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Whats the difference between kussmaul, cheyne stoke and agonal breathing?
- Agonal breathing - breathing after the heart has stopped
- Cheyne stoke - Respirations (stroke and head injury) Irregular respiratory pattern Increasing rate and depth of respiration followed by a period of apnea
- Kussmaul- deep rapid breathing found in ketoacidosis
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What happens when someone takes to much inhaler?
Tachycardia, hyper, nervous
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Who desides how many doses for an inhaler to admin
medical control
They will want vitals signs
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How do you know if your ventilating someone right?
- Proper rate 10-12 adults - 12 to 20 infants and children "rates"
- Visible and equal chest rise and fall
- Heart rate returns to normal range
Pg 247 Emt tips
Inadequate to fast or to slow ventilation deliver
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When someone been choking on food, what kind of lung sounds will you hear?
Stridor
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If someone is having having trouble breathing what do you do?
ABC's, oxygen
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A 2mth old is breathing 16 b/m is that good?
NO, 25-50 normal range
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Signs and symptoms of inadequate breathing in a child?
- Accessory muscle use
- Retractions
- Head bobbing
- Nasal flaring
- Tachypnea
- Grunting
- Children resp rate 15-30
- infant 25-50
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If you go on a call and you see a pt on a pillow and their unconscious, snoring, what do you do?
Take them off the pillow, head tilt chin lift
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What type of oxygen technique do you use to give an infant oxygen
Blow by
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COPD pt's do they get Oxygen?
YES
oxygen should not be withheld from anyone
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What the medication that help you get rid of excess fluid ?
Diarretic
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When do you apply an AED?
pulseless/unresponsive pt's
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Why do they keep track of everyone who we put an AED on?
they wanna know the outcome on the pt.
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A pt with chest pain, will we know if its angina or an MI?
NO, treat them the same.
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Whats the sequence for the AED?
- Power AED
- Apply Pads
- Stop CPR ( clear everyone)
- Push analyze
- if no shock resume CPR
- Analyze after 2 min of CPR
- If shock is advised, shock. MAke sure everyones clear
- resume cpr starting with chest compressions
- check pulse after 2min cpr
- tranport and contact medical control
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Who repeats the commands of the AED?
Emt AED operator
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Whats the max dose Nitro?
3 tablets
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What do red blood cells, white blood and platelets do?
- Red blood cells carry oxygen to the tissues and remove carbon dioxide
- White Help fight infection
- Platelets Clottng
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What are the side effects of nitro?
Headache
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What do you called fluid in the lungs?
Edema = fluid
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What are signs and symptoms of a heart problem?
- Sudden onset of weakness, nausea and sweating without abvious cause
- Chest pain/discomfort/pressure that is often crushing or squeezing
- Pain or discomfort in the lower jaw, arms, back, abdomen, or neck
- Sudden arrhythmia with syncope (fainting)
- Pulmonary edema
- Sudden death
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Signs and symptoms of abdomnal pain?
Tachycardia
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What does epi do during anaphylaxis
increase hate rate, dilates bronchiols and constricts blood vessels
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What do you wanna know during the initial assessment during anaphylaxis?
Can they talk without trouble
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Do ABC's include Oxygen?
Yes
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When you help someone admin epi how often do you reasses?
5 min
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What does epi do for the pt?
- Helps them breath better
- help maintain blood pressure
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What is the dosage for subQ epi for an infant?
.15
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How soon should an Epi work?
2 min
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Someone having an anaphylaxis and their pregnant
Call medical control
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How many doses do auto injectors carry
1 dose
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How do we dispose of sharps
Sharps container
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In children what causes them to go in a seizure. most common cause.
Fever
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When you have low blood suger
hypoglycemia
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When some is having a seizure what can we do for them?
Move objects they can cause harm and let them have the seizure
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What are the most common cause of seizure in an adult?
Not taking their medication
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What does glucose do in the body?
Primary fuel used for cellular metabolizm
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Whats a TIA and how long does it last?
Transient ischemic attack goes away on their own within 24hrs
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In SAMPLE in family history important?
NO- Look for the question with family history
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If someone is having a stroke whats the most important thing to do?
TRANSPORT
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Know the scope of practice for glucose?
- Never admin to uncouscious or pt who cant swallow
- Only by mouth, put it on a tongue blade and put between the cheek and gum
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Runnning on a diabetic call what important to ask?
Last oral intake
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Anytime someone has abdominal pain, why do we transport.
could be a heart attack
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Biggest concern for female abdominal pain
Eptopic prenancy
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What is NOT appropriate to ask a pregnant pt
Any sexual appitite
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Someones been sick and vomiting for a few days, whats the bestway to transport
left recombent
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Anytime you have someone that is giving you a hard time
Reassure
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Know what the main focus when someones in shock
Blood pressure
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Is stomuch pain a high transport priority?
Yes
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Car crashed into a tree and in in the embankment
Give oxygen first
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