Medical Emergencies FISDAP Exam
Questions And Answers |Latest 2025 |
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Mechanism of action of Epinephrine - Answer✔Alpha 1 (Vasoconstriction), Alpha 2 regulates
Alpha 1, Beta 1 increases the force and frequency of contractions, and Beta 2 Dilates
bronchioles.
Mitigates the effects of anaphylaxis
Pathophysiology of anaphylaxis - Answer✔-severe allergic response
-hypotension, bronchoconstriction, edema of glottis
-On secondary exposure to allergen, antigens attach to the allergen and sends out signals to the
IgE to trigger mast cells and basophils to release histamines (causes systemic reaction)
Differentiate between anaphylaxis and allergic reaction - Answer✔-Anaphylaxis is a systemic
reaction and can be life threatening
-Allergic reactions are localized to where the allergy occurred (bee stings, poison ivy, etc.)
Differentiate between seizure phases - Answer✔Preictal: the signs and symptoms before a
patient has a seizure
Ictal: the seizure
Postictal: the recovery phase after the seizure
Phases of tonic-clonic seizure - Answer✔-The "Aura" phase (sensory stimuli that tells pt they
are about to have a seizure)
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-Loss of consciousness
-The "Tonic" phase (muscle rigidity)
-the "Hypertonic" phase (hyperextension and rigidity)
-The "Clonic" phase (convulsions)
-Postical (recovery phase)
Treating an actively seizing patient - Answer✔keep the patient safe, move items away from
them and protect their head if possible- get ALS on scene especially if pt has had multiple
seizures or seizures lasting longer then 5 minutes
*collect hx from bystanders and family
Definition of hyperglycemia - Answer✔A BGL >120 mg/dL- can cause altered mental status (can
lead to DKA and HHNS)
Contraindications for administering oral glucose - Answer✔Do not administer to patients who
are unresponsive or unable to respond to and follow commands; give these patients glucagon
instead.
Identifying a stroke - Answer✔Time is important, so early recognition is key; use the Cincinnati
prehospital stroke scale (F.A.S.T.); check if this is the patient's normal and assess for
neurological deficits.
Indications for checking a BGL - Answer✔Every patient should have a BGL checked. Patients
with altered mental status , rapid change in personality or aggression should have this checked
to rule out potential hypo or hyperglycemia
Pharmacology of Epinephrine - Answer✔given to the patients via an autoinjector; adult dosing
is 0.3-0.5mg (autoinjector is 0.3mg); pediatric dosing is 0.01mg/kg (0.15mg autoinjector)- given
to mediate anaphylaxis symptoms
Signs and symptoms of anaphylaxis - Answer✔flushed skin or hives
generalized edema
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