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air way paramedic
airway
146
Medical
Professional
02/13/2011

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Term
phrenic nerves
Definition
innvervate the diaphragm
Term
intercostal nerves
Definition
innervate the external intercostal muscles between the ribs.
Term

Diazepam (valium)

actions

Definition

anticonvulsant

skeletal muscle relaxant

sedative

general CNS depressant

Term

Diazepam (valium)

Class

Definition
sedative hypnotic
Term

Diazepam (valium)

Indications:

Definition

acute anxiety states

tachycardia secondary cocaine overdose

generalized seizures

status epilepticus

premedication prior to cardioversion

skeletal muscle relaxant

Term

diazepam (valium)

contraindications

Definition
allergy to medication
Term

diazepam (valium)

precautions:

Definition

local venous irritation

short duration of effect

avoid mixing with other meds due to precipitation

decreased LOC

Term

Diazepam (valium)

side effects

 

Definition

drowsiness

hypotension

respiratory depression, apnea

Term

diazepam(valium)

Dosage

route

Definition

status epileptics: 5-10 mg IV

acute anxiety and cocaine overdose: 2-5 mg/kg

premed for cardioversion:5-15 mg IV

Iv no faster than 1 ml/ min, IM, rectal, ET

Term

diazepam(valium)

pediatric dosage

Definition

status spilepticus:

0.2-0.5 mg/ kg/dose

antaonist romazicon

Term

diapzepam (valium)

