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Vocab Exam 1: Abandonment
Abrupt termination of contact with the patient without giving the patient sufficient oppurtunity to find another suitable health care professional to take over his or her medical treatment.
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Vocab Exam 1: Absorption
The process by which a substance's molecules are moved from the site of entry or administration into the body and into systemic circulation.
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Vocab Exam 1: Acidosis
A blood pH of less than 7.35. A pathological condition resulting from the accumulation of acids in the body.
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Vocab Exam 1: Acquired immunity
The immunity the body develops as part of exposure to an antigen.
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Adipose tissue
A connective tissue containing large amounts of lipids. Also referred to as fat tissue.
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Vocab Exam 1: Administration set
Tubing that connects to the IV bag access port and the catheter to deliver IV fluid.
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Vocab Exam 1: Adolescents
Persons who are 12 to 18 years of age.
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Vocab Exam 1: Adrenergic
Pertaining to nerves that release the neurotransmitter norepinephrine or noradrenaline (such as adrenergic nerves, adrenergic response). The term also pertains to the receptors acted on by norepinephrine, that is, the adrenergic receptors.
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Vocab Exam 1: Advance directive
A written document that expresses the wants, needs, and desires of a patient in reference to future medical care; examples include living wills, do not resuscitate (DNR) orders, and organ donation.
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Vocab Exam 1: Agonist
A substance that mimics the actions of a specific neurotransmitter or hormone by binding to the specific receptor of the naturally occuring substance.
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Vocab Exam 1: Alkalosis
A pathologic condition resulting from the accumulation of bases in the body. A blood pH greater than 7.45.
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Vocab Exam 1: Allergen
Any substance that causes a hypersensitivity reaction.
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Vocab Exam 1: Ampules
Small glass containers that are sealed and the contents sterilized.
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Vocab Exam 1: Anaphylactic shock
A severe hypersensitivity reaction that involves bronchoconstriction and cardiovascular collapse.
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Vocab Exam 1: Anion
An ion that contains an overall negative charge.
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Vocab Exam 1: Antecubital
The anterior aspect of the elbow
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Vocab Exam 1: Anticholinergic
Of or pertaining to the blocking of acetylcholine receptors, resulting in inhibition of transmission of parasympathetic nerve impulses.
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Vocab Exam 1: Antidiuretic hormone (ADH)
One of the two main hormones responsible for adjustments to the final composition of urine, ADH causes ducts in the kidneys to become more permeable to water.
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Vocab Exam 1: Antineoplastic medications
The medications designed to combat cancer.
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Vocab Exam 1: Asthma
A chronic inflammatory lower airway condition resulting in intermittent wheezing and excess mucus production.
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Vocab Exam 1: Atheroslerosis
A disorder in which cholesterol and calcium build up inside the walls of the blood vessels, forming plaque, which eventually leads to partial or complete blockage of blood flow.
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Vocab Exam 1: Autoimmunity
The production of antibodies or T cells that work against the tissues of a person's own body, producing autoimmune disease or a hypersensitivity reaction.
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Vocab Exam 1: Axon
Long, slender extension of a neuron (nerve cell) that conducts electrical impulses away from the neuronal soma.
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Vocab Exam 1: Barotrauma
Injury resulting from pressure disequilibrium across body surfaces.
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Vocab Exam 1: Basophils
White blood cells that work to produce chemical mediators during immune response.
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Vocab Exam 1: Biotransformation
A process by which a medication is chemically converted to a different compound or metabolite.
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Vocab Exam 1: Body substance isolation (BSI)
An infection control concept and practice that assunes that all body fluids are potentially infectious.
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Vocab Exam 1: Burnout
The exhaustion of physical or emotional strength.
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Vocab Exam 1: Cannulation
The insertion of a catheter, such as into a vein to allow for fluid flow.
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Vocab Exam 1: Catheter shear
Occurs when a needle is reinserted into the catheter, and it slices through the catheter, creating a free-floating segment.
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Vocab Exam 1: Cation
An ion that contains an overall positive charge.
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Vocab Exam 1: Cell-mediated immunity
Immune process by which T-cell lymphocytes recognize antigens and then secrete cytokines (specifically lymphokines) that attract other cells or stimulate the production of cytotoxic cells that kill the infected cells.
