UCLA Final Exam Questions with Complete
Solutions
Seizures - protect them from harm
- maintain a clear airway
- administer O2 as quickly as possible
status epilepticus
- seizures lasting longer than 5 minutes
- suction airway
- provide BVM
- transport quickly
Operating an AED - stand clear when the AED is analyzing
- stop cpr
- verbalize clear
,if shock is advised
- verbalize "clear"
- administer shock
- resume cpr
- Vfib/Vtach shockable rhythms
- patient is in water dry off chest before applying pads
Cardiogenic shock -state in which not enough O2 is delivered to the tissues of the body
-caused by low output of blood from the heart
-it can be a severe complication of a large acute myocardial infarction
-chest pain
-irregular/weak pulse
-low bp
-cyanosis
,-anxiety
-crackles (rales)
-pulmonary edema
- history of COPD
- should not take nitro
- better when the patient is sitting up
Signs and symptoms of impending cardiac arrest - usually occurs with no warning
- fatigue
- fainting
- blackouts
- dizziness
- chest pain
- shortness of breath
Nitro indications/contradictions - non traumatic chest pain
, - Bp<100
- max 3 doses
- ED meds within the last 48 hours
- head trauma
- may cause hypotension
- dose less than 5 minutes prior to your arrival
Treatment of unstable angina - crushing, squeezing chest pain
- feels like theres someone sitting on my chest
- aspirin/transport
- provide oxygen therapy
- reduce the patients O2 demand
Components of quality improvement - is a circular system of continuos internal and
external reviews and audits of all aspects of an EMS system
Solutions
Seizures - protect them from harm
- maintain a clear airway
- administer O2 as quickly as possible
status epilepticus
- seizures lasting longer than 5 minutes
- suction airway
- provide BVM
- transport quickly
Operating an AED - stand clear when the AED is analyzing
- stop cpr
- verbalize clear
,if shock is advised
- verbalize "clear"
- administer shock
- resume cpr
- Vfib/Vtach shockable rhythms
- patient is in water dry off chest before applying pads
Cardiogenic shock -state in which not enough O2 is delivered to the tissues of the body
-caused by low output of blood from the heart
-it can be a severe complication of a large acute myocardial infarction
-chest pain
-irregular/weak pulse
-low bp
-cyanosis
,-anxiety
-crackles (rales)
-pulmonary edema
- history of COPD
- should not take nitro
- better when the patient is sitting up
Signs and symptoms of impending cardiac arrest - usually occurs with no warning
- fatigue
- fainting
- blackouts
- dizziness
- chest pain
- shortness of breath
Nitro indications/contradictions - non traumatic chest pain
, - Bp<100
- max 3 doses
- ED meds within the last 48 hours
- head trauma
- may cause hypotension
- dose less than 5 minutes prior to your arrival
Treatment of unstable angina - crushing, squeezing chest pain
- feels like theres someone sitting on my chest
- aspirin/transport
- provide oxygen therapy
- reduce the patients O2 demand
Components of quality improvement - is a circular system of continuos internal and
external reviews and audits of all aspects of an EMS system
