West Coast EMT Final Prep – Medical questions and solutions

West Coast EMT Final Prep – Medical questions and
solutions

Assessing a diabetic patient - answersScene safety:be aware of syringes and insulin bottles lying around. General
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impression: Look for ALOC, remember any unresponsive patient request ALS, hypoglycemic are mean drunks
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whereas hyperglycemic are restless with fruity breaths. Airway & breathing: Provide high flow oxygen 12-15 L/min
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via nonrebreathing mask. Hyperglycemic will have Kussmaul respirations, deep/rapid respirations. Provide any
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intervention necessary for airway. Circulation: Rapid,weak pulses, Look for skin signs of hyperglycemic or
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hypoglycemic (cool and clammy give them candy, hot and dry sugar high). History: Assess the 3P's: polyuria,
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polydipsia, polyphagia. Medications - insulin, Glucometer nearby, Last oral/Events - missed insulin or snacking for
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hyperglycemic patients, too much insulin or skipped a meal for hypoglycemic.
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Assessing a patient with possible hazardous material exposure - answersDetermine level of toxicity of hazardous
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materials and have appropriate BSI/PPE - SCBA or HEPA mas. Only treatment within hazard zone/decontaminatio
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zone include pressure dressings to control bleeding. Once in treatment area, be cautious of trauma, harm due to
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exposure of toxic hazardous substances, and early airway intervention. Assess like a regular patient.
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Assessing and treating special populations - answers... nk nk nk nk nk nk




Communicating with a patient with a psychological disorder - answers... nk nk nk nk nk nk nk nk nk




Complications of oral glucose administration - answersInability to swallow and maintain airwaynk nk nk nk nk nk nk nk nk nk nk




Indications for oral glucose administration - answersConscious/altered, able to swallow, and maintain airway.
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Initial assessment of a medical patient - answers...
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Questions to ask when assessing a medical patient - answers... nk nk nk nk nk nk nk nk nk




Side effects of epinephrine - answersIncreased sympathetic nervous system including increased heart rate and
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breathing rate. Dizziness, headache, sweating, nausea, and pale skin.
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Signs and symptoms of hyperglycemic event - answersHot and dry, Kussmaul respirations, sweet breath odor,
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anxious, polyuria, polydipsia, polyphagia
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Signs and symptoms of an anxiety attack - answers...
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Signs and symptoms of an electrical injury - answersSmall entrance, deep tissue damage.
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Signs and symptoms of an overdose - answersOpioids (heroin,oxycodone) - pinpoint pupils, hypotension,
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hypoventilation/respiratory arrest, coma. Sympathoimmetrics( epinephrine, cocaine, methamphetamine)- dilated
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pupils, hypertension,tachycardia, hyperthermia. Sedative-hypnotics (diazepam/valium) - slurred speech,
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hypoventilation. Anticholinergic (atropine) - tachycardic, hyperthermia, hypertension. Cholinergic (nerve gas) -
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defacation, lacrimation, airway compromise.
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Signs and symptoms of a heat stroke - answersRed hot dry skin, throbbing head ache, lack of sweat despite heat,
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nausea/vomiting, rapid heart back, and rapid/shallow breathing
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