EMS1055 Final Exam with 100%
Correct Answers
How to Read Blood pressure - ANS-Apply a sphygmometer, pump to around 240mmhg
listen to the beginning and end of beats for the systolic and diastolic pressures
Carotid Pulse - ANS-60mmHg SBP
Femoral Pulse - ANS-70mmHg SBP
Radial Pulse - ANS-80mmHg SBP
Pedal Pulse - ANS-90-100mmHg SBP
Anaphylactic Shock - ANS-Type of shock due to an allergic reactions. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, runny nose, lightheadedness, diarrhea,
vomiting, crampy abdominal pain, cough, pain with swallowing, headache, pruritus,
Skin: urticaria, flushing, Delayed capillary refill, Tachypnea, Dilated pupils, Decreasing
SBP, wheezes, stridor. Treatment: High flow Oxygen, Trendelenburg position, keep
warm, load and go transport, assist with Epi Pen
Cardiogenic Shock - ANS-Type of shock due to complications with the heart and or
circulatory system. S/S: Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale,
cool, and diaphoretic, Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated
pupils, Decreasing SBP. Treatment: High flow Oxygen, Trendelenburg position or
position of comfort, keep warm, load and go transport to a cardiac facility
Hypovolemic Shock - ANS-Type of shock that is due to fluid loss in the body, blood or
dehydration. S/S: Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale, cool,
and diaphoretic, Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated
pupils, Decreasing SBP, Fontanelle: sunken, Mucus membranes: Dry. Treatment: High
flow Oxygen, Trendelenburg position, keep warm, load and go transport
Trauma in OB Patients - ANS-high flow oxygen rapidly administered, fetal hypoxia
occurs before maternal hypoxia, fluid administration must me prompt (load and go),
frequently reassess, do not put them in a supine position: results in acute maternal
hypotension and fetal bradycardia, relatively minor abdominal trauma can cause fetal
death, most common cause of fetal death is maternal death
, Results of trauma in OB patient - ANS-Head injury: fetal distress or fetal death,
Uncontrolled hemorrhage: placental abruption and uterine rupture, assess pelvis: pre-
term labor
Indications Of Nitroglycerin - ANS-dyspnea, pressure on chest, suspected AMI or
angina
Contraindications of Nitroglycerin - ANS-has taken a phosphodiesterase (Viagra) or
SBP under 100
OB History - ANS-How far along are you? How many times have you been pregnant?
How many children do you have? Have you ever had an abortion or miscarriage?
AMI - ANS-Levin's Sign, substernal chest pain (pressure and radiates to the neck/jaw
and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea Apply Oxygen, no high
flow unless SPO2 is <94%, Nitroglycerin (in patients SBP is higher than 100 and hasn't
taken phosphodiaesterases
AMI (History IDDM) - ANS-Nausea and Vomitting, no feeling of pain (neuropathy)
Tachycardia, tachypnea Apply Oxygen, no high flow unless SPO2 is <94%,
Nitroglycerin (in patients SBP is higher than 100 and hasn't taken phosphodiaesterases
Unstable Angina - ANS-Levine's Sign, substernal chest pain (pressure and radiates to
the neck/jaw and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea
Nitroglycerin and rest do not help, transport as an AMI patient
Stable Angina - ANS-Levin's Sign, substernal chest pain (pressure and radiates to the
neck/jaw and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea Nitroglycerin
and rest, Transport as an AMI patient
CVA - ANS-Facial drooping, arm weakness, speech difficulty, headache, tinnitus,
dysphagia (difficulty swallowing), dysphasia (difficulty with speech), Diplopia (double
vision), Photophobia Confusion, Dysdiadochokinesia, pronator drift, Pupils (bilateral
Dilated), Positive FAST exam FAST exam and detailed neuro assessment, Stroke alert
and transport immediately in a 30 degree Semi-fowlers
Hyperglycemia - ANS-Weight Loss. Hunger (polyphagia), Thirst (polydipsia), Frequent
urination (polyuria), Hyperventilation, Nausea BGL <7.0 mmol/l (126mg/dL) [Fasting]
BGL <11.0 mmol/L (200 mg/dL) [2 hours after a meal], Acetone Breath, Skin pale, cool,
and diaphoretic, altered mentation If patient can swallow: oral glucose or juice with
added sugar (MUST EAT AFTERWARDS), Can not swallow: Immediate transport, (will
need IV glucose)
DKA - ANS-(PMH: Type I Diabetic) 3 P's: Polydipsia, Polyuria, Polyphagia,
Nausea/Vomiting, Abdominal Pain, Leg cramps, Headache BGL >250 md/dL, Low
