Primary Care Paramedic General Review

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Anonymous
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199470
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Primary Care Paramedic General Review
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2013-02-10 16:59:30
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Primary Care Paramedic General Review
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Primary Care Paramedic General Review
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  1. Max weight on the scoop stretcher
    350 pounds
  2. What is pulmonary oxygen toxicity
    To much O2 for to long, alveolar function altered, not enough surfactant produced leads to scar tissue and ARDS
  3. What is absorption Atelactasis
    100% oxygen over short period of time, nitrogen washed out, oxygen goes into vessels alevoli collapse
  4. What is retro-lental fibroplasia
    Neonates on high oxygen, to many blood vessels made in eyes, oxygen removed causes blindness
  5. What is emphysema
    Smoking enlarges and destroys alveoli, decreased surface area, thin barrel chest, no cyanosis
  6. What causes pink puffers
    Emphysema
  7. What is chronic bronchitis
    Mucosal lining of bronchial tree irritated over time, increase mucous production, inflammation, cilia destroyed, chronic productive cough, overweight with cyanosis
  8. What causes blue bloaters
    Chronic bronchitis
  9. What is a cardiac tamponade
    Fluid in pericardial sac, causes becks triad
  10. What is Beck's Triad
    • Rapidly decreasing BP
    • JVD
    • Muffled distant heart sounds
  11. Where is Insulin released from
    Beta-cells in Islets of Langerhan in pancreas
  12. Where is Glucagon released from
    Alpha cells in islets of langerhan in pancreas
  13. What is type 1 (IDDM) diabetes
    No insulin production, starts when you are young
  14. What is type 2 (NIDDM) diabetes
    • Body cells don't respond to insulin/pancreas not making enough
    • Starts after the age of 30
  15. What is type 3 Diabetes
    Associated with pancreatic tumors
  16. What is type 4 Diabetes
    • Gestational diabetes
    • most return to normal after pregnancy
    • hormones of pregnancy are causing increased insulin production, body cells become desensitized
  17. Process of diabetic Ketoacidosis
    • not enough insulin
    • glucose cant get into cells, all in the blood
    • cells revert to fat metabolism, fatty acids are byproducts
    • fatty acids broken down to ketones
    • causes ketoacidosis
  18. Symptoms of ketoacidosis
    Warm, dry and restless
  19. What class of drug is epinephrine
    Sympathomimetic
  20. Actions of epinephrine
    • A1 - Vasoconstriction
    • A2 - Coronary artery dilator
    • B1 - Increase HR and increases FOC
    • B2 - Broncoconstriction
  21. Time for epinephrine to work and duration
    • 2-5 minutes to work
    • duration of about 10 minutes
  22. What class of drug is nitroglycerin
    Nitrate
  23. Actions of nitroglycerin (3)
    • Vascular smooth muscle relaxant
    • Dilation of peripheral blood vessels
    • Decrease venous return, decrease workload of the heart
  24. Time for nitro to work and duration
    • 1-4 minutes to work
    • Lasts for about 30 minutes
  25. What class of drug is acetylsalicylic acid
    NSAID
  26. Actions of ASA (5)
    • Analgesic
    • Antipyretic
    • Anti-inflammatory
    • Platelet aggregate inhibitor
    • anti-prostaglandin
  27. Time for ASA to work and duration
    • 30 minutes to work
    • Lasts for 24 hours
  28. What class of drug is Glucagon
    Hyperglycemic agent
  29. Actions of glucagon
    Coverts glycogen stores in the liver to glucose, elevates blood glucose
  30. Time for glucagon to work and duration
    • 5-10 minutes to work
    • Lasts for about 1.5 hours
  31. Definition of hypothermia
    Drop in core body temperature by 2 or more degrees
  32. Body temperature in mild hypothermia
    35 - 32 C
  33. Body temperature in moderate hypothermia
    32 - 27 C
  34. Body temperature in severe hypothermia
    Below 27 C
  35. Symptoms in mild hypothermia
    • Lots of shivering
    • Patient alert and oriented
  36. Symptoms in moderate hypothermia
    • No shivering
    • Disoriented, confused, apathy
  37. Symptoms in severe hypothermia
    • Comatose
    • vital signs may be undetectable
    • hypoglycemia (shivering has burned off all glucose)
  38. What is paradoxical cooling
    • Start warming up patient
    • limbs vasodilate, cold blood rushes to the core
    • core body temperature drops
    • extra blood going to the heart requires heart to work more, cant its to cold
  39. Compressions and ventilations in hypothermic patients
    • Check vitals for a full minute
    • If there is a heart rate don't do compressions only ventilations
  40. Symptoms of Inhalants
    • Initial CNS stimulant
    • Then CNS depression
    • Causes respiratory depression, cardiac disturbances
    • CCD
  41. Symptoms of barbiturates (downers/tranqulizers)
    Causes CNS depression
  42. Symptoms Narcotics
    • Causes euphoria
    • pinpoint pupils
    • depressed respirations
    • hypotension
    • convulsions
  43. Symptomes of Amphetemaines
    • Upper
    • CNS stimulant
    • Dilated puplils
    • Temors
    • Confusion
    • Delirium
  44. Symptoms of Cocaine
    • CNS stimulant
    • Promotes blood clots in coronary arteries
    • Increases HR
    • Increases myocardial oxygen demand
    • causes cardiac crisis
  45. Parkland formula (fluid replacments in burns, ringers lactate)
    • 4 ml/kg/% of burn (6-8 ml if electrical burn)
    • 50% in the first 8 hours
    • 50% in the next 16 hours
  46. Symptoms of Opiod/Narcotic
    • Coma
    • Pinpoint pupils
    • respiratory depression
  47. Symptoms of Cholinergic/Anti-cholinesterase
    • DUMBBELLS
    • Diarrhea, urination, miosis, bradycardia, emesis, lacrimation, lethargy and salivation
  48. Symptoms of Anticholinergic
    • Blind as a bat
    • Mad as a hatter
    • Red as a beet
    • hot as a hare
    • dry as a bone
  49. Symptoms of Adrenergic/Sympthomemetics
    • Anxiety
    • Delusions
    • Diaphoresis
    • Paranoia
    • Seziures

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