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Paramedic Pearls Vol 8
Paramedic Training, Ohio, Questions to prep for Paramedic Certification
57
Medical
Professional
02/17/2013

Additional Medical Flashcards

 


 

Cards

Term
  1. Chemoreceptors
Definition
What monitors the levels of O2, CO2 and pH of the CSF. Also Provides feedback to the respiratory centers to modify the rate and depth of breathing based on the body’s immediate need?
Term

35-45

 

80-100

Definition

What is a normal PaCO2 reading?

 

Normal PaO2?

Term
CO2 Level
Definition
What drives a healthy person's respirations?
Term

Hypercarbia

 

Hypocarbia

Definition

What is the term for the condition of increased CO2 in a person's blood stream?

 

Decreased CO2?

Term
Rhonchi
Definition
Breath sounds indicating Mucous in the airway that sound thick; kind of like "bubbles in a milkshake" are called what?
Term
Rales (Crackles)
Definition
What breath sound is indicative of fluid in the lower airway and means the patient suffers from pulmonary edema?
Term
Stridor
Definition
What breath sound is a harsh, whistling sound that indicates upper airway obstruction such as a foreign body or epiglottis in children older than 3 or 4?
Term
Fluid in the lower airways, asthma, bronchoconstriction
Definition
What do you suspect if upon auscultation of the lungs, you hear bilateral wheezing?
Term
Cardiac Asthma: wheezing from wet lungs secondary to left side failure.
Definition
Is wheezing in the lungs always asthmatic in origin? If not, what else do you suspect and what causes it?
Term
Elimination of acid
Definition
What is the purpose of Kussmaul's respirations?
Term

Diabetic Ketoacidosis, Renal Failure, Aspirin overdose

 

Reduction of Carbon Dioxide (progressive metabolic acidosis)

Definition

What three conditions do you suspect if you witness presentation of Kussmaul's Respirations in your patient?

 

What is the function of these respirations?

Term

Soft Tissue in the throat or the tongue.

 

OPA

Definition
Your unresponsive patient is supine and presents with snoring respirations. What is causing this and how can you possibly correct it?
Term
Modified Jaw Thrust
Definition
You encounter a patient who has been ejected from a vehicle during a rollover MVA. Upon approach, you hear snoring respirations. What technique should you employ to open the patient's airway?
Term
15 cm
Definition
In the average adult how far can you expect to insert the tube before reaching the vocal chords?
Term

DOPE:

 

Displacement of the Tube

 

Obstruction

 

Pneumothorax

 

Equipment Failure

Definition
What is the acronym used to help you troubleshoot the placement of an Endotracheal Tube and what does each component stand for?
Term
Capnography
Definition
What is the best way to determine good respiratons when delivering ventilations via ET Tube?
Term
Laryngeal Edema
Definition
What is a danger of being overly aggressive when intubating a patient?
Term
Digitally
Definition
What is the least advised way of inserting an ET Tube?
Term

PaO2 or amount of Oxygen in the blood

 

(rather than the PaCO2 that drives a healthy person's)

Definition
COPD patients respirations are driven by what?
Term
They are Breathing off the O2 in their system
Definition
What is different about the result of the respirations of a COPD patient?
Term
Hypercarbia
Definition
What is the name of a condition common to COPD patients that indicates increased levels of CO2 in the body?
Term
Too Slow
Definition
Will a hypercarbic patient be breathing too fast or too slow?
Term
Respiratory Distress - so that they can save energy. Otherwise, they just fatigue to the point that they stop breathing.
Definition
What is the main reason to perform Rapid Sequence intubation on a COPD patient?
Term
Cor Pulmonale
Definition
What cardiac condition is caused by the pulmonary hypertension commonn to COPD?
Term

Pulsus Paradoxus

 

Air trapped in alveoli creates additional mechanical compromise during inspiration.

Definition

What condition can be described as a drop in pulse during inspiration that occurs in any disease that places additional physical pressure on the heart?

 

In COPD, Describe by what mechanism this occurs?

