Class1.txt

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Author:
dodgybarnet
ID:
101583
Filename:
Class1.txt
Updated:
2011-09-13 23:54:31
Tags:
EMR class
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Description:
EMR class 1
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  1. What amount of blood defines a deadly blled?
    any pool of blood bigger than their head
  2. Assault versus battery?
    • Assault: the perception of harm or threat
    • Battery: actual act of contacting a Pt.
  3. AOCP & NOCP?
    • AOCP: Alberta Occupational Competency Profile
    • NOCP: National Occupational Competency Profile
  4. Primary Care Paramedic?
    Albertan EMT
  5. Advanced Care Paramedic?
    Albertan EMT-P
  6. When auscultating you are comparing...?
    Apices with Apices and Bases to Bases.
  7. Critical Care Paramedic?
    Can coordinate STARS
  8. During rapid wet check if you find something it?
    • gets dealt with straight away, AND
    • you then change your gloves
  9. TIC for pelvis?
    pushing inwards ONLY
  10. Quality question is?
    "if you had one word to describe your symptoms…"
  11. CMS is checked?
    bilaterally at the same time.
  12. method for Upper extremities CMS check?
    Cross two fingers and get them to squish that: cant cause pain!
  13. Negative versus positive feedback loops?
    • -ve feedbacks can turn on and off like a regulator.
    • +ve feedbacks only increase until stimulus is removed
  14. describe the Arachnoid layer
    is webbed like a web and is where blood flows through
  15. What do the Meniges cover?
    Dura Mater/Arachnoid/Pia Mater - also cover your spinal cord
  16. Aqueous humor versus vitreous humor
    • Aqueous: between the lens and cornea and can be refreshed.
    • Vitreous: cannot be refreshed.
  17. How many ribs do you have? Describe them.
    • You have 12 pairs of ribs
    • 8, 9, 10, are false ribs (dont attach to sternum)
    • 11 and 12 are floating ribs
  18. What is your main pacemaker for your heart?
    SA node
  19. What do the nodes in the heart do?
    • SA: Pacemaker
    • AV: job is to delay the signal
    • Purkinje fibers: send the signal around the Ventricles
  20. medulla oblongata?
    Brain stem (medulla oblongata) controls main body functions (BP, resps, pulse) and it also monitors hypoxic and CO2 levels.
  21. Where / angle to take pulse?
    Don’t reach across neck for pulse: check jugular on the same side as you are
  22. BP by palpation concerns?
    is about 10 below real level
  23. How to swab a finger or wound?
    do it in a circular manner thus clearing away any germs
  24. Skin Temp from where?
    Remember with kids that you take skin C/C/T temp from the abdomen!
  25. Where to take BGL?
    Use non dominant hand
  26. A thready pulse is?
    one that is hard to find.
  27. Spiel for Oral glucose admin?
    "Pt. will take the glucose orally"
  28. OPA orientation for insertion?
    Bevel (the hole) towards the septum (middle)
  29. SUCTION guidelines?
    • Rigid: no further than you can see
    • Soft: Measure like an OPA
  30. GI/GU practical questions?
    • When was your last bladder and bowel movement?
    • Was there any bleeding or anything unusual about your last bladder or bowel movement?
    • Have you been coughing up blood? (coffee-ground like appearance)
    • Is there any chance you could be pregnant?
  31. Poisoning / Overdose practical questions?
    • What have you taken?
    • How much did you take?
    • When did you take it?
    • Why did you take it?
    • What else have you taken?
    • How much do you weigh?
    • Contact poison control
  32. OB/GYN practical questions?
    • How long have you been pregnant?
    • When are you due?
    • Gravida / Para?
    • What prenatal care have you had?
    • Do you feel as though you have to push or move your bowels?
    • Have you had any spotting or bleeding?
    • Any gushing of fluid from the vagina?
    • Have you had a complicated pregnancy in the past?
    • Is there any possibility of a multiple birth?
    • Does your doctor expect any complications?
    • Are you on any meds?
    • Do you have any risk factors?
    • Are you having contractions?
    • --- Onset?
    • --- Frequency?
    • --- Duration?
    • --- Strength?
  33. NC flow and O2?
    • 1 - 6 L/min
    • 24% - 44%
  34. Simple face mask flow and O2?
    • 6 - 10 L/min
    • 35% - 60%
  35. NRB flow and O2?
    • 10 - 15 L/min
    • 90% - 95%
  36. Venturi flow and O2?
    • Depends on color
    • 24% - 50%
  37. BVM flow and O2?
    • 15 L/min
    • >95%
  38. BVM w/out Reservoir flow and O2?
    • 10 - 15 L/min
    • 40% - 60%
  39. When bagging, how long to squeeze bag?
    2 seconds
  40. A full O2 tank holds psi?
    is always 2000psi
  41. Tank size D?
    • 350L
    • factor 0.16
  42. Tank size E?
    • 625L
    • factor 0.28
  43. Tank size M?
    • 3000L
    • factor 1.56
  44. What is the Pharmacokinetic Phase?
    the study of how the body handles a drug over a period of time, including...
  45. 4 partsthe Pharmacokinetic Phase?
    • Absorption
    • Distribution
    • Biotransformation
    • Excretion/Elimination
  46. 6 Factors affecting drug absorption?
    • DCAPSS
    • Drug Dissolution
    • Concentration of the drug
    • Absorbing surface area
    • pH of the drug
    • Site of absorption & it’s blood supply
    • Solubility of the drug
  47. 4 Factors affecting drug distribution?
    • Cardiovascular function
    • Regional blood flow
    • Drug storage reservoirs
    • Physiological barriers eg. blood-brain & placental barriers
  48. Health Disciplines Act replaced by the?
    Health Professions Act
  49. Health Disciplines Act covering EM scope?
    Section 9
  50. Def of Negligence?
    The act of deviating from the accepted standard of care through carlessness, inattention, disregard, inadvertence, or oversight that was accidental but unavoidable
  51. Pt.s have how long to file a Negligence claim against you?
    2 years
  52. 4 things that must exist for Negligence to apply?
    • Duty to act: you must provide care to pt.s who need and consent toit
    • Breech of duty: Failure to act within te expected and reasonable standard of care
    • Damages: physical or psychological harm
    • Cause: EMR caused the damages
  53. Nebulizer O2 flow rate?
    5 - 8 L/min
  54. Salbutamol Neb dose?
    • Adult
    • Saline: 2.5 mL nebule (1mg/mL)
    • Dose: 2.5 – 5.0 mg
    • ---
    • Pediatric
    • Saline: 2.5 mL
    • Dose: 0.15 mg/kg or;
    • < 10 kg: 1.25 mg
    • 10-20 kg: 2.5 mg
    • > 20 kg: 2.5 – 5.0 mg
  55. Ipra Brom Neb dose?
    • Adult: 250 – 500 mcg
    • Pediatric (ages 5-11): 25-250 mcg
  56. Chief cause of Priapism?
    spinal injury
  57. Load and Go criteria?
    • Any altered LOC or memory loss
    • Any complications with ABCs
    • Bilateral femur fractures
    • unstable pelvis
    • medical abdominal issues
    • Thoracic trauma
    • isolated c-Spine injury is NOT Load & Go
  58. O2 regulator not affected by gravity?
    Bourdon-gauge flowmeter
  59. Fiting a OPA in pediatric patients?
    Use tongue depressor to hold tongue out of the way

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