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Vocab Exam 1: Certified
A title given when a person has shown that he or she has met requirements based on knowledge of certain facts.
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Vocab Exam 1: Cholinergic
Fibers in the parasympathetic nervous system that release a chemical called acetylcholine.
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Vocab Exam 1: Closed-ended question
A question that is specific and focused, either demanding a yes or no answer, or an answer chosen from specific options.
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Vocab Exam 1: Coagulation system
The system that forms blood clots in the body and facilitates repairs to the vascular tree.
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Vocab Exam 1: Colloid solutions
Solutions that contain molecules (usually proteins) that are too large to pass out of the capillary membranes and, therefore, remain in the vascular compartment.
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Vocab Exam 1: Communication
The transmission of information to another person - whether it be verbal or through body language.
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Vocab Exam 1: Criminal prosecution
An action instituted by the government against a private individual for violation of criminal law.
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Vocab Exam 1: Critical incident
An event that overwhelms the ability to cope with the experience, either at the scene or later.
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Vocab Exam 1: Crystalloid solutions
Solutions of dissolved crystals (for example, salts or sugars) in water; contain compounds that quickly dissociate in solution.
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Vocab Exam 1: Defamation
Intentionally making a false statement, through written or verbal communication which injures a person's good name or reputation.
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Vocab Exam 1: Defense mechanism
Psychological ways to relieve stress; they are usually automatic or subconscious. Defense mechanisms include denial, regression, projection, and displacement.
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Vocab Exam 1: Denial
An early response to a serious medical emergency , in which the severity of the emergency is diminished or minimized. Denial is the first coping mechanism for people who believe they are going to die.
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Vocab Exam 1: Diffusion
A process in which molecules move from an area of higher concentration to an area of lower concentration.
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Vocab Exam 1: Displacement
Redirection of an emotion from yourself to another person.
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Vocab Exam 1: Distress
A type of stress that a person finds overwhelming and debilitating.
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Vocab Exam 1: Do not resuscitate (DNR) order
A type of advance directive that describes which life-sustaining procedures should be performed in the event of a sudden deterioration in a patient's medical condition.
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Vocab Exam 1: Dromotropic effect
The effect on the velocity of conduction.
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Vocab Exam 1: Drug reconstruction
Injecting steril water or saline from one vial into another vial containing a powdered form of the drug.
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Vocab Exam 1: Ductus arterisous
A duct that is present before birth that connects the pulmonary artery to the aorta in order to move unoxygenated blood back to the placenta.
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Vocab Exam 1: Ductus venosus
A duct that is present before birth that connects the placenta to the heart in order to move oxygenated blood to the fetus.
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Vocab Exam 1: Due process
A right to a fair procedure for a legal action against a person or agency; has two components: Notice and Opportunity to be Heard.
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Vocab Exam 1: Efferent nerves
The nerves that carry messages from the brain to the muscles and all other organs of the body.
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Vocab Exam 1: Emancipated minor
A person who is under the legal age in a given state but, because of other circumstances, is legally considered an adult.
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Vocab Exam 1: Emergency Medical Services (EMS)
A health care system designed to bring immediate on-scene care to those in need along with transport to a definitive medical care facility.
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Vocab Exam 1: EMTALA
The Emergency Medical Treatment and Active Labor Act enacted in 1986 to combat the practice of patient dumping (hospitals refusing to admit seriously ill patients or women in labor who could not pay, forcing EMS providers to dump the patients at another hospital). EMTALA regulates hospitals that receive Medicare funding and severely fines hospitals or doctors who violate its provisions.
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Vocab Exam 1: Enternal route
A route of medication administration that involves the medication passing through a portion of the gastrointestinal tract.
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Vocab Exam 1: Epithelium
Type of tissue that covers all external surfaces of the body.
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Vocab Exam 1: Ethical
A behavior expected by an individual or group following a set of rules.
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Vocab Exam 1: Ethics
A set of values in society that differentiates right from wrong.
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Vocab Exam 1: Etiology
The cause of a disease process.
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Vocab Exam 1: Eustress
A type of stress that motivates an individual to achieve.
