Abdominal Aortic Aneurysm AAA

Ascites - free fluid within the abdominal cavity. Reciprocity - process by which an agency grants certification or licensure to an individual who has comparable certification or licensure nom another agency. Direct Medical Control- communication between field personnel and a medical control physician during an emergency run. Also called "online control". Good Samaritan Laws - laws designed to protect people who assist at the scene of an emergency from liability. Durable Power of Attorney for Health Care - legal document whereby a patient designates another person to make health care decisions for them Mobile two-way Transmitter/Receiver - usually a vehicular-mounted device that operates at a much lower power than a base station. Encoder - device for generating unique codes or tones that are recognized by another radio's decoder. Band - A group of radio frequencies close together on the electromagnetic spectrum Duplex Transmission - method of radio transmission in which simultaneous transmission and reception occur at the same time using two frequencies. What organs are contained in the abdominal ULQ? Spleen, tall of the pancreas, stomach, left kidney,and part of the colon. Stridor or crowing? High pitched. sound caused by restriction (or obstruction) of the upper airway Rebound Tenderness - pain upon sudden release of the examiner's hand when palpating the patient's abdomen Kussmaul's Respirations - very deep gasping respirations associated with diabetic ketoacidosis (DKA). Hypoxemia - reduced partial pressure of oxygen in the blood EOA (Esophageal Obturator Airway) - will often stimulate a gag reflex, therefore it should .only be used on an unresponsive patient EGTA (Esophageal Gastric Tube Airway) - same indications as the EOA, but with gastric suctioning capabilities S&S of over hydration? Pulmonary edema, rales. What is the principal buffer of the body? Bicarbonate. In conjunction with the bicarbonate buffer system, the body regulates acid-base balance by respiration and kidney function. Stroke Volume X Heart Rate = Cardiac Output Peripheral Vascular Resistance - the resistance to blood flow caused by peripheral blood vessels.. This pressure must be overcome for the heart to Pump blood effectively. During one inspiration, approximately 500 - 800ml of air is taken into the lungs (tidal volume). Average adult is 500ml. The Federal Food Drug and Cosmetic Act of 1938 - requires labeling of all ingredients used to package foods and medications. Requires companies to list any habit forming ingredients and the percentages of those ingredients. What are the side effects of Atropine? Blurred vision, dilated pupils, dry mouth, tachycardia, -drowsiness and confusion. What is the recommended dosage for Furosemide (Lasix)? 20 - 8Omg. What are the indications and recommended dosage for Aminophylline? Bronchial asthma, CHF;Pulmonary Edema; 250 - 500mg over 20-30 minutes Glucagon - Causes the liver to release stored glycogen to create usable glucose Narcan - Opiate antagonist. Range from .25 - 2.0 mg dosage. Use cautiously on suspected narcotic abusers, due to withdrawal symptoms Cavitation - formation of a partial vacuum and subsequent cavity within a liquid This deceases the action of a high velocity projectile on the human body. What are the dennatomes for T-4 and T-I0? Contrecoup - an injury to the brain on the opposite side of impact . What is the best treatment for a patient with a "flail chest"? Positive pressure ventilations Know the rule of 9's for pediatric and adult bums: Blood Pressure = Cardiac Output X Vascular Resistance On EKG graph paper, one small box equals how much time? 0.04 seconds. PR Interval? Distance from the beginning of the P wave to the beginning of the QRS. What identifies Atrial Fibrillation? Irregular rhythm with no discernable P waves. . S&S of a Hypertensive Emergency? Rapid increase in diastolic blood pressure accompanied by restlessness, confusion, blurred vision, nausea and vomiting. Hypoglycemia - Occurs when insulin levels are excessive. Grand Mal Seizure - Seizure characterized by tonic/clonic muscle contractions Focal Motor Seizures - Begin as localized tonic/clonic movements. Guarding - Voluntary or involuntary contractions of the abdominal muscles in response to severe abdominal pain. What organs are located in the abdo~ URQ? Liver, gallbladder, head of the pancreas, part of the duodenum, right kidney, and hepatic flexure of the colon. S&S of Abdominal Aortic Aneurysm (AAA) - typically an older person. diffuse abdominal pain, severe back pain with a tearing sensation. Pulsating sensation when palpating the abdomen. Alcoholic Withdrawal (Delirium Tremors) - May occur within the first 48-72 hours of abstinence.. Seizures may occur within 24-36 hours post abstinence. S&S of Meningitis? Malaise, low-grade fever, headache, stiff or sore neck Measles, Mumps and Chicken Pox are contagious Shingles are NOT contagious. Treatment for Heat Exhaustion? Remove the patient from the environment and provide fluid replacement with 0.9% Sodium Chloride or Lactated Ringers. Vagus.Nerveeurotransmitter? Acetylcholine. Vagus.Nerve'11eurotransmitter? Acetylcholine. Hyperkalemia causes what on an EKG? Peaked T waves. What perfuses the heart? Coronary arteries. What is NOT a beta effect? Bronchoconstriction. A 171b PED, what is the initial dose of Lidocaine? 