EMT Final Exam Questions And Answers

What is the Preferred Order for PPV (AHA) - ANS 1. Pocket Mask 2. Two-Person BVM 3. FROPVD 4. One-Person BVM Lungs - ANS Pleura membrane Visceral Pleura Parietal Pleura Pleural Fluid Pleural Space Minute Volume - ANS MV=TV X RR If adequate-NRB or NC ok (or even CPAP) If inadequate- PPV (pocket mask, 2-person BVM) NRB - ANS 10-15 LPM 90% O2 Severe SOB NC - ANS 2-6 LPM 24-44% O2 Mild-Mod SOB PPV - ANS (after airway) if breathing inadequate LOC RR X TV BVM - ANS 2 person FRVOD - ANS Flow restricted oxygen powered ventilation device Provides 100% O2 Cushings Triad - ANS Widening pulse pressure (Hypertension) Bradycardia Respiratory Changes Routes of Administration (pharmacology) - ANS IM- intramuscular into muscle IO- intraosseous into bone marrow SC- subcutaneous into tissue between skin and muscle 6 patient rights - ANS Right Patient Right Medication Right Route Right Time Right Documentation DICE - ANS Drug, dose, Dr. Prescribed Integrity Color, concentration, clarity Expiration date Indications and Contraindications - ANS Indications- reasons to give meds Contraindications- reasons NOT to give the med Common California and LA County Medications - ANS Oxygen Glucose Epinephrine Albuterol Nitroglycerine Aspirin Narcan Steps to Prescribed Medication Administration - ANS Run Primary Assessment Run Secondary Assessment (history, physical,vitals) Indications Contraindications Orders (online, Offline) DICE Properly Administer Document Time and Route Reassess Which of the following medical emergencies would most likely result in the use of epinephrine? - ANS A. Cardiac Arrest B. Bee Sting * C. Status Epilepticus D. Slow Heart Rate Alpha - ANS Constriction increases PVR Beta - ANS Cardiac effects rate force conduction speed irritability CO=HR X SV BP=CO X PVR BP=HR X SV X PVR Contraindications for Nitroglycerin - ANS 5- Last dose was less than 5 minutes 3- Maximum dose has already been taken (3 doses) B- BP less than 100 systolic A- ALOC S- Sexual enhancement drug within 48-72 hours H- Head injury Formula for cardiac output - ANS Cardiac Output= SV X HR The electrical impulse generated by the heart originates in the: - ANS Sinoatral node (SA node) Major arteries - ANS aorta carotids brachial radial ulnar femoral Major veins - ANS superior and inferior vena cava jugular subclavian femoral