Block 1 Copd

Front 1

COPD (chronic obstructive pulmonary disease)
• Chronic----
• Acute- ----
• Alveoli ----
• CO2----

Back 1

COPD (chronic obstructive pulmonary disease)
• Chronic- all the time
• Acute- at the moment; current on-set
• Alveoli help exchange oxygen and CO2
• CO2 (metabolic waste) goes out during exhale

Front 2

COPD types

o Asthma
 Chronic or acute
 Bronchospasm (bronchoconstriction)
 Brought on by allergic rxn
 Expiratory wheezes (air goes in but difficulty coming out) (wet cough)
 Lower airway
 Treatment- high flow 02 or have pt take inhaler

Back 2

• COPD types
o Asthma
 Chronic or acute
 Bronchospasm (bronchoconstriction)
 Brought on by allergic rxn
 Expiratory wheezes (air goes in but difficulty coming out) (wet cough)
 Lower airway
 Treatment- high flow 02 or have pt take inhaler

Front 3

o Bronchitis
 Inflammation of ----
 Acute/----
 Congested (----)
 Fever makes pt susceptible to ----
 Productive ---
 Junky --- sounds

Back 3

o Bronchitis
 Inflammation of bronchioles
 Acute/chronic
 Congested (coughing up)
 Fever makes pt susceptible to pneumonia
 Productive cough
 Junky lung sounds

Front 4

COPY PASTE

Emphysema
 Alveoli stretched out/destructed (no recoil)
 Mild or critical depending on # of alveoli effected
 C02 gets stuck in alveoli
 Purse-lipped breathing
 Dry lung sounds

Back 4

o Emphysema
 Alveoli stretched out/destructed (no recoil)
 Mild or critical depending on # of alveoli effected
 C02 gets stuck in alveoli
 Purse-lipped breathing
 Dry lung sounds

Front 5

• Person is said to be in “hurt box” if pt:
o Isn’t---
o In --- position
o Using --- muscles
o Check --- color

Back 5

• Person is said to be in “hurt box” if pt:
o Isn’t talking
o In tripod position
o Using accessory muscles
o Check face color

Front 6

• Hyperventilation syndrome- ---
o Too much ---
 Carpal penal syndrome (-----), chest pain, and ---- around lips
 Need more CO2 (put 02 mask on them but don’t start 02 flow)

Back 6

• Hyperventilation syndrome- breathing too fast
o Too much 02
 Carpal penal syndrome (hands rigid), chest pain, and numbness around lips
 Need more CO2 (put 02 mask on them but don’t start 02 flow)

Front 7

Diabetes
• Affects ----
• Pancreas secretes ----
• ---- hormone produced into blood and allows ---- to be utilized

Back 7

Diabetes
• Affects pancreas
• Pancreas secretes insulin
• Insulin- hormone produced into blood and allows glucose to be utilized

Front 8

• Type I (---- onset)
o Insulin ----
o ---- will be insulin ----

Back 8

• Type I (juvenile onset)
o Insulin dependent
o Always will be insulin dependent

Front 9

• Type II (--- onset)
o ------- slows down production of ------
o Occurs in 3 phases
 1- ---------
 2- --------------------
 3- --- -- ------

Back 9

• Type II (adult onset)
o Pancreas slows down production of insulin
o Occurs in 3 phases
 1- controlled through diet
 2- take oral medication
 3- put on insulin

Front 10

• Range of blood sugar
o Normal- ------- mg/dl
o Less than --- mg/dl= -------------. have them eat
o More than --- mg/dl= hyperglycemia.. give them insulin

Back 10

• Range of blood sugar
o Normal- 80-120 mg/dl
o Less than 80 mg/dl= hypoglycemia.. have them eat
o More than 120 mg/dl= hyperglycemia.. give them insulin

Front 11

• Brittle diabetics- very prone to -------shock; hard time stabilizing insulin injections

Back 11

• Brittle diabetics- very prone to insulin shock; hard time stabilizing insulin injections

Front 12

• Diabetes associated w/ ---, ----, hearing, visual and amputation problems

Back 12

• Diabetes associated w/ heart, circulatory, hearing, visual and amputation problems

Front 13

• Stable diabetic- pt who regulates --- ---- better

Back 13

• Stable diabetic- pt who regulates blood sugar better

Front 14

• Hypoglycemia (--- --- ---/ --- SHOCK

Back 14

• Hypoglycemia (low blood sugar/ INSULIN SHOCK

Front 15

C/P

oHYPOGLYCEMIUA
Too much insulin, not enough sugar
o Treatment- oral glucose if pt is responsive and is able to swallow

Back 15

o Too much insulin, not enough sugar
o Treatment- oral glucose if pt is responsive and is able to swallow

Front 16

o treatment
 unresponsive open airway, provide 02 via 15 lpm nonrebreather mask (if adequate), positive pressure ventilation (if inadequate), contact ALS, assess blood sugar lev

Back 16

CP

Front 17

 responsive maintain airway, asses blood sugar lev, administer oral glucose

Back 17

CP

Front 18

o Pt may act combatant, intoxicated

Back 18

HYPOGLYCEMIA

Front 19

o Prick side of finger to test for blood sugar

Back 19

o Prick side of finger to test for blood sugar

Front 20

o “unconscious-unknown” type calls, usually check --- ---

Back 20

o “unconscious-unknown” type calls, usually check blood sugar

Front 21

o s/s- COOL AND CLAMMY, altered mental status, pt will stare unknowingly, pale, cool, diaphoretic, dizzy, hunger

Back 21

C/P

Front 22

o pt won’t remember what happened

Back 22

C/P

Front 23

• hyperglycemia (diabetic ketoacidosis (DKA))/ DIABETIC COMA
o type of metabolic shock
o treatment 02, insulin, and transport
o not enough insulin
o body eats itself
o s/s- Kussmahl respirations (rapid deep breaths), excessive urination, juicy acidic breath, excessive hunger, nausea and vomiting, WARM AND DRY SKIN, excessive thirst

Back 23

CP

Front 24

• hyperglycemia (diabetic --- (DKA))/ DIABETIC ---
o

Back 24

• hyperglycemia (diabetic ketoacidosis (DKA))/ DIABETIC COMA
o

Front 25

•take away glucose or oxygen and body fails fast, but pt come back just as fast w/ glucose

Back 25

CP

Front 26

• hyperglycemia is ----

Back 26

• hyperglycemia is gradual

Front 27

Paramedics in OC do ----- EKG

Back 27

Paramedics in OC do 12-lead EKG

Front 28

Cardiac (use ------ for pt assessment) (for nitro admin, always ask before admin if they’re taking ------- enhancing meds)

Back 28

Cardiac (use OPQRST for pt assessment) (for nitro admin, always ask before admin if they’re taking sexually enhancing meds)

Front 29

• diet is big contributor (plaque build up from fatty foods)

Back 29

CP

Front 30

• heart feeds self first (to Coronary Arteries)

Back 30

CP

Front 31

• coronary arteries

o ---- muscle
o --- -- --- = arthrosclerosis
o --- of --- = arteriosclerosis

Back 31

• coronary arteries
o smooth muscle
o build of plaque- arthrosclerosis
o hardening of arteries- arteriosclerosis

Front 32

• heart beat
o SA (sino-atrial) node- 60-100x/min; “pacemaker”; contracts atria (systolic pump)
o AV node (atrio-ventricular)- diastolic pump
o Purkinje fibers

Back 32

CP