8mg JVD with clear lung sounds and a narrow pulse pressure indicate what? Pericardial Tamponade. What is the best method to use on an LSD patient? "talk down". Chest pain, after 02, what is the 1# 1 pain reliever? Morphine Sulfate. A 110lb patient, what is initial Lidocaine dose and maintenance dose? 5Omg, than 2-4mg/minute. Aminophylline dose? 250-500mg over to 20-30 minutes. Pt 21yom asthma, what drug, dose and route? Albuterol, 2.5mg. nebulizer. Pt. 81yom cardioverted, now pulse less, what is next action? Defibrillate at 20Oj, (went into V-fib or V-tach). 6Oyom twisted ankle HR 54, BP 140/80 stable, what is treatment? Splint, transport. S&S of spontaneous pneumothorax? Sudden "knife like pain", dyspnea. Effects ofVerapamil (calcium channel blocker)? Decrease vasocontriction. decrease conductivity. You clamped and cut the umbilical cord, now its bleeding. What do you do? Clamp it again. Mother is bleeding after delivery. What do you do? Fundal massage. In Pulmonary Edema; after 02, monitor, IV. What is next? NTG O.4mg if BP is OK. What is the intrinsic rate of the ventricles? 20-40 What airway problem will cause Stridor in PEDS? Croup 3 year old with barking cough? Croup PED with flu. not acting right. oJv? Reye's Syndrome (syndrome resulting sometimes after a viral infection.) Wide QRS rhythm with no P-wave? ldioventricu1ar. Which airway will cause vomiting when taken out? EOA MY A patient with HR 120, BP 401pa1p. Patient bas? Hypovolemic Shock. What is NOT a sign of kidney stones? Frequent urination (UTI symptom). . #1 side effect of Bertylium? Hypotension. Most critical patient at MCI? Amnesia, crying. altered LOC Side effect of Lidocaine? Seizures Contraindication for Verapamil? Pulmonary Edema, Cardiogenic Shock. Pain in chest. ''tearing and shearing pain towards neck", with no pedal pulse? Dissecting Aortic Aneurysm When palpating the ABD, you should? Palpate the area of pain LAST. Cribbing is used to? Stabilize the vehicle. Electrical burns: Cause superficial and deep damage When to perform a Cricothyrotomy? Laryngeal edema and/or facial trauma where another airway cannot be established. What do you do before administration of Dextrose 50%? Glucose check. Patient fell through a glass door and has a piece of glass stuck in the neck. what do you do? C-spine immobilization, airway, occlusive dressing, stabilize the glass, Transport. Complications of IV administration? Phlebitis, Emboli. Routes for Epinephrine administration? IV, ETT, SQ. List slowest to fastest routes of administration: PO, SQ, IM, ET, IV. Ambulance crashes, what is the court going to prove? Lack of Due Regard. What is child CPR compression depth? 1 - 1.5 inches. Head trauma with signs of shock? Head trauma docs not cause shock look elsewhere. Respirations of DKA? Kussmaul's Respirations. Patient is diabetic with blood glucose of 40, what should you NOT do? IV insulin. Patient is 6yo with milateral chest wheezing? Foreign Body Obstruction, (child swallowed an object that went into one of the lungs, therefore the wheezing is unilateral not bilateral) Water crosses the cell membrane? Osmosis. PED cardiac arrest is most common from? Respiratory arrest. Spleen is located where? LUQ Mother gave birth 24hrs ago, now has sudden onset of chest pain and dyspnea? Pulmonary embolism Rescuer found negligent. com Diust prove? Duty to act. breach of that duty, actual damages, and proximate cause. What retransmits frequency to a higher or different frequency? Repeater. Cant transmit and receive at the same time? Simplex. Oxygen rich blood leaves the pulmonary veins and goes in to the? Left Atrium. Sympathetic Nervous System does? Vasoconstriction and sphincter constriction. 2 Medics at MCI, first on scene finds 2Oyo in cardiac arrest, back-up 20 mins away. What do you do? Continue triage. SQ EPI for? "Mild" allergic reaction, (IV EPI would be used for anaphylaxic shock). Ph above 7.45? Alkalosis Body's tendency to stay constant? Homeostasis. Body's principal buffer? Bicarbonate.