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Limmer 13th Edition Emergency Care
EMT-Basic
143
Medical
Professional
07/31/2015

Additional Medical Flashcards

 


 

Cards

Term
VENTILATION
Definition
the process of moving air in & out of the chest.
Term
EXTERNAL RESPIRATION
Definition
gas exchange between blood & alveoli
Term
INTERNAL RESPIRATION
Definition
gas exchange between blood & cells
Term

TWO TYPES OF O2 CYL. ARE D & E.

WHAT ARE THE DIFFERENCES

Definition

D: HOLDS 350 LITERS

E: CYL. ARE LONGER 

Term
TYPE M O2 CYL. ARE ON BOARD CYLENDERS.  HOW MANY LITERS OF O2 DOES A TYPE M HOLD?
Definition
3000 LITERS
Term
WHAT GAS IS THE SAFETY PIN INDICATING SYSTEM USED FOR
Definition
medical O2
Term
WHAT PERCENTAGE OF O2 CAN BE DELIVERED VIA NRB MASK?
Definition
80-100% O2
Term
DESCRIBE CAVITATION
Definition
it is the pressure wave that causes a cavity greater than the size of the bullet.
Term
HPI
Definition
history of present illness
Term
PMH
Definition
past medical history
Term
MOST COMMON ENDOCRINE DISORDER
Definition
diabetes
Term
REASSESSMENT TIMES
Definition

15min. for stable

5min for unstable

Term
WHAT IS THE APROVED ABRIVIATION FOR ASPIRIN AND WHAT DOSAGE CAN YOU ADMINISTER?
Definition
ASA = 81MG x 4 FOR A TOTAL OF 324mg
Term
INDICATIONS
Definition
when it is appropriate to give a medication
Term
CONTRAINDICATIONS
Definition
when it is NOT ok to administer meds.
Term
SIDE EFFECTS
Definition
any action of the medication other than the desired action
Term
UNTOWARD EFFECT
Definition
an effect of a medication in ADDITION to its desired effect that may be potentially harmful to the PT.
Term
WAYS MEDICATIONS MAY BE ADMINISTERED
Definition
oral, sublingual, intramuscular, IV, IO, inhalation, intra nasal, subcutaneous, endotrachial
Term
5 RIGHTS
Definition

right PT

right time

right medication

right dose

right route

Term
BRAND NAME OF MDI
Definition
ATROVENT
Term
DOSE & COLOR OF EACH EPI-PEN
Definition

ADULT = 0.3MG YELLOW

PEDIATRIC = 0.15MG GREEN

Term
DVT
Definition
deep vein thrombosis
Term
CONTRAINDICATION OF NITRO
Definition
erectile dysfunction meds in past 48-72 hours
Term
THROMBUS
Definition
a clot of blood & plaque that blocks inner wall of artery or vein
Term
UNTREATED CHF
Definition
starts of left side and eventually leads to right side failure
Term
ONLY SHOCKABLE RYTHEM(S)
Definition

VFIB (ventricular fibrilation)

VTACH (ventricular tachycardia)

Term
3 ITEMS NEEDED FOR PROPER BRAIN FUNCTION
Definition
O2, WATER, GLUCOSE
Term
PRIMARY BRAIN PROBLEM
Definition
stroke
Term
MOST COMMON CAUSE OF ALTERED MENTAL STATUS
Definition
hypoxia
Term
GLUCOSE
Definition
basic source of energy for the cell
Term
TYPE 1 DIABETES
Definition
also called juvenile, early onset, insulin dependant.  pancreas does NOT produce insulin
Term
TYPE 2 DIABETES
Definition
adult onset, can be cured with proper diet & excerize.  the body fails to use insulin properly
Term
S/S OF HYPOGLYCEMIA
Definition
rapid onset, mimic intoxication, tachycardia, seizures, pale, cool, diaphoretic
Term
S/S HYPERGLYCEMIA
Definition
develops slowly, increased thirst, increased urination, nausea, dehydration & DKA
Term
TONIC
Definition
rigid for up to 30 seconds.
Term
CLONIC
Definition
jerking violently for 1-2 minutes
Term
TONIC-CLONIC SEIZURE
Definition
commonly reffered to as grand mal siezure
Term
STATUS ELIPTICUS
Definition
two or more siezures in a row w/out regaining consiousness *or* 1 siezure lasting longer than 10 minutes
Term
POISON
Definition
anything that can harm the body
Term
TOXIN
Definition
a poisonous substance secreted by bacteria, plants or animals
Term
ROUTES OF POISONING
Definition
ingested, inhaled, absorbtion, injected
Term
PERITONEUM
Definition
membrane that lines the abdominal cavity and covers the organs in it
Term
SOLID ORGANS
Definition
spleen, pancreas, liver, kidneys
Term
HOLLOW ORGANS
Definition
stomach, gall bladder, lg. intestine, colon, bladder, duodenum
Term
RETORPARITONEUM
Definition

