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EMS 1055 Final exam study guide University of Florida | UPDATED Questions with 100% Verified Answers

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EMS 1055 Final exam study guide University of Florida | UPDATED Questions with 100% Verified Answers

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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

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