A and P 1
What is the mechanism of action for Epinephrine?
What is the normal range for blood sugar?
80-120
You arrive on scene to a Pt in the middle of the roadway. The pt is holding a stick that they refuse to put down. The patient then begins to approach you. What should your next action be?
Withdraw from the situation and contact PD
AEIOUTIPS
Alcohol
Epilepsy/Endocrine
Infection
Overdose/O2
Uremia
Trauma/Temperature
Insulin
Psychosis
Stroke/Shock/Sepsis
What are the 3 parts of the small intestine and the 3 major parts of the large intestine?
Duodenum, jejunum, and ileum
Ascending, transverse, and descending
Your patient jumps into a pool they will lose body heat to the water in what mechanism?
Conduction
Signs and symptoms of DKA
Polyuria, Polydispia, Polyphagsia, Kussmaul respirations, hot dry skin, hyperglycemia, fruity-smelling breath, and AMS
Protecting her from injury and enusring adequate ventilaiton.
What are the two types of seizures and the 4 presentations?
Types: Generalized and Focal
Presentations: Absence, Tonic-clonic, Simple focal, and complex focal
What disease process produces misshapen hemoglobin?
Sickle Cell Anemia
Your patient has Cholecystitis where is the referred pain location?
Right Shoulder
Your patient was bite by a pit viper approximately 15 minutes ago. What is the signs/symptoms that you expect to see?
Burning sensation, swelling and ecchymosis at the injury site.
You arrive to a 30F CC unresponsive. Physical exam findings are pinpoint pupils with limited respiratory drive. What is your treatment course?
Airway protections, Provide O2 and BVM, Narcan admin.
You are assessing a patient for depression in their home. The pt suddenly gets up and runs into the bathroom. The pt closes and locks the door. What should your next action be?
Call for PD.
You arrive on scene to a 34F CC headache. On exam you find the patient to have a blanchable petechial rash on her trunk and extremities. She is hot to the touch. She is most likely suffering from what?
Meningitis
You have a pregnant 26F CC n/v x4days. On arrival you note continued coughing and hematemesis. Pt expresses tearing sub-sternal pain. You should suspect what?
Mallory-weiss tear
You arrive to a patient in their 60s the patient has AMS, normal BGL, and is hot to the touch. What vital signs do you suspect and what disease process?
High HR, Low BP.
Sepsis
Your patient is a 28M CC right lower quadrant pain. Pt states the pain is a 10/10 and has moved from his right flank to his right lower quadrant. Pt is afebrile, and the pain waxes and wanes. What is the likely cause of this patients pain?
Kidney Stones
You are assessing a 54M who contacted EMS for painful priapism. Pt states he has had flu like symptoms worsening over the last few days. Pt is afebrile with bilateral flank pain. What is the most likely cause for his symptoms.
Sickle Cell Crisis
The two chemicals responsible for allergic reactions are?
Histamines and Leukotrienes
What is the mechanistic difference between missed renal dialysis and CHF that leads to dependant edema, SOB, HTN, irregular heartbeat?
Missed dialysis causes a build up of toxins and excess fluid that the kidneys cant remove.
CHF causes a back up of fluid due to ineffective cardiac output.
You are responding to a 40F CC leg pain. The patients leg feels cool to the touch. During assessment your patient states they are feeling short of breath, with clear lung sounds. What should you suspect?
DVT caused a PE
You arrive to a 87F CC AMS. Family states that the patient lives alone. Family states the patient has a PMH of Diabetes (type 2), signs of dementia, HTN, and Hyperlipidemia. Physical exam of the patient finds: Normal respiration pattern, High blood sugar, and Hot dry skin. What is the most likely cause?
HHNS
You arrive to US Oil for a 19M CC SOB. Pt states that while he was working he suddenly smelled rotten eggs. Pt was then violently ill with n/v and developed SOB when they contacted EMS. During assessment the patients vital sings are: HR 110 BP 80/40 O2 92%. After gaining Vitals the pt begins to convulse. What is the most likely exposure?
Hydrogen Sulfide
You arrive to a 40M CC dizziness. During assessment patient states you cant take a pressure on their left arm. Pt is is found to have HR 90 irregular, BP 168/96, O2 93. What would you suspect the pt to have a history of?
Renal Failure (dialysis)