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Vocab Exam 1: Evaluation
Collection of the methods, skills, and activities necessary to determine whether a service or program is needed, likely to be used, conducted as planned, and actually helps people.
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Vocab Exam 1: Experimental research
Describes a new product, skill, or idea that is undergoing research and will be trialed, with effects evaluated.
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Vocab Exam 1: Fibrin
A whitish, filamentous protein formed by the action of thrombin on fibrinogen. Fibrin is the protein that polymerizes (bonds) to form the fibrous component of a blood clot.
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Vocab Exam 1: Fight-or-flight syndrome
A physiologic response to a profound stressor that helps one deal with the situation at hand; features increased sympathetic tone and resulting in dilation of the pulis, increased heart rate, dilation of the bronchi, mobilization of glucose, shunting of blood away from the gastrointestinal tract and cerebrum, and increased blood flow to the skeletal muscles.
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Vocab Exam 1: Fontanelles
The soft spots in the skull of a newborn and infant where sutures of the skull have not yet grown together.
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Vocab Exam 1: Foramen ovale
An opening in the septum of the heart before birth, and which closes after birth.
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Vocab Exam 1: Goals
The end point toward which intervention efforts are directed. A statement of changes sought in an injury problem, stated in broad terms.
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Vocab Exam 1: Good Samaritain Law
A statute providing limited immunity from liability to persons responding voluntarily and in good faith to the aid of an injured person outside of the hospital.
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Vocab Exam 1: Health care power of attorney
A legal document that allows another person to make health care decisions for the patient, including withdrawing or whithholding of care, when the patient is incapacitated.
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Vocab Exam 1: Health care professional
A person who follows specific professional attributes that are outlined in this profession.
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Vocab Exam 1: Hemophilia
A bleeding disorder that is primarily hereditary, in which clotting does not occur or occurs insufficiently.
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Vocab Exam 1: HIPPA
The Health Insurance Portability and Accountability Act that was enacted in 1996, providing criminal sanctions as well as civil penalties for releasing a patient's protected health information (PHI) in a way not authorized by the patient.
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Vocab Exam 1: Humoral immunity
The use of antibodies dissolved in the plasma and lymph to destroy foreign substances.
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Vocab Exam 1: Hyperkalemia
An increased level of potassium in the blood.
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Vocab Exam 1: Hypoperfusion
A condition that occurs when the level of tissue perfusion decreases below that needed to maintain normal cellular functions.
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Vocab Exam 1: Idiosyncrasy
An abnormal (and usually unexplained) reaction by a person to a medication, to which most other people do not react.
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Vocab Exam 1: Immunity
The body's ability to protect itself from acquiring a disease.
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Vocab Exam 1: Immunoglobuins
Antibodies secreted by B cells.
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Vocab Exam 1: Implementation plan
A strategy for carrying out an intervention. Includes goals, objectives, activities, evaluation measures, resource assessment, and time line.
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Vocab Exam 1: Injuries
Any unintentional or intentional damage to the body resulting from acute exposure to thermal, mechanical, electrical, or chemical energy or from the absence of such essentails as heat or oxygen.
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Vocab Exam 1: Intentional injuries
Injuries that are purposefully inflicted by a person on himself or herself or on another person. Examples include suicide or attempted suicide, homicide, rape, assault, domestic abuse, elder abuse, and child abuse.
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Vocab Exam 1: Interferon
Protein produced by cells in response to viral invasion. Interferon is released into the bloodstream or intercellular fluid to induce healthy cells to manufacture an enzyme that counters the infection.
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Vocab Exam 1: Interventions
Specific prevention measures or activities designed to meet a program objective. Categories include education/behavior change, enforcement/legislation, engineering/technology, and economic incentives.
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Vocab Exam 1: Intravenous
Within a vein.
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Vocab Exam 1: Leukocytosis
Elevation of the white blood cell count often due to inflammation.
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Vocab Exam 1: Liability
A finding in civil cases that the preponderance of the evidence shows the defendant was responsible for the plantiff's injuries.
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Vocab Exam 1: Licensed
Similar to certified, a person who has shown a degree of competency in a specific occupation and is granted ability to function through a governmental body.
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Vocab Exam 1: Living will
A type of advance directive, generally requiring a precondition for withholding resuscitation when the patient is incapacitated.
