NREMT Exam Study Guide with Complete Solutions
Most severe dysrhythmia of the heart - Answer✔️✔️-Asystole
Asystole - Answer✔️✔️-indicates no electrical activity in the heart
PEA - Answer✔️✔️-indicates some residual electrical activity within the heart, but
not enough for a pulse
Ventricular fibrillation - Answer✔️✔️-shockable rhythm, heart rhythm problem that
occurs when the heart beats with rapid, erratic electrical impulses. This causes
pumping chambers in your heart (the ventricles) to quiver uselessly, instead of
pumping blood.
Ventricular tachycardia - Answer✔️✔️-shockable rhythm, in which the lower
chambers of your heart (ventricles) beat very quickly because of a problem in your
heart's electrical system.
your heart may not be able to pump enough blood to your body and lungs because
the chambers are beating so fast that they don't have time to properly fill.
Cushing's triad - Answer✔️✔️-Sing of increased intracranial pressure
3 sings
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1. Brachicardia
2. hypertension
3. Altered respirations
After your paramedic partner has intubated an adult cardiac arrest patient, you are
providing ventilations as a firefighter performs chest compressions. When
ventilating the patient, you should? - Answer✔️✔️-Deliver each breathe over 1
second at a rate of 8 to 10 breathes per minute
When an advanced airway is in place, there is no pause in chest compressions to
deliver breaths.
An airway that is not completely obstructed - Answer✔️✔️-encourage to cough,
heimlich is only performed on complete obstructions
Infant respiratory rate - Answer✔️✔️-25-50
Bradycardia - Answer✔️✔️-The condition of having a slow heartbeat, defined as
under 60 beats per minute for an adult.
Hypertension - Answer✔️✔️-progressively increasing systolic blood pressure,
leading to widening pulse pressure
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Mediastinum - Answer✔️✔️-Region in mammals including the thoracic area just not
the lungs, so the heart the trachea, the thymus gland are all included in it
What are the two methods for opening the airway of an unconscious patient?
When would you use one over the other? - Answer✔️✔️-Jaw-thrust and head-tilt
chin-lift
spine injury
What is the main complication of suctioning the airway for more than 10 seconds?
- Answer✔️✔️-Could lead to hypoxia
What flow rate for a nasal cannula and when should it be used - Answer✔️✔️-Flow
rate: 1-6 lpm
When it's used: Nasal cannulas are used to deliver oxygen when a low flow, low or
medium concentration is required, and the patient is in a stable state.
When should you use a NRM and at what flow rate? - Answer✔️✔️-Use when
patent needs oxygen but can breath on their own and is getting sufficient tidal
volume and O2 percent, flow rate of 10-15 lpm
When should you use a bag-valve mask and at what flow rate? - Answer✔️✔️-Use
when patient is unconscious and not breathing adequately or isn't getting enough
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O2 or has stopped breathing, use 10-15 lpm, if patient is breathing less than 12
times a min or more than 24 use BVM and check to see if it's working by looking
at rise and fall of chest
How would you ventilate a patient who has a Stoma? - Answer✔️✔️-If there is a
tracheostomy tube in place put the BVM on that and ventilate (after taking mask
off) if no tube put a special mask over the stoma and if you don't have a special
tracheostomy stoma mask use a child or infant BVM mask
cover nose and mouth
What is the medicine inside an MDI and how does it work? - Answer✔️✔️-A
metered-dose inhaler (MDI) is a device that delivers a specific amount of
medication to the lungs, in the form of a short burst of aerosolized medicine that is
usually self-administered by the patient via inhalation.
Medications are things like Bronchodilators like albuterol
What are the indications of a MDI? - Answer✔️✔️-patients with known COPD or
asthma with acute exacerbations.
patients without known respiratory disease who exhibit expiratory wheezing.
must be prescribed