Pharmacology
Give me the dose and action of Nitroglycerin
0.4 mg
Vasodilation
For an EMT which intervention is most beneficial for a pt in shock?
Provide High Flow O2
then treat hypothermia
During broncho spasms such as in asthma, where do the spasms occur?
Bronchioles
Why do we take frequent vital signs in an unstable Pt?
To see if they are trending to a state of shock shock
17yo pt is experiencing anxiety complains of tingling and cramping in the hands, end tidal reading is 19. the hand cramping is most likely due to?
Hyper ventilation
After finishing the primary assessment what decision should be made?
Transport decision
Name the action of Albuterol
Bronchodilator
What is the most important phase in treating shock
Recognition!!!!!!
What is the minimum flow rate to keep the reservoir bag inflated on a NRB
15L
Where are you MORE likely to find a distracting injury?
Medical or Trauma
Trauma
Name that Lung sound
low pitched rattling sound from mucus in the large airway
Rhonchi
You're transporting a 12 yo pt with a distal extremity injury. Assessment finding; BP112/70, P90reg, R16 normal, Pupils equal and reactive, Skin warm& dry. How frequently should you reassess vitals?
Every 15 min.
Which organ plays a major role in the way medication is released to the body
Liver
Dilation of the vessels from an anaphylactic reaction would be which category of shock?
Distributive
What causes Stridor
Narrowing or blockage of the upper airway
In an unresponsive Pt we alter the ABC's priority.
According to AHA in this situation we follow what mnemonic instead?
CAB
Your 60 yo pt is home 1 day post hip replacement, now presents with SOB. This pt is most likely experiencing ?
Pulmonary Embolism
What is another way of saying recovery position
Lateral recumbent/ recumbent
Name the dose of Oral glucose
15-25 grams
You suspect your pt has internal bleeding your last set of vitals show a decrease in BP. Your pt is in what state of shock?
Decompensated
What landmarks are used to properly size an OPA?
Corner of the mouth to the tip of the ear lobe.
You have multiple available recourses on scene for CPR.
You are unable to get a good seal on the BVM. What is your best strategy to ventilate your Pt
Have an assistant hold the mask so you can ventilate.
Have two people on the Airway
Your pt presents w/dyspnea, Tripoding, heavy use of accessory muscles, Pursed lips, chronic cough with little to no sputum. Pt is thin and barrel chested.
What respiratory condition does this describe
Emphysema/COPD
During this part of the assessment we focus more on our initial findings and Pt C/C.
Secondary Assessment
Name the action or actions of Epinephrine
Bronchodilator
Vasoconstrictor
Dehydration and incontinence could lead to what type of shock?
Hypovolemic
Wheezing occurs in the Upper or Lower Airway
Lower
How long should you stay on scene for a Pt with obvious signs of shock
Less than 10 minutes
A condition that occurs in Pediatric pt causing inflamed Bronchioles
Bronchiolitis
From our initial impression we see our 1 Pt in severe Dyspnea. After determining the NOI and administering O2,what should our next determination be?
Additional resources
By what route do we administer nitroglycerin
Sublingual
Shock caused by massive blood loss
Hemorrhagic / hypovolemic
The normal respiratory rate for a 250Lbs adult is?
12-20 rpm
(Tidal Volume 500ml) additional knowledge
What is the Adult Compression to Ventilation ratio per AHA guidelines
30:2
Intervention for moderate to severe respiratory distress in pts who are alert and able to follow commands & no signs of pneumothorax
CPAP
Define Anisocoria
Unequal pupils