space between paritoneum and the back

organs include: kidneys, pancreas, aorta, bladder.

Term
VISCERAL PAIN
Definition
poorly located dull pain that arises from abdominal organs or viscera
Term
TEARING PAIN
Definition
sharp pain feels like body is being torn apart
Term
PARIETAL PAIN
Definition
a localized intense pain from the perietal paritoneum, the lining of the abdomin
Term
REFERRED PAIN
Definition
pain that is felt in a location other than where the pain originates
Term
ANEMIA
Definition
lack of normal amount of red blood cells
Term
SICKLE CELL ANEMIA
Definition

abnormal structure of red blood cell

most common in African, Indian, and Middle Eastern decent.

Term
HEMODIALYSIS
Definition
most common form of dialysis, done in a clinical setting to remove toxins and excess fluid
Term
PERITONEAL DIALYSIS
Definition
not as common as hemodialysis, done at home through an opening in the peritoneum
Term
CAUSES OF ESRD (END STAGE RENAL DISEASE)
Definition
untreated diabetes and hypertension
Term
1966
Definition
DOT charged with developing EMS standards
Term
NREMT FOUNDED IN WHAT YEAR
Definition
1970
Term
NHTSA SETS WHAT STANDARDS
Definition

1. human resouces

2. transportation

3. facilities

4. communications

Term
SCOPE OF PRACTICE
Definition
what interventions your medical director allows you to do
Term
STANDARD OF CARE
Definition
the level of care provided by someone else trained to your level
Term
CONTRACTILITY
Definition
how hard the heart squeezes
Term
FLAIL CHEST
Definition
two or more broken ribs in two or more places
Term
PARADOXIAL MOTION
Definition

when the flail chest segment moves in the opposite direction from the remiander of the chest cavity

 

(i.e. inhale = flail moves in, exhale = flail moves out)

