EMS 1055 Final exam study guide University of Florida | UPDATED
Questions with 100% Verified Answers
Question:
How to read blood pressure
Answer:
Top number: systolic pressure (heart's ventricles contract)
Bottom number: diastolic pressure (heart's ventricles are relaxed)
Question:
carotid pulse
Answer:
the pulse felt along the large carotid artery on either side of the neck. Blood pressure is
at least 60 systolic
Question:
femoral pulse
Answer:
Pulse felt on either side of the groin; Femoral artery. blood pressure is at least 70 systolic.
Question:
brachial pulse
Answer:
the pulse felt in the upper arm. (often used for infants.)
Question:
radial pulse
Answer:
the pulse felt at the wrist. blood pressure is at least 80 systolic.
Question:
pedal pulse
Answer:
,The pulse rate obtained on the top of the foot. blood pressure is at least 90-100 systolic
Question:
types of shock
Answer:
cardiogenic, neurogenic, septic, anaphylactic, hypovelimic, obstructive(mechanical),
insulin (pseudo)
Question:
shock
Answer:
lack of perfusion at the cellular level
Question:
general signs and symptoms of shock
Answer:
-skin:pale, cool, diaphoretic
-anxiety
-impending doom
-altered LOC
-dilated pupils
-sustained tachycardia
-tachypnea
-decreased urine output
-thirst
-delayed capillary refill
Question:
general treatment in shock
Answer:
-high flow oxygen
-trendelenberg position
-keep warm
-load and go transport
,Question:
cardiogenic shock
Answer:
-most commingly caused by AMI
-other causes: Myocarditis, myocardial contusion
-"pump problem"
-decreased CO leads to hyperfusion
-heart begins to fail
Question:
cardiogenic shock treatment
Answer:
-standard shock treatment applies
-patient may not tolerate supine or trendelenberg position
-transport to cardiac facility critical
Question:
neurogenic shock
Answer:
Circulatory failure caused by paralysis of the nerves that control the size of the blood
vessels, leading to widespread dilation; seen in patients with spinal cord injuries.
-caused by-
-spinal cord injury above T6
-spinal anesthesia
-vasomotor center depression
-may take hours to appear
symptoms
-skin warm and dry
-bradycardia
-poikilothermia
Question:
septic shock
, Answer:
Shock caused by severe infection, usually a bacterial infection.
-distributive type of shock
-due to infection that becomes systemic
-very common in icu setting
-patients often febrile
-antibiotics are needed to treat infection
-more gradual onset starting with SIRS
Question:
hypovolemic shock
Answer:
shock resulting from blood or fluid loss
Question:
obstructive shock
Answer:
Shock that occurs when there is a block to blood flow in the heart or great vessels,
causing an insufficient blood supply to the body's tissues.
-tension pneumothorax
-pericardial tamponade
Question:
anaphylactic shock
Answer:
-distributive shock
-severe allergic reaction
-onset is quick
-most deaths from people with NKA and no epi pen
-uticaria, wheezes, pruritus
-use epi pen
Question:
insulin shock
Questions with 100% Verified Answers
Question:
How to read blood pressure
Answer:
Top number: systolic pressure (heart's ventricles contract)
Bottom number: diastolic pressure (heart's ventricles are relaxed)
Question:
carotid pulse
Answer:
the pulse felt along the large carotid artery on either side of the neck. Blood pressure is
at least 60 systolic
Question:
femoral pulse
Answer:
Pulse felt on either side of the groin; Femoral artery. blood pressure is at least 70 systolic.
Question:
brachial pulse
Answer:
the pulse felt in the upper arm. (often used for infants.)
Question:
radial pulse
Answer:
the pulse felt at the wrist. blood pressure is at least 80 systolic.
Question:
pedal pulse
Answer:
,The pulse rate obtained on the top of the foot. blood pressure is at least 90-100 systolic
Question:
types of shock
Answer:
cardiogenic, neurogenic, septic, anaphylactic, hypovelimic, obstructive(mechanical),
insulin (pseudo)
Question:
shock
Answer:
lack of perfusion at the cellular level
Question:
general signs and symptoms of shock
Answer:
-skin:pale, cool, diaphoretic
-anxiety
-impending doom
-altered LOC
-dilated pupils
-sustained tachycardia
-tachypnea
-decreased urine output
-thirst
-delayed capillary refill
Question:
general treatment in shock
Answer:
-high flow oxygen
-trendelenberg position
-keep warm
-load and go transport
,Question:
cardiogenic shock
Answer:
-most commingly caused by AMI
-other causes: Myocarditis, myocardial contusion
-"pump problem"
-decreased CO leads to hyperfusion
-heart begins to fail
Question:
cardiogenic shock treatment
Answer:
-standard shock treatment applies
-patient may not tolerate supine or trendelenberg position
-transport to cardiac facility critical
Question:
neurogenic shock
Answer:
Circulatory failure caused by paralysis of the nerves that control the size of the blood
vessels, leading to widespread dilation; seen in patients with spinal cord injuries.
-caused by-
-spinal cord injury above T6
-spinal anesthesia
-vasomotor center depression
-may take hours to appear
symptoms
-skin warm and dry
-bradycardia
-poikilothermia
Question:
septic shock
, Answer:
Shock caused by severe infection, usually a bacterial infection.
-distributive type of shock
-due to infection that becomes systemic
-very common in icu setting
-patients often febrile
-antibiotics are needed to treat infection
-more gradual onset starting with SIRS
Question:
hypovolemic shock
Answer:
shock resulting from blood or fluid loss
Question:
obstructive shock
Answer:
Shock that occurs when there is a block to blood flow in the heart or great vessels,
causing an insufficient blood supply to the body's tissues.
-tension pneumothorax
-pericardial tamponade
Question:
anaphylactic shock
Answer:
-distributive shock
-severe allergic reaction
-onset is quick
-most deaths from people with NKA and no epi pen
-uticaria, wheezes, pruritus
-use epi pen
Question:
insulin shock