Diabetic Emergencies
A patient should not be administered oral glucose if the following reflex is present
What is a gag reflex?
What is the most commonly used EMS Stroke Assessment Scale used?
Cincinnati Pre-hospital Stroke Scale
What is the stage called when a seizure patient has stopped seizing and is now confused but over a period of 5-30 minutes they regulate and "come back to normal"?
Post-ictal stage
What is the treatment called if a patient's kidneys fail - it could be done at home or at a medical center - to help their blood get filtered through a "washing machine"?
Dialysis
Where do the fluids from an injured hollow abdominal organ go?
Leak into the abdominal cavity
Your patient has a history of seizures and diabetes. She had a seizure and is now confused and thirsty. Besides giving oxygen, what other 2 treatments/assessments should be given?
1) Monitor her airway and breathing status
2) Check their BGL
What are the 4 components of the Cincinnati Prehospital Stroke Scale?
1) Facial Droop
2) Arm Drift
3) Speech
4) Time last seen normal
Your patient has never had a seizure before but experienced one today - what condition can you most likely rule out? (IE: what is the seizure condition called?)
Epilepsy
What is the disease called where the red blood cells are abnormally shaped and less able to carry oxygen?
Your patient has a pulsating mass near his umbilicus and severe lower back pain and diaphoresis. You deliver oxygen and prepare for immediate treatment because you suspect what condition?
Abdominal aortic aneurysm (AAA)
DKA (Diabetic Ketoacidosis) occurs in the body when insulin.....(fill in the blank)
Is NOT available in the body to allow glucose into the cells
Your stroke patient has a paralyzed extremity, what position should you place them in?
Recumbent with paralyzed side down
Your seizure patient also has a history of diabetes and you find him unresponsive, shallow breathing, rapid and weak pulse and cyanotic skin.
How do you fix his breathing?
Assist his ventilations with a BVM
NRB and NC are too passive and his cyanosis is coming from his hypoxia and shallow breathing.
What is the binding site of oxygen called that is found in the red blood cell?
Hemoglobin
Fluid that shifts from the bloodstream into the body tissues resulting is shock is caused by what abdominal condition?
Peritonitis
Your diabetic patient has excessive urination & weakness plus a BGL of 330 mg/dL. If her condition isn't treated, what 2 things will happen in her body?
1) acidosis - DKA
2) dehydration (from the excessive urination & loss of fluid)
What is the inability to produce or understand speech called?
Aphasia
What is the condition called when a person seizes for a prolonged amount of time with no return to consciousness?
Status Epilepticus
Pancreatitis, Mallory-Weiss tear, Espophagitis or Esophageal Varices?
Mallory-Weiss Tear
This is often caused by violent coughing or vomiting, especially over prolonged amount of time. You literally cause a tear in your esophagus.
What is the lining called that lines the walls of the abdominal cavity?
Parietal Peritoneum
Type 2 diabetic patient with deep vein thrombosis (DVT) has sudden onset of difficulty breathing. What condition is her breathing a symptom of (besides respiratory distress)?
Pulmonary embolism
If this is present, your patient who is possibly experiencing a stroke would NOT be eligible for thrombolytic/fibrinolytic therapy....
Bleeding within the brain - this is a hemorrhagic stroke and thrombolytic therapy is to dissolve a clot. A clot stroke is ischemic.
There are 2 different types of strokes.
Your seizure patient stopped seizing prior to your arrival, is conscious with a GCS of 15, A&O x4, isn't prescribed any medication, wife says this is his "normal" seizure" and he is refusing EMS transport.
What in that information should make you disagree with his refusal?
He is currently not prescribed any medication.
If he is regularly having seizures as his wife states, then he needs to be medicated and we will most likely return for another one.
Chronic alcoholics or those who consume a large volume of alcohol on a regular basis most commonly develop this condition, which causes them to vomit up a large amount of blood that needs to be continuously suctioned.
Esophageal Varices
What are the 3 solid organs found in the abdominal cavity?
Spleen
Kidneys
Pancreas