medical paramedic fisdap Exam 2022

petite mal seizures are also know as - ANSWER absence seizures present with little or no movement What type of seizure pertains a limited portion of the brain? - ANSWER partial seizure can be localized to one side of the brain What are the management of a seizure? - ANSWER If trauma is noted c-spine precaution Check blood sugar(treat it) Provide ventilatory assistance(apnea) Prepare to intubate, if difficult to bvm assistance Benzodiazepine versed (midazalom) A patient who is experiencing a seizure greater than 4-5 minutes or consecutive seizures without return to consciousness is experiencing what kind of seizure ? - ANSWER Staus epilepticus prepare to give a benzodiazepines such as Midazolam, ask bystanders if patient had taken anti seizure meds. You respond to a home of a patient who is experiencing facial drooping to the left side of his face with slurred speech patient is alert and oriented with equal grips and pushes, what type of medical emergency is this patient experiencing? - ANSWER Bells palsy Bell's palsy is a viral infection. Bell's palsy is a condition in which the muscles on one side of the face become weak or paralyzed, may present with Stoke like symptoms Treating a patient with internal bleeding patient may present with cool clammy skins with a low blood pressure - ANSWER Treat for hypovolemic shock. O2, blanket, rapid transport, IV fluids 12 lead monitor (VOMIT) s/s of upper GI bleed - ANSWER Melena - black tarry sticky odorous stool and blood blended together into one substance; blood cannot be distinguished from stool s/s of lower GI bleed - ANSWER hematochezia (bright red blood)- stool and blood are incorporated together into the same substance, yet are easily distiguished from each other portal hypertension causes pg (1183) - ANSWER esophageal varices S/S of esophageal varices (pg, ) - ANSWER signs of liver disease fatigue weight loss jaundice anorexia edematous abdomen pruritus(sever itching of the skin) abdominal pain nausea/vomiting s/s of rupture of varices - ANSWER pt will report of an abrupt onset of discomfort in the throat, may have severe dysphagia, vomiting bright red blood (hematemesis),hypotension, and signs of shock. patients who have liver disease. General management for upper gi bleed of esophageal varices - ANSWER Fluid resuscitation aggressive suctioning s/s of peptic ulcer disease(upper gi bleed) - ANSWER experience epigastrium that subsides or disminished immediately after eating pain is described as: burning or gnawing Nausea/Vomiting belching and heart burn are common In peptic ulcer disease, If erosion is sever what other symptoms may be present? - ANSWER Upper Gastric bleeding can occur w/ a result of vomiting bright red blood(hematemesis) and Melena (dark tarry stools) Management for peptic ulcer disease - ANSWER Orthostatic vital signs Transpot IV fluids You respond to a home of a patient who's complains of heart burn and was experience epigastrium that subsides or disminished immediately after eating. what is this patient most experiencing? - ANSWER peptic ulcer disease You respond to a home of a female complains of the worst headache ever what is the best appropriate treatment? - ANSWER Pain management Morphine and Transport remember to treat immediately for stroke like symptoms Treatments for GI bleeds - ANSWER Orthostatic vital signs Transpot IV fluids What is the structural of alters mental status? - ANSWER icp, Hemorrhage S/S of abdominal infection - ANSWER Orthostatic vital signs Transpot IV fluids S/S of Urinary tract infection - ANSWER painful urination urges to urinate difficulty urinate visceral discomfort extreme burning pain especially during urination the pain may be localized in the pelvis bladder pain in woman prostate pain in men pain can referred pain to the shoulder or neck restless and uncomfortable S/S of kidney stones - ANSWER flank pain migrates forwards the groin blood in the urine (hematuria) agitated and restless pacing and moving about attempting to relieve the pain or motionless and guard the abdomen Kidney stone management - ANSWER position of comfort anagelesia medication (morphine) pain control IV fluids rehydration(hydration) patients may have signs and symptoms of a UTI s/s of acute kidney injury - ANSWER dehydration (decreased urine output) flank pain cool, pale, moist generalized edema acid build up metabolic waste in the blood volume overload hyperkalemia uremia metabolic acidosis tachycardia acid base imbalance S/S of HHNK hyperosmolar hyperglycemia nonketotic coma - ANSWER type 2 diabetics hyperglycemia Altered, drowsiness, and lethargy severe dehydration, thirst, dark urine visual or sensation deficits partial paralysis or muscle weakness seizures. Assessment HHNKS (hyperglycemia hyperosmolar nonketotic coma) - ANSWER does not experience ketoacidosis BGL higher than DKA pt S/S of thyroid storm - ANSWER rare life threatening condition that may occur in patients with thyrotoxicosis. you respond to a home of a patient who ingested unknown substance? what should you do? - ANSWER call poison control you respond to a patient who present patient who present with lip swelling and drooling present with? - ANSWER epiglottis A patient who overdosed on oxycontin will present with what kind of pupils ? - ANSWER Constricted pupils S/S of sickle cell crisis - ANSWER *Acute abdominal pain* (most common) Fever Severe leg pain Hot/swollen joints Board-like abdomen with no bowel sounds Sob signs of pneumonia inadequate perfusion hypotension you respond to a home of a pat who has a history of sickle cell patient is complains of leg pain that has progressively getting worst patient leg is hot to the touch what condition right this patient is experiencing? - ANSWER DVT- Sickling of red cells can increase blood coagulation and induce an increased risk of blood clot in a deep vein (DVT) Side effects of an ACE inhibitor (immunology)?? - ANSWER treatment for anaphylaxis???? immunology - ANSWER s/s of an infection????? immunology - ANSWER fever, increased pulse, malaise, anorexia, nausea, vomiting, enlarged lymph nodes, respiratory waste neurological emergency ch 18 s/s of a stroke ???? - ANSWER s/s of joint inflammation ch 18???? - ANSWER arthritis s/s of elderly abuse - ANSWER delusion???? - ANSWER toxicology tx for airway burns????? - ANSWER oxygen TX for opiod OD - ANSWER narcan cocaine overdose symptom treatment? - ANSWER Acute coronary algorithm Rhythmic jerking motion is what type of seizure ? - ANSWER tonic clonic respond to a high school gym where a girl found in the bathroom after a volley ball game with a history of diabetes who present with cool and clammy skins with a BGL at 20 who is combative, what condition is this patient most likely is experiencing? - ANSWER hypoglycemia A patient who is a acute renal failure pt with respiration at 4 breaths per min???? ch 21 - ANSWER What is a side effect of an Ace inhibitor overdose??? - ANSWER Difficult breathing with hives????? - ANSWER Transport, Epi IM, IV access Overdose on antidepressants? - ANSWER respond to a patient who inhaled ammonia after running out from the building? - ANSWER upwind you are transporting female who complain of abdominal pain, pt begins to vomit blood, what is the appropriate treatment? - ANSWER check airway and suction Lady with blisters on her lips and tongue what should you do ? - ANSWER prepare to intubate