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47 Cards in this Set
- Front
- Back
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Chest pain associated with stable angina may be caused by
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a buildup of lactic acid and CO2
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P 200 RR 26 BP 90/60 VT with pulse
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sync cardiovert at 100J
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components of the focused history and physical exam
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SAMPLE history and focused examination
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what is pulse pressure?
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difference between systolic and diastolic
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56 y/o M syncopal episode now complaing of intense CX pressure RR 26, P 110 BP 80/60 crackles in lowers
what condition? |
cardiogenic shock
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blow to the head with golf ball treatment?
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sniffing position
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dark curtain vision issues
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retinal detachment
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typical presentation of a PT with esophageal varices?
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painless hematemesis
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normal vesicular sounds
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low pitch, soft, with a long inspiratory phase and a short expiratory phase
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medication not used to treat emphysema
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1:1,000 eppie
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tongue airway occlusion
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can occlude in any position, not just supine
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what is bronchiolitis caused by?
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the respiratory synctial virus
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medications for anaphalyxis
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hydroxyzine (anti-histamine)
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what is an assessment finding of pulsus paradoxus associated with?
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COPD
BP decrease as one inhales and increases as one exhales conditions: cardiac tamponade, pericarditis, chronic sleep apnea, croup, and obstructive lung disease (e.g. asthma, COPD) |
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dull sound heard during chest percussion?
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pnuemonia, hemothorax, pulmonary embolism
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6 y/o conscious but not breathing
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subdiaphragmatic abdominal thrusts
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treatment for PT with pulmonary embolism
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transport in the shock position
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dull sound heard on percussion?
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pneumonia, hemothorax or pulmonary edema
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what is a common cause of pulmonary emboli?
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placement of a central line
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deflation of PASG/MAST
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deflation should not be attempted in the field without medical direction
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abnormal finding of an EKG strip
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PR of 0.10 seconds
normal PRI = .12-.20 normal QRS = 0.4 - 0.12 |
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digitalis toxicity rhythm?
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A fib with a ventricular rate of less then 60
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perfusing Vtach?
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stable? give lido or amio
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pain related to MI is usually relieved only by
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morphine
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during a mutli causualty incident the first two medics should assume...
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medical group supervisor and triage officer
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primary goal for L ventricular failure with pulmonary edema?
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decrease venous return which decreases strain on pulmonary circulation
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S/S of acute pulmonary embolism
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rapid labored breathing and tachycardia
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emancipation
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can be granted for:
-marriage -economically independent -maintain a separate home -is in the military |
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diazepam before cardioversion
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5-15mg by slow IV push
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defusing after CI
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8-10 hours
debriefing: 24-48hrs |
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head trauma followed by complete return of function
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cerebral concussion
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injury requiring tourniquets?
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tearing type injuries
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eppie
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0.3-0.5 mg eppie 1:10,000 administered intravenously
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acetaminophen OD S/S
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nausea, vomiting, malaise, diaphoresis, RUQ pain
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sting ray treatment
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apply heat or warm water to reduce pain and detoxify poison
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S/S heat exhaustion
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female age 45 rapid shallow respirations, weak pulse, cold, clammy skin, dizziness
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S/S air embolism
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sharp chest pain with sudden onset dyspnea, coughing
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interviewing schizophrenic who hears voices, what do you do while she pauses?
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wait patiently
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sign of anxiety disorder?
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loss of use of an extremity without apparent cause
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proper pediatric dose?
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use broslow tape or other length/weight measuring system
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17 y/o steadily worsening pain after football injury?
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subdural hematoma
(slow bleed) |
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differential sign of spinal shock associated with trauma?
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warm dry skin distal to the injury site
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during delivery you should tell the mother to stop pushing when
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the head is delivered
to suction and prevent precipitous delivery |
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how should you position the infant after delivery?
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level of vagina, slight head down
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hit with pool cue severe dyspnea diminished lungs
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flail segment
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stab wound to CX, supine no JVD, cool clammy skin, absent right lungs
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hemothorax due to no JVD
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HAZMAT
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no detailed physical exam in hot zone
Do -immediately remove nonambulatory pts from the hot zone -decon in warm zone -IV and invasive procedures done only under physician direction |
