Term
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Definition
Primary treatment of patients with blunt or penetrating head injury is supportive. • Airway management is of primary importance. Continuous monitoring of B/P is essential. – Alterations in BP can reveal serious pathology occurring and can be an indicator of future problems. • Consider protocols for medical interventions including passive coolin |
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Term
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Definition
Indications/Dosage • Acute cerebral edema • Blood transfusion reactions • 1.5 to 2.0 g/kg IVP Contraindications • Any patient with acute pulmonary edema • Severe pulmonary congestion • A patient who is profoundly hypovolemic |
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Term
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Definition
One of the most common neurological emergencies for EMS providers. • State of uncontrolled firing of neurons in one or multiple areas of brain |
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Term
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Definition
series of seizures without a full recovery of consciousness between the seizures or a seizure lasting greater than 30 minutes |
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Term
Pharamacological treatment for seizures |
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Definition
aimed at decreasing ion flow channels into the affected brain tissue and slowing the rapid neural firing. |
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Term
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Definition
Anticonvulsant and sedative |
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Term
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Definition
benzodiazepine frequently used as: – An anticonvulsant – A sedative – An hypnotic |
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Term
diazepam Mechanism of Action |
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Definition
Binds to specific sites on gamma- aminobutyric acid (GABA) Type A receptors within the brain. • GABA is the major inhibitory neurotransmitter of the central nervous system. • Has no direct effect on the GABA receptors, but potentiates the effects of GABA within the brain. |
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Term
diazepam Pharmacokinetics |
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Definition
Onset – 1–5 minutes (IV), 15–30 minutes (IM) • Peak effects – 15 minutes (IV), 30–45 minutes (IM) • Duration – 15–60 minutes • Half-life – 20–50 minutes |
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