AMLS Study Guide (A+ Guaranteed)

Signs and Symptoms of Acute Myocardial Infarction correct answers Obstruction of coronary artery by clot or thrombus. Signs and Symptoms or the same as Acute Coronary Syndrome. nSudden onset of chest pain, often described as pressure and heaviness. Radiates to arm and or jaw. Also likely to have shortness of air, diaphoresis, pale, mottled, cool skin, weakness, lightheaded, nausea, vomitting, and or impending feeling of doom. page 197 Treatment of Acute Myocardial Infarction correct answers The accronym MONA is often used to remind us of treatment. nMorphine, Oxygen, Nitro, ASA. Not particular in order. Oxygen and ASA are the only two prehospital treatments to show improve survival rates. page 200 Signs and Symptoms of Anaphylaxis correct answers Hypersensitivity response with hypotensive, dyspnea, wheezing, rales, rhonchi, anxiety, urticaria, and pruritus which can begin within mins or 1 hour after exposure. Can cause distributive shock with peripheral vasodilation and relative hypovolemia. page 161 Treatment of Anaphylaxis correct answers Remove allergen and reverse effects. ABCs, epinephrine, corticosteroids, and benadryl. Epi binds with Alpha and Beta receptors increasing BP, heart rate, and bronchodilation. Benadryl blocks H1 providing relief of symptoms. page 163 Signs, Symptoms and Treatment of Angina Pectoris correct answers Chest pain 2nd to inadequate blood supply from a narrowed coronary artery blockage. Stable angina comes and goes with exercies or stress, and only last 3 to 5 mins, possibly up to 15 mins. Relieved by rest or nitro. Unstable last longer than usual, and may be caused by coronary spasms. May lead to AMI. nTreatment is same as AMI, CAS, in prehospital with MONA. page 195-196 Signs and Symptoms of Appendicitis correct answers Pain localizied to right lower quadrant or right lower back. Pain classically begins in the periumbilical region than becomes more localized to RLQ and worse. Positive psoas sign or streatching increases pain. Other signs are fever, nausea, and vomiting. nTreatment prehospital includes pain control and antimetics. page 269 Signs, Symptoms and Treatment of Asthma correct answers Dyspnea, wheezing or absent lung sounds, chest tightness, cough, signs URI such as rhinorhea, congestion, headache, pharyngitis, and myalgia. nTreatment include inhaled Beta agonist such as Albuterol or Xopenex, subQ epi, and corticosteroids. Mag Sulfate has been shown to control severe exacerbations of asthma given very slowly causing relax smooth bronchial muscles. page 121-122 Signs, Symptoms, and Treatment of Bowel Obstruction correct answers Crampy abdominal pain, constipation or diarrhea, inability to pass flatus, distended abdomen, absent or high-pitched bowed sounds. No specific treatment for bowel obstruction prehospital. page 274 Signs and Symptoms of Carbon Monoxide Poisoning correct answers Depends on concentration and duration of exposure. Typical signs and symptoms are fatigue, headache, myalgia, nausea, voming, shortness of air, syncopal, ataxia, seizures, alter level of consciousness, coma, death. Cherry red skin is a late sign, pallor is more common. page 376