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Vocab Exam 1: Lymphokines
Cytokines released by lymphocytes, including many of the interleukins, gamma interferon, rumor necrosis factor beta, and chemokines.
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Vocab Exam 1: Mast cells
The cells that resemble basophils but do not circulate in the blood. Mast cells play a role in allergic reactions, immunity, and wound healing.
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Vocab Exam 1: Medical asepsis
A term applied to the practice of preventing contamination of the patient by using aseptic technique.
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Vocab Exam 1: Medical direction
Direction given to an EMS service or provider by a physician.
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Vocab Exam 1: Medical practice act
An act that usually defines the minimum qualifications of those who may perform various health services, defines the skills that each type of practitioner is legally permitted to use, and establishes a means of certification for different categories of health care professional.
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Vocab Exam 1: Messentery
A membranous double fold of tissue in the abdomen that attaches various organs to the body wall.
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Vocab Exam 1: Morality
Pertaining to conscience, conduct, and character.
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Vocab Exam 1: Morbidity
Number of non-fatally injured or disabled people. Usually expressed as a rate, meaning the number of nonfatal injuries in a certain population in a given time period divided by the size of the population.
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Vocab Exam 1: Mortality
Deaths caused by injury and disease. Usually expressed as a rate, meaning the number of deaths in a certain population in a given time period divided by the size of the population.
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Vocab Exam 1: Multiple-organ dysfunction syndrome (MODS)
A progressive condition usually characterized by combined failure of several organs, such as the lungs, liver, kidney, along with some clotting mechanisms, which occurs after severe illness or injury.
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Vocab Exam 1: Negligence
Professional action or inaction on the part of the health care worker that does not meet the standard of ordinary care expected of similarly trained and prudent health care practitioners and that results in injury to the patient.
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Vocab Exam 1: Nephrons
The structural and functional units of the kidney that form urine; composed of the glomerulus, the glomerular (Bowman's) capsule, the proximal convoluted tubule (PCT), loop of Henle, and the distal convoluted tubule (DCT).
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Vocab Exam 1: Objectives
Specific, time-limited, and quantifiable statements that summarize an expected result of an intervention.
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Vocab Exam 1: Off-line medical direction
Medical direction given through a set of protocols, policies, and/or standards.
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Vocab Exam 1: Online (direct) medical control
Type of medical control in which the paramedic is in direct contact with a physician, usually via two-way radio or telephone.
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Vocab Exam 1: Open-ended question
A question that does not have a yes or no answer, and which does not give the patient specific options to choose from.
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Vocab Exam 1: Osmolarity
The ability to influence the movement of water across a semipermeable membrane.
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Vocab Exam 1: Osmosis
The movement of water across a semipermeable membrane (for example, the cell wall) from an area of lower to higher concentration of solute molecules.
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Vocab Exam 1: Parenteral routes
Medication routes in which medications are administered via any route other than the alimentary canal (digestive tract), skin, or mucous membranes.
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Vocab Exam 1: Passive interventions
Something that offers automatic protection from injury, often without requiring any conscious change of behavior by the individual; child-resistant bottles and air bags are some examples.
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Vocab Exam 1: Pathophysiology
The study of how normal physiologic processes are affected by disease.
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Vocab Exam 1: Patient autonomity
The right to direct one's own care, and to decide how you want your end-of-life medical care provided.
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Vocab Exam 1: Phagocytosis
Process in which one cell eats or engulfs a foreign substance to destroy it.
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Vocab Exam 1: Pharmacodynamics
The branch of pharmacology that studies reactions between medications and living structures, including the processes of body responses to pharmacologic, biochemical, physiologic, and therapeutic effects.
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Vocab Exam 1: Pharmacokinetics
The study of the metabolism and action of medications with particular emphasis on the time required for absorption, duration of action, distribution in the body, and method of excretion.
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Vocab Exam 1: Postconventional reasoning
A type of reasoning in which a child bases decisions upon his or her conscience.
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Vocab Exam 1: Posttraumatic stress disorder (PTSD)
A severe form of anxiety that stems from a traumatic experience. PTSD is characterized by the reliving of the stress and nightmares of the original situation.