How supplied

Definition

ampule and prefilled syinge

10 mg/2 ml

Term
administration set
Definition
- Tubing theat connects to the IV bag access port and the catheter to deliver IV Fluid.
Term
adipose
Definition
a tissue - A connective tissue containing large amounts of lipids . also referred to as fat tissue
Term
acquired immunity -
Definition
The immunity the body develops as part of exposure to an antigen.
Term
absorption
Definition
The process by which a substance"s molecules are moved from the site of entry or administration into the body and into systemic circulation.
Term
adolescents -
Definition
Persons who are 12 to 18 years of age.
Term
adrenergic -
Definition
Pertaining to nerves that release the neurontransmitter 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.
Term
advance directive
Definition
A written document that expresses the wants, needs and desires of a patient in
reference to futrue medical care: examples include living wills, do not resuscitate (DNR) orders, and organ donations
Term
agonist -
Definition
A substance that mimics the actions of a specific neurotransmitter or hormone by binding to the specific receptor of the naturally occurring substance
Term
alkalosis-
Definition
A pathologic condition resulting from the accumulation of bases in the body. A blood pH greater than 7.45
Term
allergen -
Definition
Any substance that causes a hypersensitivity reaction.
Term
ampules -
Definition
small glass containers that are sealed and the contents sterilized.
Term
anaphylactic shock
Definition
- a severe hypersenstivity reaction that involves brochoconstriction and cardiovascular collapse
Term
anion -
Definition
a ion that contains an overall negative charge.
Term
antecubital-
Definition
The anterior aspect of the elbow.
Term
anticholinergic-
Definition
Of or pertaining to the blocking of acetychloine receptors, resulting in inhibition of transmissions of parasympathetic nerve impulses.
Term
antidiuretic hormone (ADH) -
Definition
One of the two main hormones responsible for adjustments to the final composition of urine, AHD causes ducts int the kidney to become more permeable to water
Term
antineoplastic
Definition
medications The medications designed to combat cancer
Term
asthma -
Definition
A chronic inflammatory lower airway condition resulting in intermittent wheezing and excess muscus production.
Term
artherosclerosis
Definition
A disorder in which clolesterol and calcium build up inside the walls of the blood vessels, forming plaque , which eventually leads to partial or complete blockage of blood flow.
Term
autoimmunity -
Definition
The production of antibodies or T cells that work against the tissues of a person"s own body, producing autimmune disease or a hypersensitivity reaction.
Term
axon -
Definition
Long, slender extension of a neuron (nerve cell) that conducts electrical impulses away from the neuronal soma
Term
barotrauma-
Definition
injury resulting from pressure disequilibrium across body surfaces.
Term
basophils -
Definition
White blood cells that work to produce chemical mediators during an immune response.
Term
biotransformation
Definition
A process by which a medication is chemically converted to a different compound or metabolite .
Term
body substance isolation (BSI
Definition
) - an infection control concept and practice that assumes that all body fluids are potentially infectious
Term
burn out
Definition
- the exhaustion of physical or emotional strength
Term
cannulation
Definition
The insertion of a catheter , such as into a vein to allow for fluid flow.
Term
catheter shear
Definition
- Occurs when a needle is reinserted into the catheter, and it slices
through the catheter, creating a free-floating segment.
Term
cation
Definition
- An ion that contains a overall positive charge.
Term
cell-mediated immunity
Definition
- Immune process by which t-cell lymphocytes recognize antigens and then secrete cyokines (specifically lymphokines that attract other cells or stimulate the production of cytotoxic cells that kill the infected cells.
Term
certified -
Definition
a title given when a person has shown that he or she has met requirements based on knowledge of certains facts.
Term
Cholinergic
Definition
- Fibers int the parsymapathetic nervous system that release a chemical called acetylcholine.
Term
closed-ended question
Definition
- a question that is specific and focused , either demanding a yes or nor answer, or an answer chosen from specific options.
Term
coagulation system
Definition
The system that forms bloods clots in the body and faclitates repairs to the vascular tree.
Term
colloid solutions-
Definition
Solutions that contain molecules (usually proteins that are too large to pass out of the capillary membranes.
Term
communication
Definition
- The transimission of information to another person-whether it be verbal or through body language.
Term
criminal prosection
Definition
- an action instituted by the government against a private individual for violation of criminal law.
Term
criminal prosection
Definition
- an action instituted by the government against a private individual for violation of criminal law.
Term
critical incident
Definition
- an event that overwhelms the ability to cope with the experience, either at the scene or later
Term
crystalloid solutions
Definition
- solutions of dissolved crystals (for example, salts or sugars) in water: contain compounds that quickly dissociate in solution.
Term
defamation
Definition
- Intentionally making a false statement, through written or verbal communication which injures a person's good name or reputation.
Term
defense mechanisms
Definition
- psychological ways to relieve stress: they are usually automatic or subconscious, Defense mechanisms include denial, regression, projection, and displacement.
Term
denial
Definition
- 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 that are going to die
Term
diffusion
Definition
- a process in which molecules move from an area of higher concentration to an area of lower concentration.
Term
displacement-
Definition
redirection of an emotion from yourself to another person.
Term
Distress-
Definition
a type of stress that a person finds overwhelming and debilitating.
Term
Do not Resuscitate
Definition
(DNR) forms written documentation by a physician giving permission to medical personnel not to attempt resuscitation in the event of cardiac arrest.
Term
Dromotropic effect
Definition
The effect on the velocity of conduction.
Term
Drug reconstitution
Definition
- Injection sterile water of saline from one vial into another vial containing a powdered form of the drug.
Term
Ductus arteriosus
