Module 3 Flashcards

(44 cards)

1
Q

1: After giving a medication to the patient, what would you do within 5 minutes?

A

Recheck vitals

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2
Q

In chest pain patients with prescribed NITRO, you may assist them with it after giving O2. At or below what BP would you choose to advise the patient not to take their prescribed NITRO?

A

If systolic is less then 100

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3
Q

What are the TRADE (BRAND) names of ibuprofen

A

advil , moltrin

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4
Q

What bad things does the book say can happen to a patient who is given NARCAN for an opiate overdose

A

Can become violent or cause siezures

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5
Q

You give your patient NITRO. Suddenly there is a significant drop in BP. What position would you place the patient in to support the best chance of naturally raising the BP

A

Supine

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6
Q

Where do subcutaneous medications get injected

A

Under the skin – in the fatty tissue between the skin and the muscle

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7
Q

what doesnt epi do

A

doesnt lower BP

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8
Q

the NREMT exams suggest that you need to call medical control for giving medications. With this idea in mind, after verifying the EPI Pen the patient gave you is prescribed to them and is in appropriate date, what would you do next

A

Call medical control

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9
Q

Patient with Tb skin test with positive result what happened

A

Prior patient - takes 6 weeks to get symptoms

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10
Q

In what part of your assessment do you determine to emergently or non-emergently transport your patient

A

primary asessment

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11
Q

Why do we take all the patients medications with us to the ER

A

To avoid medication errors, prevent dangerous drug interactions

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12
Q

You elect to finish your ABCs in one go. You find the patient is in resp. Shock. What would you administer next

A

oxygen and bvm

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13
Q

What are the symptoms of aspirin overdose? What would their breathing RRQ be

A

fast and deep

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14
Q

What are the contraindications of CPAP

A

hypotension, altered mental status

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15
Q

What is HYPOXIC DRIVE

A

low levels of oxygen

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16
Q

Oral adjunct and O2 delivery device would you choose for SEMICONSCIOUS and SLOW SHALLOW breathing

A

npa and assisted breathing

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17
Q

What are the book’s treatments for migraine AKA SEVERE HEADACHE

A

no sirens and dim lights

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18
Q

experiencing a siezure , disagree

19
Q

Define aneurysm

A

Swelling or enlargement of a part of an artery , resulting in weakening of the arterial wall

20
Q

What are metabolic causes of seizures

A

Hypoglycemia, Hypoxia, drug or alcohol withdrawal, poisoning

21
Q

What are the characteristics of postictal state

A

Labored respirations and altered mental state

22
Q

Sudden severe headache. Shortly after goes unconscious. BP is high. What happened

A

hemmorhagic stroke

23
Q

If the arm drift test is hard for the patient to understand and follow commands for… what can you do to assist them in getting their arms into position with eyes closed?

A

n=move patients arms into position again

24
Q

LVAD? What vital signs are altered by the device and will change our assessment mildly

A

pulse may be weak or absent and blood pressure difficult to measure

25
What is a percutaneous transluminal coronary angioplasty (PTCA)? In this procedure how do we dilate the coronary and keep it dilated for good blood flow to be restored
stent
26
after assessing with nitro what do you do after meds
reassess bp
27
The AED gives a shock. What is the very next step after shock delivery
resume cpr
28
: When the heart beats too fast or too slow the cardiac output (how much blood comes out) drops. Why
dont have enough time to flll with blood
29
32: What are the signs of a hypertension emergency?
Severe headache, chest pain, shortness of breath, altered mental status
30
Why would an AED decide NOT to shock
Because the rhythm is not shockable
31
What are the contraindications for NITRO
head injury
32
prior to assisting with meds what do you need
med control
33
What is the ability of cardiac cells to beat on their own without the brain's control called?
automaticity
34
Where can you find the posterior tibial pulse
ankle
35
when myocardium needs more oxygen what happens
dilate
36
How does the body increase cardiac output when needed for compensation
hr and stroke volume
37
A patient is wearing a nitroglycerin patch on his chest. You find him with low BP, high heart rate. How would you fix this patient’s shock
remove patch and treat for shock
38
What cardiac rhythms have the best chance of deteriorating into pulseless rhythms
Ventricular tachycardia , ventricular fibrillation
39
what is least important when obtaining med history
history of a heart attack
40
what can cause artifact on ecg tracing
excessive moving
41
How would you instruct a patient to use an MDI
hold breath 10 seconds
42
How do you assess circulation fully in C of the Primary Assessment
A Answer – Pulse RRQ , skin color temp moisture, capillary refill
43
What happens when the electrical impulse of the heart reaches the AV node
perkinge fibers
44