Correct Answers
How to Read Blood pressure - ANS-Apply a sphygmometer, pump to around 240mmhg
listen to the beginning and end of beats for the systolic and diastolic pressures
Carotid Pulse - ANS-60mmHg SBP
Femoral Pulse - ANS-70mmHg SBP
Radial Pulse - ANS-80mmHg SBP
Pedal Pulse - ANS-90-100mmHg SBP
Anaphylactic Shock - ANS-Type of shock due to an allergic reactions. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, runny nose, lightheadedness, diarrhea,
vomiting, crampy abdominal pain, cough, pain with swallowing, headache, pruritus,
Skin: urticaria, flushing, Delayed capillary refill, Tachypnea, Dilated pupils, Decreasing
SBP, wheezes, stridor. Treatment: High flow Oxygen, Trendelenburg position, keep
warm, load and go transport, assist with Epi Pen
Cardiogenic Shock - ANS-Type of shock due to complications with the heart and or
circulatory system. S/S: Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale,
cool, and diaphoretic, Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated
pupils, Decreasing SBP. Treatment: High flow Oxygen, Trendelenburg position or
position of comfort, keep warm, load and go transport to a cardiac facility
Hypovolemic Shock - ANS-Type of shock that is due to fluid loss in the body, blood or
dehydration. S/S: Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale, cool,
and diaphoretic, Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated
pupils, Decreasing SBP, Fontanelle: sunken, Mucus membranes: Dry. Treatment: High
flow Oxygen, Trendelenburg position, keep warm, load and go transport
Trauma in OB Patients - ANS-high flow oxygen rapidly administered, fetal hypoxia
occurs before maternal hypoxia, fluid administration must me prompt (load and go),
frequently reassess, do not put them in a supine position: results in acute maternal
hypotension and fetal bradycardia, relatively minor abdominal trauma can cause fetal
death, most common cause of fetal death is maternal death
, Results of trauma in OB patient - ANS-Head injury: fetal distress or fetal death,
Uncontrolled hemorrhage: placental abruption and uterine rupture, assess pelvis: pre-
term labor
Indications Of Nitroglycerin - ANS-dyspnea, pressure on chest, suspected AMI or
angina
Contraindications of Nitroglycerin - ANS-has taken a phosphodiesterase (Viagra) or
SBP under 100
OB History - ANS-How far along are you? How many times have you been pregnant?
How many children do you have? Have you ever had an abortion or miscarriage?
AMI - ANS-Levin's Sign, substernal chest pain (pressure and radiates to the neck/jaw
and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea Apply Oxygen, no high
flow unless SPO2 is <94%, Nitroglycerin (in patients SBP is higher than 100 and hasn't
taken phosphodiaesterases
AMI (History IDDM) - ANS-Nausea and Vomitting, no feeling of pain (neuropathy)
Tachycardia, tachypnea Apply Oxygen, no high flow unless SPO2 is <94%,
Nitroglycerin (in patients SBP is higher than 100 and hasn't taken phosphodiaesterases
Unstable Angina - ANS-Levine's Sign, substernal chest pain (pressure and radiates to
the neck/jaw and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea
Nitroglycerin and rest do not help, transport as an AMI patient
Stable Angina - ANS-Levin's Sign, substernal chest pain (pressure and radiates to the
neck/jaw and/or left arm, SOB, nausea/vomiting Tachycardia, tachypnea Nitroglycerin
and rest, Transport as an AMI patient
CVA - ANS-Facial drooping, arm weakness, speech difficulty, headache, tinnitus,
dysphagia (difficulty swallowing), dysphasia (difficulty with speech), Diplopia (double
vision), Photophobia Confusion, Dysdiadochokinesia, pronator drift, Pupils (bilateral
Dilated), Positive FAST exam FAST exam and detailed neuro assessment, Stroke alert
and transport immediately in a 30 degree Semi-fowlers
Hyperglycemia - ANS-Weight Loss. Hunger (polyphagia), Thirst (polydipsia), Frequent
urination (polyuria), Hyperventilation, Nausea BGL <7.0 mmol/l (126mg/dL) [Fasting]
BGL <11.0 mmol/L (200 mg/dL) [2 hours after a meal], Acetone Breath, Skin pale, cool,
and diaphoretic, altered mentation If patient can swallow: oral glucose or juice with
added sugar (MUST EAT AFTERWARDS), Can not swallow: Immediate transport, (will
need IV glucose)
DKA - ANS-(PMH: Type I Diabetic) 3 P's: Polydipsia, Polyuria, Polyphagia,
Nausea/Vomiting, Abdominal Pain, Leg cramps, Headache BGL >250 md/dL, Low
