AMLS Final
What do you do for pin point pupils and low respirations?
Manage airway first, then give Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do
first?
Suction their airway
COPD and Pulmonary Emphysema patients usually have a history of what?
AFib
What does AFib cause?
Blood clots, which cause an increase risk for pulmonary embolisms
What is the Renin-Angiotensin-Aldosterone system?
Body's response to low BP. Renin, which is released primarily by the kidneys,
stimulates the formation of angiotensin in blood and tissues, which in turn stimulates the
release of aldosterone from the adrenal cortex. This causes the body to retain water
and increase BP.
What are the signs and symptoms of a pulmonary embolism?
Sudden onset, SOB, chest pain, increased HR & RR, cool pale clammy skin, pink tinged
sputum
What are the risk factors for a pulmonary embolism?
Bed ridden pt., trauma or surgical pt., prolonged sitting, recent c-section or traumatic
delivery, <40 y/o taking oral contraceptives, smokers
What causes respiratory alkalosis?
Increased O2
Decreased CO2
What causes respiratory acidosis?
Decreased O2
Increased CO2
What causes metabolic acidosis?
Kidneys aren't removing enough acid from the body, so there is a build up. RR
increases to blow off excess.
What are signs and symptoms of pericarditis?
sharp pain, fever, and ST elevation in ALL leads
In pericarditis, what leads have ST elevation?
All of them
What is the physiological event that comes from anaphylaxis?
Vasodilation, swelling, itching
How does ARDS effect the alveoli and capillaries?
Fluids build up in the alveoli, causing less oxygen exchange at the capillaries
What patients do CPAP work best on?
COPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline?
Isotonic crystalloid solution
What drug do you give to an organophosphate poisoning?
, Atropine
What do you give a patient who is actively seizing?
Versed or Valium
What is another name for Versed?
Midazolam
If a patient with low blood sugar is actively seizing, which do you fix first?
the seizing, then treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure?
treat what caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning?
SLUDGE
What type of breathing do you get with DKA?
Kussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome
(HHNS)?
No
Anytime you see the word anxiety what type of respiratory problem do they have?
Respiratory Alkalosis
What is the problem with your lung compliance the older you get?
It decreases and becomes more brittle
What is Proximal Nocturnal Dyspnea?
Can't lay down at night without getting shortness of breath
What patients generally have PND?
CHF
What is another name for CHF?
Left sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake,
orthostatic hypotension, and increased urination
THINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm,
dry skin?
DKA
Can an infection increase your temperature?
Yes
Can an infection increase your blood sugar?
Yes
If you are a diabetic with an infection, what are you more likely to go into?
DKA
If I have a fever, HR through the roof, tremors, low BP, and a history of Grave's
Disease, how do i manage this?
Fluids, continuous 12 lead monitoring, Beta Blockers
What happens to Bicarb in metabolic acidosis?
Increases
What happens to pH in metabolic acidosis?
Decreases
What happens to CO2 in metabolic acidosis?
What do you do for pin point pupils and low respirations?
Manage airway first, then give Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do
first?
Suction their airway
COPD and Pulmonary Emphysema patients usually have a history of what?
AFib
What does AFib cause?
Blood clots, which cause an increase risk for pulmonary embolisms
What is the Renin-Angiotensin-Aldosterone system?
Body's response to low BP. Renin, which is released primarily by the kidneys,
stimulates the formation of angiotensin in blood and tissues, which in turn stimulates the
release of aldosterone from the adrenal cortex. This causes the body to retain water
and increase BP.
What are the signs and symptoms of a pulmonary embolism?
Sudden onset, SOB, chest pain, increased HR & RR, cool pale clammy skin, pink tinged
sputum
What are the risk factors for a pulmonary embolism?
Bed ridden pt., trauma or surgical pt., prolonged sitting, recent c-section or traumatic
delivery, <40 y/o taking oral contraceptives, smokers
What causes respiratory alkalosis?
Increased O2
Decreased CO2
What causes respiratory acidosis?
Decreased O2
Increased CO2
What causes metabolic acidosis?
Kidneys aren't removing enough acid from the body, so there is a build up. RR
increases to blow off excess.
What are signs and symptoms of pericarditis?
sharp pain, fever, and ST elevation in ALL leads
In pericarditis, what leads have ST elevation?
All of them
What is the physiological event that comes from anaphylaxis?
Vasodilation, swelling, itching
How does ARDS effect the alveoli and capillaries?
Fluids build up in the alveoli, causing less oxygen exchange at the capillaries
What patients do CPAP work best on?
COPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline?
Isotonic crystalloid solution
What drug do you give to an organophosphate poisoning?
, Atropine
What do you give a patient who is actively seizing?
Versed or Valium
What is another name for Versed?
Midazolam
If a patient with low blood sugar is actively seizing, which do you fix first?
the seizing, then treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure?
treat what caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning?
SLUDGE
What type of breathing do you get with DKA?
Kussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome
(HHNS)?
No
Anytime you see the word anxiety what type of respiratory problem do they have?
Respiratory Alkalosis
What is the problem with your lung compliance the older you get?
It decreases and becomes more brittle
What is Proximal Nocturnal Dyspnea?
Can't lay down at night without getting shortness of breath
What patients generally have PND?
CHF
What is another name for CHF?
Left sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake,
orthostatic hypotension, and increased urination
THINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm,
dry skin?
DKA
Can an infection increase your temperature?
Yes
Can an infection increase your blood sugar?
Yes
If you are a diabetic with an infection, what are you more likely to go into?
DKA
If I have a fever, HR through the roof, tremors, low BP, and a history of Grave's
Disease, how do i manage this?
Fluids, continuous 12 lead monitoring, Beta Blockers
What happens to Bicarb in metabolic acidosis?
Increases
What happens to pH in metabolic acidosis?
Decreases
What happens to CO2 in metabolic acidosis?