Term
Bronchitis and then Pneumonia
Definition
In order of their prominence, what are the most frequent infections affecting smokers?
Term
Surfactant
Definition
What is the liquid protein substance that coats the alveoli and increases the alveolar surface tension, thus keeping the alveoli expanded?
Term
Low level of surfactant
Definition
What condition in a premature baby contributes to respiratory distress syndrome?
Term
Atelectasis
Definition
What is the term for alveolar collapse that prevents the use of that portion of the lung for ventilation / oxygenation?
Term
Lack of surfactant
Definition
What issue do you expect to find - other than water in the lungs or traumatic injury to be the issue preventing oxygenation / ventilation in a drowning victim?
Term
Respiration
Definition
Transport of CO2 and O2 across the membrane is called what?
Term
Respirations
Definition
Exchange of gases between living organisms and the environment is called what?
Term
Ventilation
Definition
Air movement into and out of the lungs, but not a guarantee of respirations is called what?
Term
Tidal Volume
Definition
What is the term for the volume of gas inhaled and exhaled in one respiratory cycle?
Term

500 ml

 

350 ml

 

150 ml

Definition

What is the average tidal volume (in ml) for a healthy adult?

 

How much of that is in the alveoli?

 

How much of that is in the dead space?

Term
Minute Volume
Definition
What is the term for the amount of gas inhaled or exhaled from a person's lungs in one minute?
Term

Hering - Breuer Inflation Reflex

 

Pulmonary stretch receptors present in the smooth muscle of the airway respond to excessive stretching of the lungs during large inspirations.

Definition
What is the name of the reflex triggered to prevent over inflation of the lungs and how is it activated / how does it work?
Term
The 2 person E-C Technique
Definition
What technique provides the best seal when using a BVM to ventilate an unresponsive patient?
Term
Capnography
Definition
What is the best way to monitor a patient's respiratory status?
Term
In the presence of apnea, Suspected epiglottitis, Midface instability, Suspected basilar skull fractures
Definition
When is nasal intubation contraindicated?
Term
That breathing is too fast and interferes with minute volume.
Definition
What is the primary concern of Cheyne Stokes Respirations?
Term

Nitro spray 0.4mg sublingual, Lasix 40mg slow IVP and CPAP

Definition
Name the protocol treatment of pulmonary edema?
Term

B2 Adrenergic Receptor Agonist

 

Smooth muscle relaxation (dilation of bronchi, vasodilation in muscle and liver, relaxation of uterine muscle and release of insulin). Some B1 agonism also results in cardiac muscle contraction.

Definition

What kind of drug is Terbutaline?

 

What is the action of this type of drug?

Term
Delay preterm labor for 48 hours to allow for fetal lung maturity through steroid injections.
Definition
What is a common use of Terbutaline?
Term

Kussmaul's Sign

 

Indicative of limited right ventricular filling due to right heart failure.

Definition

What sign is indicated by flat jugular veins with rise upon inspiration?

 

What does this indicate?

Term
Kussmaul's sign
Definition
As you breathe in, pressure in the chest rises and the pressure on the heart is increased, causing blood to back up (usually secondary to COPD / Asthma), typically manifested as JVD that rises upon inspiration. What sign does this mechanism describe?
Term
Succinylcholine. 1 - 1.5 mg/kg
Definition
What drug is used in Rapid Sequence Intubation (RSI) and what is it's dosage?
Term
Phrenic Nerve
Definition
What nerve is responsible for control of the diaphragm?
Term

Tuberculosis

 

N95 Respirator

Definition
You respond for a patient who presents with a productive cough and has signs of some bloody sputum showing at the corners of their mouth. What do you suspect and what key piece of BSI do you utilize on this run?
Term
Beta 2
Definition
What receptor sites are found in the lungs?
Term
Coronary Artery Disease (CAD)
Definition
What term describes any abnormal condition affecting the heart's arteries, producing various effects, especially reducing the flow of O2 and nutrients to the myocardium?
Term
Atherosclerosis (soft plaque buildup)
Definition
What is the most common form of buildup in the arteries?
Term
bruit
Definition
What is the term for the swirling noise caused by turbulence of the blood passing over an obstruction in the vasculature?
Term
Diabetes, Smoking, Obesity, Hypertension
Definition
What are four common causes of Atherosclerosis?
Term
Hypertension and Diabetes
Definition
What are the two main causes of Arteriosclerosis?
Term
Cystic Medial Degeneration
Definition
What is the term when an aneurysm forms at the weakened edges of a hardened (sclerosed) portion of a vessel?
Term
Prinzmetal's Angina
Definition
What is the name for chest pain caused by a coronary artery spasm, usually attributed to a calcium problem?
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