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Vocab Exam 1: Preconventional reasoning
A type of reasoning in which a child acts almost purely to avoid punishment or to get what he or she wants.
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Vocab Exam 1: Primary injury prevention
Keeping an injury from occurring.
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Vocab Exam 1: Professional
A person who follows expected standards and performance parameters in a specific profession.
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Vocab Exam 1: Projection
Blaming unacceptable feelings, motives, or desires on others.
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Vocab Exam 1: Protocol
A treatment plan developed for a specific illness or injury.
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Vocab Exam 1: Pyrogens
Chemicals or proteins that travel to the brain and affect the hypothalamus, and stimulate a rise in the body's core temperature.
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Vocab Exam 1: Reciprocity
The process of granting licensing or certification to a provider from another sstate or agency.
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Vocab Exam 1: Regression
A return to more childish behavior when under stress.
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Vocab Exam 1: Risk factors
Characteristics of people, behaviors, or enviroments that increase the chances of disease or injury. Some examples are alcohol use, poverty, or gender.
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Vocab Exam 1: Rooting reflex
An infant reflex that occurs when something touches an infant's cheek, and the infant instinctively turns his head toward the touch.
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Vocab Exam 1: Saline locks
Special types of IV devices that eliminate the need to hang a bag of IV fluid; also called a buff cap or INT (intermittent); commonly used for patients who do not require fluid boluses but may require medication therapy.
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Vocab Exam 1: Scope of practice
What a state permits a paramedic practicing under its license or certification to do.
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Vocab Exam 1: Secondary injury prevention
Reducing the effects of an injury that has already happened.
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Vocab Exam 1: Serotonin
A vasoactive amine that increases vascular permeability to cause vasodilation.
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Vocab Exam 1: Solute
The dissolved particles contained in the solvent.
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Vocab Exam 1: Solution
A liquid containing one or more chemical substance entirely dissolved, usually in water.
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Vocab Exam 1: Solvent
The fluid that does the dissolving, or the solution that contains the dissolved components.
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Vocab Exam 1: Standing order
A form of off-line or indirect medical control; a written document signed by the EMS system's medical director that outlines specific directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to contacting medical control.
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Vocab Exam 1: Stress
A nonspecific response of the body to any demand made upon it.
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Vocab Exam 1: Stressor
Any agent or situation that causes stress.
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Vocab Exam 1: Surrogate decision maker
A person designated by a patient to make health care decisions for them when they are unable to make decisions for themselves.
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Vocab Exam 1: Synergism
An interaction of two or more medications that results in an effect that is greater than the sum of their effects if taken independently.
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Vocab Exam 1: Terminal drop hypothesis
The theory that a person's mental function declines in the last 5 years of life.
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Vocab Exam 1: Third spacing
The shifting of fluid into the tissues, creating edema.
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Vocab Exam 1: Toddlers
Persons who are 1 to 3 years of age.
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Vocab Exam 1: Trauma systems
The collaboration of pre-hospital and in-hospital medicine that focuses on optimizing the use of resources and assets of each with a primary goal of reducing the mortality and morbidity of trauma patients.
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Vocab Exam 1: Trust and mistrust
A phrase that refers to a stage of development from birth to approximately 18 months of age, during which infants gain trust of their parents or caregivers if their world is planned, organized, and routine.
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Vocab Exam 1: Unblinded study
A type of study in which the subjects are advised of all aspects of the study.
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Vocab Exam 1: Unintentional injuries
Injuries that occur without intent to harm (commonly called accidents). Some examples are motor vehicle crashes, poisonings, drownings, falls, and most most burns.
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Vocab Exam 1: Universal precautions
Protective measures that have traditionally been developed by the Center for Disease Control and Prevention (CDC) for use in dealing with objects, blood, body fluids, or other potential exposure risks of communicable disease.
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Vocab Exam 1: Virulence
A measure of the disease-causing ability of a microorganism. Also refers to the ability of an organism to survive outsed the living host.
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Vocab Exam 1: Years of potential life lost
A way of measuring and comparing the overall impact of deaths resulting from different causes. It is calculated based on a fixed age minus the age at death. Usually the fixed age is 65 or 70 or the life expectancy of the group in question.
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