Term
SUCKING CHEST WOUND
Definition
open chest wound that allows air to be sucked into the chest cavity, ultimately causing a collapsed lung
Term
S/S FLAIL CHEST
Definition
difficulty breathing, pain at injury site, signs of shock and hypoxia
Term
PNEUMOTHORAX
Definition
air entering the chest cavity, potentially causing lung collapse
Term
TENSION PNEUMORTHORAX
Definition
air that enters the chest cavity is prevented from escaping
Term
S/S of PNEUMOTHORAX
Definition
uneven chest wall movement, deminished breath sounds, distended neck veins, trachieal deviation to unaffected side, coughing up frothy red blood
Term
S/S of TENSION PNEUMOTHORAX
Definition
JVD (unless blood volume is low), signs of shock will be present, trachial deviation to opposite side (late sign and may be difficult to detect)
Term
HEMOTHORAX
Definition
chest cavity fills with blood
Term
HEMOPNEUMOTHORAX
Definition
chest cavity fills with blood & air
Term
S/S of HEMOTHORAX
Definition
pt usually presents with signs of shock.
Term
S/S of HEMOPNEUMOTHORAX
Definition
collapse of lung, loss of blood leading to shock
Term
TRAUMATIC ASPHYXIA
Definition
sudden compression of the chest resulting in, the sternum and ribs exert severe pressure on the heart, lungs forcing blood out of the right atrium into the jugular veins in the neck.
Term
S/S of TRAUMATIC ASPHYXIA
Definition
neck and face will be darker color than the rest of the body (red, purple, or blue), bulging eyes, distended neck veins, and broken blood vessles in the face
Term
3 FUNCTIONS OF BLOOD
Definition
carry nutrients, protection, and regulate body temp.
Term
EPITAXIS
Definition
nose bleed
Term
FUNCTIONS OF SKIN
Definition
protect, temp regulation, excretion, shock absorption, water balance
Term
RULE OF PALMS
Definition
surface of PT's hand equals 1% of body surface area
Term
LIGAMENTS
Definition
connects bone to bone
Term
TENDONS
Definition
muscle to bone
Term
COMMINUTED
Definition
more than one break in a single bone
Term
SPRAIN
Definition
stretching and tearing of ligaments
Term
STRAIN
Definition
overstretching or overexertion of a muscle
Term
COMPARTMENT SYNDROME
Definition
blood vessles and nerves are constricted within a space as from swelling or from a tight dressing or cast
Term
6 P's
Definition
Pain, Pallor, Paresthesia, Pulses, Paralysis, and Pressure
Term
PERIPHERAL NERVOUS SYSTEM
Definition
nerves that enter & exit the spinal cord between the vertebre
Term
COUP & COUNTERCOUP
Definition
when the brain bounces back and forth
Term
CUSHINGS REFLEX
Definition
bodys reaction to intracranial pressure.  signs include high BP and low pulse rate
Term
ATAXIC RESPIRATIONS
Definition
pattern of irregular breathing caused by brain injury
Term
DERMATONE
Definition
area of the skin that innervated by a single spinal nerve
Term
MULTI-SYSTEM TRAUMA
Definition
more than one serious injury that effects more than one body system
Term
PHRENIC NERVE
Definition
nerve that controls breathing
Term
DECORTICATE POSTURE
Definition
flexing the arms and wrists and extending the legs and feet after a head trauma, may occur spontainiously or after painful stimuli, hands & wrists form an c..indicates the brain is herniating (becoming compressed and pushed downward)
Term
DECEREBRATE POSTURE
Definition
extending arms with shoulders rotated inward with wrists flexed and legs extended, may be assumed spontainiously or after painful stimuli, hands and wrists form an e...also caused by brain herniating.
Term
BID
Definition
twice daily
Term
HS
Definition
before bed
Term
ACTIVE REWARMING
Definition
the process of rewarming using external heat sources
Term
PASSIVE REWARMING
Definition
process of rewarming using a blanket to cover PT.
Term
CARDIAC TAMPONADE
Definition
blood, gases or other fluids in the paracardium causing the heart to beat too hard or not hard enough
Term
COMMOTIO CORDIS
Definition
a near fatal blunt trauma to the chest from a punch, baseball, or other object that strikes the chest at exactly the moment the heart does not beat...usually resolved with one AED shock
Term
THREE STAGES OF STRESS
Definition

fight or flight

resistance

exhaustion

Term
MANDIBLE
Definition
only part of the jaw that moves
Term
NAME THE ORGAN THAT DEVIDES THE THORACIC CAVITY FROM THE ABDOMINAL CAVITY
Definition
diaphragm
Term
FLU INCUBATION PERIOD
Definition
1-7 DAYS
Term
GLAND THAT PRODUCES OIL THAT COLLECTS ON THE SURFACE OF THE SKIN
Definition
sebaceous gland
Term
CHEMORECEPTORS
Definition
chemical sensors in the brain and blood vessles that identify changing levels of O2 & CO2
Term
PLASMA CONTAINS LARGE PROTEINS THAT TEND TO ATTRACT WATER AWAY FROM THE CELL AND INTO THE BLOODSTREAM...WHAT IS THIS FORCE CALLED?
Definition
PLASMA ONCOTIC PRESSURE
Term
STRETCH RECEPTORS
Definition
sensors that identify internal vessel pressure and make size adjustments as needed
Term
HYDROSTATIC PRESSURE
Definition
pressure w/in a blood vessel that tends to push water out of the vessel when the heart beats
Term
SYSTEMIC VASCULAR RESISTANCE
Definition
the pressure inside the vessels that the heart has to pump against is called.....
Term
ATP
Definition
adenosine triphospate.  it is the fuel for the cell to function
Term
LOWER AIRWAY BEGINS BELOW THE LARYNX AND IS COMPRISED OF WHAT?
Definition
TRACHIA, BRONCHIAL PASSAGES, ALVIOLI
Term
PARTS OF THE UPPER AIRWAY INCLUDE
Definition