Definition
- 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.
Term
Ductus venous-
Definition
a duct the is present before that connects the placenta to the heart in order to move oxgenated blood to fetus.
Term
Due process-
Definition
a right to a pair procedure for a legal action against a person or agency has two components: Notice and opportunity to the Heard
Term
efferent nerves
Definition
- the nerves that carry messages from the brain to the muscles and all other organs of the body.
Term
emancipate minor
Definition
- a perosn who is under the legal age in a given state but, because of other circumstances , is legally considered an adult.
Term
emergency medical services
Definition
a health care system designed to bring immedicate on - secne care to those in need along with transport to a definitive medical care facility.
Term
EMTALA .
Definition
The emergency medical treatment and active labor act enacted in 1986 to combal the practice of patient dumping (hospitals refusing to admit seriousl ill patients who can not pay positals that receive medicare funding and gives fines or doctors
Term
enternal routes
Definition
-a route of medication adminstration that involves the medication passing throught a portion of the gastrointestinal tract.
Term
epithelium
Definition
- Type of tissue that covers all external surfaces of the body.
Term
ethical-
Definition
a behavior expected by an individual or group following a set of rules
Term
ethics -
Definition
a set of values in society that differentiates right from wrong.
Term
etiology -
Definition
the cause of a disease process.
Term
eustress-
Definition
a type of stress that motivates and individual to achieve.
Term
evaluation-
Definition
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.
Term
experimental research
Definition
- describes a new-product, skill, or idea that is undergoing research and will be trialed, with the effects evaluated.
Term
fibrin
Definition
- 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
Term
fight - or- flight syndrome
Definition
a physiologic response to a profound stessor that helps one deal with the situation at hand: features increased sympathetic tone and resulting in dilation of the pupils, increased heart rate, dilation of the bronchi, mobilization of glucose shunting of blood away from the gastrtointestinal tract and cerebrum,k and creased blood flow to the skeletal muscles.
Term
fontanelles
Definition
- the soft spots in the skull of a newborn and infant where the sutures of the skull have not yet grown together.
Term
foramen ovale-
Definition
an opening in the septum of the heart before birth, and which closes after birth
Term
goals-
Definition
the end points toward which intervention efforts are directed, A statement of changes sought in an injury problem, stated in broad terms.
Term
good Samaritan law-
Definition
a statute providing limited immunity from liability to persons responding voluntarily and in good faith to the aid of an inmured person outside the hospital.
Term
health care power of attorney
Definition
- a legal document that allows another person to make health care decisions for the patient, including withdrawal of withholding of care , when the patient is incapacitated
Term
health care professional
Definition
- a person who follows specific professional attributes that are outlined in this profession
Term
hemophilla-
Definition
a bleeding disourder that is privmarily hereditary, in which clotting does not occur or occurs insufficiently.
Term
HIPPA
Definition
- health insurance portability and Accountability act that was nacted in 1996 providing for the criminal sanctions as well as for civil penalties for releasing a patient"s protected health information in a way not authorized by the patient. (PHI)
Term
humoral immunity
Definition
The use of antibodies dissolved in the plasma and lymph to destroy forieign substances.
Term
hyperkalemia
Definition
- an increased level of potassium in the blood
Term
hypoperfusion
Definition
- a condition that occurs when the level of tissue perfusion decreases below that needed to maintain normal cellular functions.
Term
idiosyncrasy-
Definition
a abnormal (and usually unexplained reactrion by a person a medication, to which most other people do not react
Term
immunity
Definition
- The body"s ability to protect itself from acquiring a disease.
Term
immunoglobulins-
Definition
antibodies secreted by the B cells
Term
implementation plan-
Definition
a strategy for carrying out an intervention. Includes goals, objectives activities evaluation measures resource assessment, and time line.
Term
injuries-
Definition
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 essentials as heat or oxygen
Term
intentional injuries
Definition
- injuries that are purposefully inflicted by a person on himself or herself or on another person, Examples include suicde or attempted suicde, homicide, rape, assault, domestic abuse elder abuse and child abuse.
Term
interferon - protein produced by cells in the 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.
Definition
interferon - protein produced by cells in the 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.
Term
interventions-
Definition
Specific prevention measures or activities designed to a meeet a program objective. Categories include education/ behavior change, enforcement/legislation engineering/ technology, and economic incentives.
Term
intravenous
Definition
-within a vein
Term
Definition
leukocytosis- elevation of the white blood cell count often due to inflammation.
Term
liability-
Definition
a finding in civil cases that the preponderance of the evidence shows the defendant was responsible for the planiff"s injuries.
Term
licensed-
Definition
similar to certified a person who has shown a degee of competency in a specific occupation and is granted ability to function through a governmental body.
Term
living will
Definition
- a type of advance directive, generally requiring a precondition for witholding resuscitation when the patient is incapacitated.
Term
lymphokines-
Definition
lymphokines-Cytokines released by lymplymphokines-Cytokines released by lymphocytes, including many of the interleukins, gamma interferon, tumor necrosis factor beta, and chemokines.hocytes, including many of the interleukins, gamma interferon, tumor necrosis factor beta, and chemokines.
Term
mast cells-
Definition
The cells the resemble basophils but do not circulate in the blood, mast cells play a role in allergic reactions, immunity, and wound healing.
Term
medical asepsis
Definition
- a term applied to the practice of preventing contamination of the patient by using aseptic technique.
