Questions and Answers
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, 1183-1184) - 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