nose

nasopharynx

mouth

oropharynx

larynx

Term
ALVEOLAR VENTILATION
Definition
how much air the alveoli actually recieves
Term
MOVEMENT OF GASSES FROM AN AREA OF HIGH CONCENTRATION TO LOW CONCENTRATION
Definition
diffusion
Term
CAPILLARY BED
Definition
where O2 & CO2 is exchanged
Term
COMPONENTS OF BLOOD
Definition
plasma, red blood cells, white blood cells, platelets
Term
BRONCHIOCONSTRICTION
Definition
most common lower airway disorder
Term
VEINS
Definition
carry deoxiginated blood, have "backflow valves"
Term
ARTERIES
Definition
carry oxygenated blood through the body...only exception is the pulmanary artery which carries deoxygenated blood to the lungs for gas exchange
Term
Microorganisms such as bacteria and viruses that cause disease.
Definition
pathogens
Term
The amount of blood in the left ventricle at the end of diastole is influenced largely by 
Definition
preload
Term
The force of contraction that the left ventricle has to generate to overcome the resistance in the aorta to eject the blood.
Definition
afterload
Term
A bluish color of the skin and mucous membranes that indicates poor oxygenation of tissue is called
Definition
cyanosis
Term
PLACENTA PREVIA
Definition
condition in which the placenta develops directly above the cervix
Term
PLACENTA ACCRETA
Definition
condition in which the placenta abnormally attaches itself to the uterin wall
Term
ABRUPTIO PLACENTE
Definition
condition in which the placenta separates from the wall of the uterus
Term
A CONDITION THAT INTERFERES SIGNIFICANTLY WITH A PERSONS ABILITY TO ENGAGE IN DAILY ACTIVITIES IS CALLED...
Definition
disability
Term
QUALITY IMPROVEMENT
Definition
process for evaluating and improving the effectivness of the EMS system
Term
TYPES OF BLOOD VESSELS THAT ALLOW THE EXCHANGE OF SUBSTANCES DIRECTLY BETWEEN THE CELLS AND THE BODY
Definition
capillaries
Term
HEART RATE FOR SCHOOL AGE CHILD
Definition
70-110/MIN
Term
TRANSITION PERIOD BETWEEN CHILDHOOD AND ADULTHOOD
Definition
adolescence
Term
DEAD AIR SPACE
Definition
air that occupies the space between the mouth and alveoli, but doesnt actually reach the area of gas exchange
Term
VQ MATCH
Definition

ventilation/perfusion match. This implies that the alveoli are supplied with enough air and that the air in the aveoli is matched with sufficient blood in the pulmonary capillaries to permit optimum exchange of oxygen and carbon dioxide.
Term
THE SENCE THAT NEEDS WILL BE MET
Definition
bonding
Term
SCAFFOLDING
Definition
building on to what one already knows
Term
AN INFANTS REACTION TO HIS/HER ENVIRONMENT
Definition
temperament
Term
This type of seizure activity is absent of large muscle contractions. The patient often just stares off in space.
Definition
petit mal
Term
 Most patients with an allergy must be exposed to the allergen at some point. What is the process called?
Definition
sensitization
Term
Which of the following routes of entry is the most common cause of anaphylactic reaction?
Definition
injection
Term
The normal heart rate for a newborn (0-3 months) is:
Definition
140-180
Term
 What is the tidal volume in an average adult?
Definition
400-600ml
Term
. The narrowest part of the adult upper airway is at the level of the:
Definition
vocal cords
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