Transcript 1) What over-the-counter liquid contains isopropyl

1) What over-the-counter liquid
contains isopropyl alcohol?
2) Why is isopropyl alcohol
dangerous?
1) Some rubbing alcohol
2) It causes respiratory
depression/arrest with relatively
low blood levels, as well as
causing resp. or G.I. hemorrhage
When one “checks leads” in
early asystole, what are you
looking for?
Evidence of V. Fib in
leads I or III
(also to make sure they’re attached!)
What are the classic VS changes
associated with increased ICP?
decreased pulse
increased BP
altered respiratory pattern
Haldol and Prolixin are what
class of drug?
Phenothiazine
Name two reasons why some
drowning victims are able to
tolerate anoxia for longer periods
of time than other victims are.
1) Cold water decreases body
temp ==> decreases metabolism
and O2 requirements
2) No struggling equals lower O2
need
3) Diving reflex (bradycardia)
Describe Cheyne-Stokes
respirations
A cycle of:
-Gradual increase in respiratory
rate and depth
- Gradual decrease in rate and
depth
-Period of apnea
What is the most reliable sign of
imminent delivery of a baby?
Crowning
What are five reasons that you
may not feel a carotid pulse with
CPR chest compressions?
1) tension pneumothorax
2) pulmonary embolus
3) cardiac tamponade
4) poor CPR technique
5) hypovolemia
What is the normal total blood
volume in an adult?
5-6 liters
(10-12 pints)
In what group of people is sickle
cell anemia most common?
African Americans
Mediterranean
What is the basic pathology of
sickle cell crisis?
Occlusion of circulation by
sickled cells
What is the pre-hospital
treatment for sickle cell?
• Oxygen
• Pulse oximetry
• IV
• Possibly pain meds
Name one symptom (other than
high BP) that is associated with
hypertensive crisis
Headache
change in LOC
blurred vision
Fill in the blanks:
1) 1 inch = _______cm
2) 1mg = _______mcg
3) _____kg= _____lb
1) 2.54
2) 1000
3) 1kg= 2.2lb
Why is it important not to place a
pregnant woman in a supine
position?
In the supine position, the fetus
presses on the mother’s inferior
vena cava, which decreases
venous return to the heart, which
decreases maternal BP.
What is the primary treatment for
anaphylaxis?
Support the ABC’s !!
Ok, so it was kind of a trick
question……
What is the secondary treatment?
IV (large bore)
Epinephrine—0.3 mg. 1:1000 SQ
List (in order) the possible events
of a typical Grand Mal seizure.
-aura
-loss of consciousness
-tonic contractions
-clonic contractions
-(loss of bladder control)
-post-ictal
If a pregnant woman has
hypertension and edema of the
face and hands:
1) What is the name of this
complication of pregnancy?
2) What further complication
should you prepare for?
1) toxemia or pre-eclampsia
2) seizures
A cardiac arrest produces
metabolic acidosis.
1) What are the two primary
means to treat this?
2) Which of the two is
most important?
1) Hyperventilation and Sodium
Bicarbonate
2) Hyperventilation
Name three precipitating
events/pt. history which are
associated with pulmonary
embolus
-pregnancy
-birth control pills
-recent surgery
-prolonged immobility
-CHF
-atrial fibrillation
-thrombophlebitis
-obesity
-varicose veins
-Fx of large bone
What is the wound called when
tissue is torn, forming a flap?
avulsion
Name the acid-base abnormality
caused by:
1) hyperventilation
2) CNS depression
3) diabetic coma
1) respiratory alkalosis
2) respiratory acidosis
3) metabolic acidosis
What percent of this patient’s
body surface is burned?
[ /// = burns]
Front
Back
27% BSA
When caring for a woman in
labor with a prolapsed cord, what
is the most important aspect of
treatment? (If no pulse is present
in cord)
Push back on the presenting part
with your hand to relieve
pressure on the cord.
What is the meaning of
this symbol?
>
greater than
What units are implied when
a drug concentration is
expressed in %
grams per 100 ml
According to Wisconsin
law, when should a
paramedic license be
renewed?
By June 30
in even-numbered years
What type of drug is
Amitryptyline?
Cyclic antidepressant
A patient with hip pain has a leg
that is externally rotated.
What is the likely diagnosis?
Femur fx
When interpreting an arterial
blood gas, what are the normal
values for:
1) pO2
3) pCO2
4) pH
4) HCO3
1) 80-100
2) 35-45 (40)
3) 7.35-7.45 (7.40)
4) 22-26
What is the name of the
substance produced in the body
which has morphine-like
properties?
Endorphins
What are the two main
determinants of cardiac output?
heart rate and stroke volume
Name two situations in which it
would be acceptable practice to
discontinue CPR
1) When patient recovers (has a pulse).
2) When relieved by someone equally or
better qualified than you are.
3) When pt is pronounced dead by MD
or Coroner.
4) When you are too tired to continue
(not generally acceptable when on-duty).
1) What is the medical term for
yellow skin color?
2) Which organ is involved?
1) jaundice
2) liver
Name two symptoms which
indicate that a patient in sinus
bradycardia needs treatment.
1) hypotension
2) PVC’s
3) decreased LOC (sleepy,
confused)
4) cool, clammy skin
Define TIA
Transient Ischemic Attack
Temporary decrease in blood
flow to an area of the brain. Signs
and symptoms are like CVA,
except that signs and symptoms
are temporary. Many TIA patients
will eventually have a CVA if not
treated.
Which one of the signs/symptoms
listed below is not part of the classic
picture of hypoglycemia?
pale
diaphoretic
headache
vomiting
personality change
palpitations
vomiting
1) What acid/base abnormality is
caused by an overdose of methyl
alcohol?
2) How will the patient try to
compensate for this?
1) metabolic acidosis
2) hyperventilation
In which trimester of pregnancy
is it diagnosed?
A. ruptured ectopic
B. placenta previa
C. abruptio placenta
A. first
B. third
C. third
What is the meaning
of these suffixes?
1) itis
2) oma
3) ectomy
1) inflammation of
2) tumor
3) removal of
What is the medical
abbreviation for:
1) after
2) with
1) p
2) c
Name three things that make
pulse ox assessment inaccurate
hypothermia
shock
pressors running
PNB
dark nail polish
CO
anemia
sickle cell disease
List 3 ways to communicate with
the hearing impaired
Lip reading
Sign language
Writing messages
List several signs or symptoms of
hyperventilation
• Carpopedal spasms
• Numbness or tingling in extremities and/or
lips
• Chest pain
• Dizziness
That’s all! (for this one anyway)