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study cdh
emt cdh
60
Other
3rd Grade
10/20/2016

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Term
Normal respirations of adults, infants?
Definition

adult 12-20

infants 30-60

Term
Purpose of surfactant
Definition
reduce the surface tense of fluid in the lungs and keeps the alveoli sacs open
Term
Normal stimulus to breath in a healthy patient
Definition
The primary stimulus for breathing is the bronchioles in the lungs reacting to a build-up of carbon dioxide
Term
What is a pink puffer? blue boater?
Definition

Pink puffer is a person where emphysema is the primary underlying pathology


Blue boater is a person where the primary underlying lung pathology is chronic bronchitis

Term
What causes inhalation?
Definition
The diaphragm contracting. moving downwards thus increasing the lung capacity
Term
What are the different lung sounds?
Definition

upper 

lower

Term
What are the upper lung sounds and why
Definition

Wheezing

Stridor

Croup

Term
What are the lower loung sounds and why
Definition

Asthma

Wheezing

Term
what is agonal breathing?
Definition
Agonal respiration, gasping respiration or agonal breathing is an abnormal pattern of breathing and brainstem reflex characterized by gasping, laboredbreathing, accompanied by strange vocalizations and myoclonus
Term
difference  between ventilaiton and respiration?
Definition
ventilation is the moving in and out of air. respiration is the exchance of oxygen and carbon dioxide at the cellular level
Term
what is diffusion and where does it occur in the lungs
Definition
High to low. it occurs at the capillarie level
Term
why does suctioning cause a decrease in heart rate?
Definition
vagal stimulation
Term
what physically happens with pulmonary edema
Definition

 

Fluid in the lungs caused by heart failure

typicalled CHF

Term

what is the pathophysiology of chronic bronchitis?

emphysema?

asthma?

Definition
Term

what role in breathing does the diaphragm have?

why is it a unique muscle?

Definition

it caused the ventiliation by contracting it pulls air into the lungs

by expanding it forces air out

its both voluntary and involuntary

Term
what is a late sign of hypoxia?
Definition
cyanosis
Term
what is consolidation in a pneumonia patient?
Definition
inflammation of the lung with gunk filling up the alveoli
Term
what is inhalation vs exhalation physical process
Definition
Term
what is automaticity
Definition
the ability of the heart cells to generate an electrical impulse ---depolarize
Term

what is diastyolic

systolic

what does it represent

Definition

Systolic top number represents the amount of pressure it takes the left ventricle to use to pump blood out to the body

diastyolic measures the amount of pressure present in arteries between heartbeats

Term
what is the buildup of fluid in the pericarial sac called?
Definition
pericardial effusion
Term

blood pressure by palpation measures what?

how is it done

Definition

it obtains the lowest possible diastyolic pressure

by palpating the area

Term
what is the blood flow through the heart
Definition

S/I vena cava right atrium- tricuspid valve- right ventricle-

pulmonary valve-pulmonary artery-pulmonary veins- left atrium-bicuspid valve-left ventricle-aoritc valve-aorta-

 

left subclavian, x, x

Term
where does the electrical impluse initiate in the heart?
Definition
Sinoatrial node
Term

what is bradycardia?

tachycardia?

 

Definition

brady hr<60

tachy hr>100

Term
what can cause a decrease in blood pressure?
Definition
change in elevation, blood loss, antihypertensives, dehydration
Term
what is paradoxical movement of the chest wall
Definition
flail chest. One section of the chest moves in while another moves out in opposite
Term
what is hepatitis
Definition

inflammation of the liver

Ass

Blood

C liver

 

Term

what are the stages of heat exposure

exhaustion

stroke

cramps

Definition

Heat Cramps
Painful muscle cramps primarily in the legs and abdomen and excessive sweating. This is usually caused by losing too much water and salt through sweating, usually this is related to excessive physical activity in hot weather. They are not serious and can be reversed with some basic first aid.


Heat Exhaustion
More serious than heat cramps, the symptoms include: excessive sweating, dilated pupils, complaints of dizziness, blurred vision, headaches, and cramps. The casualty may also have cool, clammy skin, a weak rapid pulse, rapid shallow breathing, vomiting and may go unconscious.