Term
medical practice act
Definition
- an act that usually difines the minimum qualifications of those who may perform various health services, defines the skills that each type of practictioner is legally permitted to use, and establishes a means of certification for different categories of health care professional.
Term
mesentery-
Definition
a membranous double fold of the tissue in the abdomen that attaches various organs to the body wall.
Term
morality
Definition
-pertaining to conscience, conduct, and character. xxxxxxxxxx watch with mortality
Term
morbidity
Definition
-number of nonfatally injured or disabled people . usuall 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.
Term
mortality
Definition
-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.xxxxxx watch morality rememmber the t's.
Term
multiple organ dysfunction syndrome-
Definition
multiple organ dysfunction syndrome- a progressive condition usually characterized by combined failure of several organs such as the lungs, liver, and kidney, along with some clotting mechanisms, which occurs after severe illness of injury.
Term
negligence-
Definition
professional action or inaction on the part of the health care worker that does not meet the standard of ordinary care expected of similary trained and prudent health care practitioners and that results in injury to the patient.
Term
nephrons-
Definition
the structural and functional units of the kidney that form urine: composed of the glomerulus, the glomerular (Bowman's) capsule, the proximal convoluted tuble (PCT) loop of Henle, and the distal convoluted tuble(DCT).
Term
objectives -
Definition
specific, time-limited, and quantifiable statements that summarize and expected result of an intervention.
Term
off-line medical direction-
Definition
Medical direction given through a set of protocol, policies, and /or standards
Term
open-end questions-
Definition
a question that does not have a yes or no answer, and which does not give the patient specific options to choose from.
Term
osmolarity-
Definition
the ability to influence the movement of water across a semipermeable membrane
Term
osmosis
Definition
- the movement of water across a semipermeable membrane (for example, the cell wall)
from an area of lower to higher concentration of solute molecules
Term
parenteral routes
Definition
- medication routes n which medications are administeded via any route other than the alimentary canal (digestive tract) skin, or mucous membranes.
Term
passive interventions
Definition
- something that offers automatic protection from injury, often without requiring any conscious change of behavior by the indivdual; child-resistant bottles and air bags are some examples.
Term
pathophysiology
Definition
-the study of how normal physiologic processes are affected by disease.
Term
pharmacodynamics-
Definition
The branch of pharmacology that studies reactions between medications and living structures, including the processes of the body respones to pharmacologic, biochemical, physiologic, and therapeutic effects.
Term
pharmacokinetics
Definition
The study of the meabolism and action of medications with particular emphasis on the time required for absorpton, duration of action, distribution in the body and method excretion.
Term
postconvential reasoning
Definition
postconvential reasoning - a type of reasopostconvential reasoning - a type of reasoning in which a child bases decisions upon his or her consciencening in which a child bases decisions upon his or her conscience
Term
primary injury prevention
Definition
- keeping an injury from occuring
Term
professional
Definition
- a person who follows expected standards and performance parmeter in a specific profession.
Term
projection
Definition
-Blaming unacceptable feelings, motives, or desires on others
Term
protocol
Definition
- a treatment plan developed for a specific illness or injury.
Term
pyrogens
Definition
-chemicals or proteins that travel to the brain and affect the hypothalamus, and stimulate a rise in the body's core temperature.
Term
reciprocity-
Definition
the process of granting licensing of certification to a provider from another state or agency.
Term
Regression-
Definition
a return to more childish behavior while under stress.
Term
risk factors
Definition
-characteristics of people, behaviors, or environments that increase the chances of disease or injury . some examples are alcohol use, poverty, or gender.
Term
rooting reflex
Definition
- an infant reflex that occurs when something touches an infant's cheek, and the infant instinctively turns his head toward the touch.
Term
saline locks-
Definition
special types of IV devices that eliminate the need to hang a bag of IV fluid: also call a buff cap or intermittent commonly used for patients who do not require fluid boluses but may require medication therapy
Term
scope of practice- what a state permits a paramedic practicing under its license of certification to do.
Definition
scope of practice- what a state pescope of practice- what a state permits a paramedic practicing under its license of certification to do.rmits a paramedic practicing under its license of certification to do.
Term
Secondary injury prevention-
Definition
reducing the effects of an injury that has already happened.
Term
serotonin-
Definition
a vasoactive amine that increases vascular permeability to cause vasodilation
Term
solute
Definition
- the dissolved particles contained in the solvent.
Term
solvent
Definition
-the fluid that does the disolving, or the solution that contains the disolved components
Term
solution-
Definition
a liquid containing one or more chemical substances entirely disolved, usually in water.
Term
standing order-
Definition
a form of off-line or indirect medical control: a wirtten document signed by the EMS
system's medical director that outlines specific directions, permissions, and somethimes prohibitions reqarding patient care that is rendered prior to contacting medical control.
Term
stress-
Definition
a nonspecific response of the body to any demand made upon it.
Term
stressor-
Definition
any agent or situation that causes stress.
Term
surrogate decision maker
Definition
- a person designated by a patient to make health care decisions for them when they are unable to make decisions for themselves.
Term
synergism-
Definition
An interaction of two of more medications that results in a effects if taken independently
Term
terminal drop hypothesis-
Definition
the theory that a person's mental function declines the last 5 years of life
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