A & P
Why do the pupils dilate when a person is in shock or scared?
A response to sympathetic nervous system stimulation.
You are called to a private home where you find a hysterical mother and her six-year-old son. The mother tells you the child just pulled out two of his own front teeth. She is concerned that the boy is going to look "toothless" forever. What should you tell the mother?
Loosing teeth at age 6 is completely normal.
Describe the benefit of learning about medications by drug classifications?
When a new drug becomes available, it is easier to incorporate it into practice.
You partner is about to administer a medication that is contraindicated. How should you handle this situation?
Prevent your partner from administering the medication.
When documenting for a typical chest pain patient, it was noted that "The patient's home looked disorganized, dirty and poorly lit." Is this comment necessary?
No, the comment should be omitted.
It is important to have a good understanding of anatomy and physiology when providing care because:
You can better critically think through assessments and treatments.
What should you say to a 3 year old patient prior to performing a finger stick to assess blood glucose?
Be honest with the patient and parents. The procedure will be painful.
When a new drug has some limited medical indications, but a very high potential for abuse, which schedule would this drug most likely fall under:
Schedule II.
You have assisted a patient in taking his own Nitroglycerin during severe chest pain. The patient complains of having a hot face and a headache. These new symptoms would lead you to believe that the patient is:
Experiencing the side effects of nitroglycerin.
You are preparing to write a patient care report involving a patient who was forcibly removed from a drinking establishment for creating a disturbance. During the removal process, the patient sustained an injury to his head. How would you document this event?
During the removal process, the patient sustained an injury to the head.
Your patient was unrestrained in the backseat. The two front-seat passengers are DOA. The patient is alert and moaning. His color is good. You work to get him warmed up and finish a detailed assessment. Injuries include lacerated ear, fractured tibia, unstable pelvis and lacerated jaw line. What findings from your assessment would be the most critical to tell the hospital.
Potential major blood loss. Unstable pelvis.
A child just observed you attempting to resuscitate his father and then terminating the code. You remain on scene and as the medical examiner is removing the father from the home, the child asks you when his father will be returning. This question would be the MOST appropriate for which age group?
Ages 3 to 6.
A patient states his inhaler is not helping him. You watch the patient administer the inhaler, which he does by spraying in front of his nose. You know this is not the correct procedure. What would you recommend to the patient?
The inhaler goes in the mouth and he should hold his breath after aerosol spray.
Which drug route is best suited for having the effects lasting over an extended period of time?
Subcutaneous.
During a 911 call for help, an emergency medical dispatcher (EMD) will collect what critical information from a caller?
What happened TODAY?
Your patient with a severe allergic reaction used his Epi-pen, what would be your priority in reassessment?
Adequate lung sounds.
During an EMS run, the care providers find the family is becoming anxious and agitated about the stabilization process of a newborn with respiratory distress. What does this mean to the rescuers treating the baby?
A team-member needs to explain what is being done.
Name a medication administered by EMS that has the greatest potential to cause a positive outcome?
Dextrose in cases of hypoglycemia.
The LEAST systemic effect occurs with which medication administration method?
Intradermal.
If you are unsure about the spelling or meaning of medical terminology, you should......
Use normal language in your description.
At a very noisy accident scene, you know you will be unable to auscultate a blood pressure on your injured patient. One action that can be used to assure you have an adequate blood pressure would be to:
Assess the presence of a distal pulse.
You are treating a patient who is coughing up blood and has a high fever. What is the MOST appropriate protective equipment to use in this case?
Mask.
Which receptor hinders vasoconstriction to prevent necrosis during times of hypoglycemia?
Alpha-2.
Why is nitroglycerin given sublingually instead of orally?
It would be deactivated by first-pass metabolism if given orally.
RUN FORM NARRATIVE: EMS is dispatched to an adult foster care home for a 25-year-old male whom witnesses state overdosed on an unknown medication. The patient is found unresponsive and barely breathing. There are no obvious signs of trauma to the patient or visible indicators of a fight prior to arrival. It appears that patient vomited food-type emesis just before EMS entered the room. Which component of the written patient care report is considered confidential and can only be shared with those associated in direct patient care?
Any details of the written report.