COMMUNITY PARAMEDICINE CORRECT
100%
social determinants of health - ANSWER conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
health care delivery system gap analysis - ANSWER identifies potential gaps in the
local health care system during a meeting that may include local health care stake
holders.
community health assessment - ANSWER formal assessment of the health
demographics and health status of the residence in a community performed by local
public health department/stakeholders
web of resources - ANSWER a collection of the outreach services available, cataloged
and referenced by type, geography, eligibility, and hours of operation
Four dimensions of culture - ANSWER individualism, power distance, masculinity,
conflict style
medication reconciliation - ANSWER A procedure to maintain an accurate and up-to-
date list of medications for all patients between all phases of health care delivery.
BMP - ANSWER glucose, BUN, creatinine & electrolytes; measures BGL, kidney
function, blood acid-base balance
ABG - ANSWER analysis of the gases in the blood; used to determine the effectiveness
of the lungs in exchanging gases
Pco2, Po2, bicarb, Ph
CBC (complete blood count) - ANSWER a set of tests that include all WBC, RBC and
platelet measurements.
RBC: 3.9-5.5
hemoglobin Males 14-18; females 12-16
hematocrit males 45-52% females 37-48%
platelets 150-350 X10(3)
WBC: 4500-11000
D-dimer - ANSWER protein fragment made when a blood clot dissolves in the body.
(DVT,PE,CVA,DIC)
Normal: <0.50
, Positive: <0.50
BNP - ANSWER B-type natriuretic peptide; used to diagnose CHF, secreted by
ventricles of heart due to excessive stretching.
>400 moderate/severe
>/=200 - </=400 moderate
> normal but less than 200 compensated
INR - ANSWER International normalized Ratio
0.8-1.1
on warfarin/coumadin: 2-3
HbA1c - ANSWER measure average BGL over 2-3 months
4-5.6% normal
5.7-6.4% diabetic risk
>6.5% diabetus
normal physiological changes associated with age include coordination and balance.
What would be the best intervention you could use to best help the patient? - ANSWER
spend more time teaching fall precautions
30yo female presents to the community health program for excessive Ems utilization
with a primary complaint of needing vitals checked.
She relates the medications prescribed are "poisoning her", she was living in a group
home but was asked to leave after becoming aggressive with other residents. you
should: - ANSWER refer the patient to mental health
when performing your comprehensive history and physical exam, what series of
information would be most consistent with the patients diagnosis of heart failure? -
ANSWER use of beta blockers, nocturnal dyspnea, and fine rales at the bases of the
lungs
infectious diseases are a result of an interaction between an agent, a host, and the
_____ - ANSWER enviornment
The community needs assessment is a process whereby a community paramedic cane
- ANSWER determine the specific needs in a particular system
What lab value would indicate someones likeliness to heal? - ANSWER albumin
A1C at 6.0:
at risk or diabetic - ANSWER at risk (5.7-6.4)
100%
social determinants of health - ANSWER conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
health care delivery system gap analysis - ANSWER identifies potential gaps in the
local health care system during a meeting that may include local health care stake
holders.
community health assessment - ANSWER formal assessment of the health
demographics and health status of the residence in a community performed by local
public health department/stakeholders
web of resources - ANSWER a collection of the outreach services available, cataloged
and referenced by type, geography, eligibility, and hours of operation
Four dimensions of culture - ANSWER individualism, power distance, masculinity,
conflict style
medication reconciliation - ANSWER A procedure to maintain an accurate and up-to-
date list of medications for all patients between all phases of health care delivery.
BMP - ANSWER glucose, BUN, creatinine & electrolytes; measures BGL, kidney
function, blood acid-base balance
ABG - ANSWER analysis of the gases in the blood; used to determine the effectiveness
of the lungs in exchanging gases
Pco2, Po2, bicarb, Ph
CBC (complete blood count) - ANSWER a set of tests that include all WBC, RBC and
platelet measurements.
RBC: 3.9-5.5
hemoglobin Males 14-18; females 12-16
hematocrit males 45-52% females 37-48%
platelets 150-350 X10(3)
WBC: 4500-11000
D-dimer - ANSWER protein fragment made when a blood clot dissolves in the body.
(DVT,PE,CVA,DIC)
Normal: <0.50
, Positive: <0.50
BNP - ANSWER B-type natriuretic peptide; used to diagnose CHF, secreted by
ventricles of heart due to excessive stretching.
>400 moderate/severe
>/=200 - </=400 moderate
> normal but less than 200 compensated
INR - ANSWER International normalized Ratio
0.8-1.1
on warfarin/coumadin: 2-3
HbA1c - ANSWER measure average BGL over 2-3 months
4-5.6% normal
5.7-6.4% diabetic risk
>6.5% diabetus
normal physiological changes associated with age include coordination and balance.
What would be the best intervention you could use to best help the patient? - ANSWER
spend more time teaching fall precautions
30yo female presents to the community health program for excessive Ems utilization
with a primary complaint of needing vitals checked.
She relates the medications prescribed are "poisoning her", she was living in a group
home but was asked to leave after becoming aggressive with other residents. you
should: - ANSWER refer the patient to mental health
when performing your comprehensive history and physical exam, what series of
information would be most consistent with the patients diagnosis of heart failure? -
ANSWER use of beta blockers, nocturnal dyspnea, and fine rales at the bases of the
lungs
infectious diseases are a result of an interaction between an agent, a host, and the
_____ - ANSWER enviornment
The community needs assessment is a process whereby a community paramedic cane
- ANSWER determine the specific needs in a particular system
What lab value would indicate someones likeliness to heal? - ANSWER albumin
A1C at 6.0:
at risk or diabetic - ANSWER at risk (5.7-6.4)