Heatstroke (Sunstroke) 
This is a life-threatening condition, without immediate action heatstroke can result in permanent brain damage or death. If heatstroke is suspected, seek medical attention immediately or call 911. Symptoms include, a rapid and full pulse that gets weaker and harder to feel in later stages, noisy breathing, flushed skin, hot and dry skin or hot and sweaty skin (when heatstroke is related to exertion), restlessness, headache, fatigue, dizziness, nausea, vomiting, convulsions and eventually unconsciousness

Term
what are complications of severe burn injuries
Definition
loss of the skins ability to regulate temperature, loss of bodily fluids
Term
what side effects does nitroglycerin cause
Definition
hypotension,headache,n/v
Term
what causes pupil constriction and dilation
Definition
Term
what symptoms do cardiac dysrhymias cause
Definition
  • A fluttering in your chest.
  • tachycardia
  • bradycardia
  • Chest pain
  • Shortness of breath
  • Lightheadedness or dizziness.
  • Sweating.
  • syncope
Term
what are common causes of altered mental status
Definition
dehydration, hypoglycemia, blood loss, head trauma, environment
Term
how does the body respond to blood loss
Definition
bring blood into the core to perfuse vital organs
Term
what are battle signs
Definition
pooling of blood underneath the eyes and behind the ears. this may indicate a basillar skull fracture
Term
how is a sublingual medication admined
Definition
under the tongue with gloves
Term
how do you treat large active bleeding wounds
Definition
apply direct pressure, elevate, apply dressing, tourniqet
Term
what is best determination of possible internal bleeding
Definition
Term
what type of abdominal pain cause can result in right shoulder pain
Definition
Term
where are the different organs located
Definition

RUQ LIVER Gall Blader  pancreas

RLQ appendix

LUQ stomache spleen

LLQ 

Term

what are s/s of pertusis?

meningitis

tuberculosis 

Definition

pertusis is whooping cough

Inflammation of brain and spinal cord membranes, typically caused by an infection

severe headache stiff neck


TB painful cough swelling lymph nodes

Term
what are the different parts of the brain responsible for
Definition
Term
what is the alarm reaction and what happens physically
Definition
Fight or flight the stimulation of the sympathetic nervous system. Increase of adrenaline to help the body cope with the situation
Term
what is crepitus
Definition
grinding of bone ends together
Term
what is a vector borne transmission
Definition
insect born diseases
Term
what are the building blocks of life
Definition
DNA
Term
what is the GCS what does it measure
Definition
Glasgow Coma Scale it measures the level of consciousness in a person
Term
what is a prolapsed cord? what are the complications
Definition
A cord protruding from the vagina. Complications can be a lack of perfussion to the fetus
Term
what are hypotonic, hypertonic, and isotonic solutions and how do they effect water balance?
Definition

hyper more on the outside

hypo less on the outside

iso equal

Term
what is ATP and what does it do
Definition
engery used by the body to completed what processes it must
Term
what different types of consent are there
Definition
Informed, expressed, implied, involuntary
Term
what is the ryan white act
Definition
 improve the quality and availability of care for medically underserved individuals and families affected by HIV/AIDS
Term
what did the white papers create
Definition
This report, prepared jointly by committees on Trauma and Shock of the National Academy of Science/National Research Council, revealed to the public and congress the serious inadequacy of prehospital emergency care and transportation in many areas
Term
what is visceral vs parietal pain vs referred pain
Definition

Visceral pain is directly related to the organ involved. The majority of organs do not have an abundance of nerve fibers, so the patient might experience mild or less severe pain that is poorly localized. It’s important to understand this does not mean the patient is experiencing a mild or less severe condition.

Characteristics:

  • Less severe pain
  • Poorly localized
  • The pain is usually dull or aching and constant or intermitten
  • Parietal pain occurs when there is an irritation of the peritoneal lining. The peritoneum has a higher number of sensitive nerve fibers, so the pain is generally more severe and easier to localize. The patient will typically present in a guarded position with shallow breathing. This minimizes the stretch of the abdominal muscles and limits the downward movement of the diaphragm, which reduces pressure on the peritoneum and helps ease the pain.Characteristics:
    • More severe pain
    • Easily localized
    • The pain is usually sharp, constant and on one side or the other
    • Referred pain is visceral pain that is felt in another area of the body and occurs when organs share a common nerve pathway. For this reason, it is poorly localized but generally constant in nature. An example is a patient with liver problems that experiences referred pain in the neck or just below the scapula.

      Characteristics:

      • Poorly localized
      • The pain is usually constant
Term
what are expected paramedic attributes
Definition
Term

what is libel

slander

battery

assault

Definition

written

spoken

beat a bitch

asshat

Term
what is the standard of care
Definition
Most medical malpractice cases hinge on whether a health care professional was negligent in treating (or failing to treat) a patient. And medical negligence is always measured by the medical standard of care that applied in the specific treatment setting in which the patient was harmed.
Term
what is the circadian rhythm
Definition
Circadian rhythms are physical, mental and behavioral changes that follow a roughly 24-hour cycle, responding primarily to light and darkness in an organism's environment
Term
cheyne-stokes respirations?
Definition
CheyneStokes respiration is an abnormal pattern of breathing characterized by progressively deeper and sometimes faster breathing, followed by a gradual decrease that results in a temporary stop in breathing called an apnea
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