itchy all over
If you hear stridor in your anaphylaxis patient who should you think about calling?
ALS
a 60 year old patient states that they have taken five nitroglycerin tablets in the past hour without relief. They want to take another tablet, the EMT should
assess their vital signs
administration of glucose is dependent upon the patient
having hypoglycemia and being able to swallow and follow simple commands, having a patent airway
what is the average minute ventilation of an adult at rest?
6,000ml
multiply the tidal volume by the number of breaths per minute
EMS approaches a parked car, there is a sign on the window that reads" beware hydrogen sulfide gas!" What will you do?
move away and call Hazmat
a seven year old patient who is allergic to cookies at something that might have contained cookies at school, currently presenting with whistling sounds while breathing, face and lips are swollen. Your first action should be?
Administer 0.3mg Epinephrine IM
a 42 year old patient is complaining of chest pain over the past 30 minutes, and fine crackles are auscultated in the lower lobes of their lungs, the EMT should first administer
aspirin 324mg
a type one (1) diabetic usually has to self administer what? usually called humolog, vovalog
insulin
the level of carbon dioxide in the blood is monitored by the
chemoreceptors
patients who have a history of behavioral health illness most often become involved with EMS when they
dont take their medications as prescribed or correctly
what is one of the primary chemical mediator that is released during severe allergic reactions (anaphylaxis) and why benadryl is administered by ALS providers
Histamine
what sign or symptom would lead you to believe that your patient is suffering from a dissection of their Aorta?
ripping pain in their chest, maybe vehicle accident, history of hypertension
patients who have undiagnosed diabetes may have what type of symptoms?
polyuria, polydipsia, polyphagia
Excessive urination, excessive thirst, excessive hunger
the sign an EMT should assess which indicates a child in respiratory distress has transitioned to respiratory failure is a change in the
level of consciousness
orientation, thought content, speech pattern, level of consciousness
an ANTIGEN- ANTIBODY interaction leads to a
anaphylactic reaction
an EMS team is performing CPR on an 81 year old patient who is obese and is on the second floor of their home. During resuscitation, the outcome will most likely improve if the EMT
limits interruptions of chest compressions
transport them without lights or siren
in order for a patient who is having an asthma attack to transition to status asthmaticus they must
not improve with medications when suffering an acute attack
What type of poisoning does the pneumonic SLudgem or Dumbells help with to remember the signs and symptoms?
cholinergic poisoning: salivation sweating, lacrimation, urination, defecation, gi distress, emesis
what specific therapeutic affects of epinephrine will reduce hypotension in a patient who is having an anaphylactic reaction?
Alpha affects (epinephrine has both alpha and beta affects, but vasoconstriction raises the blood pressure via its ALPHA affects. The BETA affects will dilate the bronchioles.
the time when the patient was last known normal
which patient will usually present with a higher blood glucose level a DKA patient, or an HHNK Patient
HHNK usually between 800 and 1,000 DKA- 800 or less
Emphysema
a 63 year old patient who has a history of alcoholism is vomiting bright red blood, the EMT should suspect
ruptured esophageal varices (alcohol causes liver disease that then increases portal blood pressure that then causes varices (swollen veins at the end of the esophagus). When they rupture the patient vomits bright red blood.