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35 Cards in this Set
- Front
- Back
PT with R/D JVD, crackles in all fields, tachycardic, hypertensive and tachypneic correct treatment?
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O2, IV 30cc/hr, nitro sL, 40 mg lasix IV
(look for routes and doses) |
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Pt with CX pn, SOB, JVD and pedal edema, clear lungs?
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Right sided CHF
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primary treatment for severe anaphylaxis in an adult
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0.3-0.5 mg of eppie 1:10,000 given IV
0.3-0.5 mg of eppie 1:1,000 SQ for mild cases |
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adult OD AOX4 refusing treatment?
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contact medical direction
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33 y/o F 9 months pregnant CC severe ABD pn and tenderness, no vaginal bleeding
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abruptio placenta
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S/S present in pregnant patient with pre-ecclampsia
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HTN, headaches, edema, visual disturbances
NOT SEIZURES |
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appropriate range for the heart rate of a healthy neonate immediately after birth
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150-180
slows to 130-140 within minutes |
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you would perform CX compressions on any newborn whose heart rate is less then ...
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less then 60
or between 60 - 80 after 30sec PPV |
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medications and rugs are most often delivered to a newborn through the use of what circulatory vessel
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umbilical vein
(brings blood to the infants heart) |
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appropriate treatment for lengthy febrile seizure postictal state
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remove excess clothing
O2, IV transport vital signs -increased body temp -tachycardia -tachypnea |
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moral dilemma for paramedic?
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Pt who has sustained a potentially serious head injury but refuses care or transport
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pick up Pt from a MD office, he wants to stabilize
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defer to on scene physician and take her to the hospital with you
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type II ambulance
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standard van with a raised roof
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legal document that specifies what type of treatment a Pt does and does not want to receive?
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advance directive
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not a contraindication for syrup of ipecac?
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use of activated charcoal within 10 minutes (both are ok to use)
NOT -anti emetic OD -acid -ALOC |
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progression of dissecting aortic anyeurism?
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stroke, pericardial tamponade, acute MI
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pelvic injury cool diaphoretic, HR 134, BP 100/72 TX?
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PASG
IV's KVO due to normal BP |
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what type of hepatitis can be transmitted via fecal oral route?
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Hep A
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vital signs in AMI?
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vary greatly since they are related to the area and extent of cardiac damage
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primary treatment for metabolic acidosis?
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ventilating the PT adequately with O2
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pulse ox of 88% with pt in acute respiratory distress?
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severe hypoxia is below 90%
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37 weeks pregnant, water breaks and contractions, vaginal exam reveals baby's foot present in the birth canal TX?
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initiate immediate transport
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triage officer, Pt hit head RR 40/m next action?
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tag immediate
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trachea trauma with Sub Q emphysema TX
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airway management by the least invasive means
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what is the first sign of laryngeal edema in a pt suffering anaphalaxis?
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hoarseness
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priorities for management of PT CHF do not include
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reducing venous return to the heart
OK -increasing venous return -decreasing myocardial O2 demand -improving O2 and ventilation |
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inserting the tracheal tube when you begin to hear the sound of the Pt's breathing, you next action would be ...
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wait for the PT to inhale and insert the tube further
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TX for AAA after O2, IV, ECG, Rapid transport?
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PASG/MAST
contraindications for mast pasg -penetrating chest wound |
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52 y/o M ejected from car, apneic, slow pulse, how to best manage airway?
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ventilate with BVM and O2
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3 y/o unresponsive not breathing possible FBAO
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perform abdominal thrusts (maybe too heavy for back blows and chest thrusts)
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what indicates a PT with AMI is developing cardiogenic shock?
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falling blood pressure
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whhat is often the first sign of the onset of the development of a potentially lethal dysrhythmia in an MI Pt?
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changing pulse rate
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SOB after impact with steering wheel, breath sounds diminished on left, most probable condition?
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simple pnuemo
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some treatments for suspected MI Pts mask the elevated cardiac enzyme levels that are used to diagnose MI's, what should you not administer?
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any drugs via IM route
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most common complication of an AMI
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onset of dysrhythmia
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