sound

Answer 22

sqeak or grating sound of pleura lining
inflammation of pleura
pain on inspiration

Question 23

what does rhonchi indicate

and sound

Answer 23

fluid in upper airways in lungs

continuous low pitch / rattling

Question 24

what are rales / crackles

Answer 24

wet breath sounds

crackles - moist crackle

Question 25

what does wheezing indicate | sound like

Answer 25

obstruction lower airways | high pitched whistle on expiration

Question 26

characteristics of labored breathing

Answer 26

``` tripod sniffing position nasal flare retractions intercostal muscles and supra clavicular / neck two-three work dyspnea ```

Question 27

rapid body scan takes how long and what 3 guidelines do we follow

Answer 27

60-90 inspection, palpation and auscultation

Question 28

what is a pertinent negative

Answer 28

negative findings that warrant no care or intervention

Question 29

what is focal pain

Answer 29

single place of pain

Question 30

pt moves hand in circle to indicate an area of pain

Answer 30

diffuse pain

Question 31

pain that exists in more than 1 place but not connected by " trail "

Answer 31

referred pain

Question 32

two types of electronic blood pressure cuffs

Answer 32

linear and stepped

Question 33

colorimetric devices provide

Answer 33

continious coloured ETC02

Question 34

dimensions of standard blood pressure cuff

Answer 34

wrap around arm 1-1.5 times | take two thirds of arm length

Question 35

what 2 kinds of vibrations does blood pressure cuff create AKA

Answer 35

turbulence and arterial vibrations korotkoff sounds - will come with systolic and disappear with diastolic

Question 36

condtion of congenital unequal pupils

Answer 36

aniscopria

Question 37

severe abdominal distention can be caused by -3

Answer 37

sepsis and ascites ( fluid , likely blood ), obstruction

Question 38

rebound tenderness , common characteristic of

Answer 38

appendicitis

Question 39

chain of survival 5 links

Answer 39

``` early access early cpr early defibrillation early advanced care integrated post arrest care ```

Question 40

in the 5th link of the chain of survival, integrated post arrest care , this refers to controlling temperature to

Answer 40

optimize neurologic recovery in the field and maintain BGL levels

Question 41

what % of cardiac arrests occur at home

Answer 41

75 %

Question 42

if time from cardiac arrest to defib is more than ___ minutes , chance of survival in minimal

Answer 42

10 mins

Question 43

For each minute a pt remains V-fob or Pulseless V-Tach , their chance of survival diminishes by the %

Answer 43

7-10 % / minute

Question 44

how much blood is pumped with CPR compared to normal

Answer 44

1/3rd

Question 45

what does a impedance threshold device do during ventilations

Answer 45

designed to limit air entering the lungs during recoil phase of chest compression

Question 46

children consume oxygen how many more times than adults

Answer 46

2 - 3 times more

Question 47

when to STOP bls

Answer 47

starts to breath Transferred care O- out of strength P- Physician directed