EMS 1055 FINAL EXAM QUESTION AND ANSWERS ALREADY
GRADED A+
How to read blood pressure - (ANSWER)Top number: systolic pressure (heart's ventricles contract)
Bottom number: diastolic pressure (heart's ventricles are relaxed)
carotid pulse - (ANSWER)the pulse felt along the large carotid artery on either side of the neck. Blood
pressure is at least 60 systolic
femoral pulse - (ANSWER)Pulse felt on either side of the groin; Femoral artery. blood pressure is at least
70 systolic.
brachial pulse - (ANSWER)the pulse felt in the upper arm. (often used for infants.)
radial pulse - (ANSWER)the pulse felt at the wrist. blood pressure is at least 80 systolic.
pedal pulse - (ANSWER)The pulse rate obtained on the top of the foot. blood pressure is at least 90-100
systolic
types of shock - (ANSWER)cardiogenic, neurogenic, septic, anaphylactic, hypovelimic,
obstructive(mechanical), insulin (pseudo)
shock - (ANSWER)lack of perfusion at the cellular level
general signs and symptoms of shock - (ANSWER)-skin:pale, cool, diaphoretic
-anxiety
-impending doom
-altered LOC
-dilated pupils
-sustained tachycardia
,EMS 1055 FINAL EXAM QUESTION AND ANSWERS ALREADY
GRADED A+
-tachypnea
-decreased urine output
-thirst
-delayed capillary refill
general treatment in shock - (ANSWER)-high flow oxygen
-trendelenberg position
-keep warm
-load and go transport
cardiogenic shock - (ANSWER)-most commingly caused by AMI
-other causes: Myocarditis, myocardial contusion
-"pump problem"
-decreased CO leads to hyperfusion
-heart begins to fail
cardiogenic shock treatment - (ANSWER)-standard shock treatment applies
-patient may not tolerate supine or trendelenberg position
-transport to cardiac facility critical
neurogenic shock - (ANSWER)Circulatory failure caused by paralysis of the nerves that control the size of
the blood vessels, leading to widespread dilation; seen in patients with spinal cord injuries.
-caused by-
-spinal cord injury above T6
-spinal anesthesia
-vasomotor center depression
, EMS 1055 FINAL EXAM QUESTION AND ANSWERS ALREADY
GRADED A+
-may take hours to appear
*symptoms*
-skin warm and dry
-bradycardia
-poikilothermia
septic shock - (ANSWER)Shock caused by severe infection, usually a bacterial infection.
-distributive type of shock
-due to infection that becomes systemic
-very common in icu setting
-patients often febrile
-antibiotics are needed to treat infection
-more gradual onset starting with SIRS
hypovolemic shock - (ANSWER)shock resulting from blood or fluid loss
obstructive shock - (ANSWER)Shock that occurs when there is a block to blood flow in the heart or great
vessels, causing an insufficient blood supply to the body's tissues.
-tension pneumothorax
-pericardial tamponade
anaphylactic shock - (ANSWER)-distributive shock
-severe allergic reaction
-onset is quick
-most deaths from people with NKA and no epi pen
-uticaria, wheezes, pruritus
GRADED A+
How to read blood pressure - (ANSWER)Top number: systolic pressure (heart's ventricles contract)
Bottom number: diastolic pressure (heart's ventricles are relaxed)
carotid pulse - (ANSWER)the pulse felt along the large carotid artery on either side of the neck. Blood
pressure is at least 60 systolic
femoral pulse - (ANSWER)Pulse felt on either side of the groin; Femoral artery. blood pressure is at least
70 systolic.
brachial pulse - (ANSWER)the pulse felt in the upper arm. (often used for infants.)
radial pulse - (ANSWER)the pulse felt at the wrist. blood pressure is at least 80 systolic.
pedal pulse - (ANSWER)The pulse rate obtained on the top of the foot. blood pressure is at least 90-100
systolic
types of shock - (ANSWER)cardiogenic, neurogenic, septic, anaphylactic, hypovelimic,
obstructive(mechanical), insulin (pseudo)
shock - (ANSWER)lack of perfusion at the cellular level
general signs and symptoms of shock - (ANSWER)-skin:pale, cool, diaphoretic
-anxiety
-impending doom
-altered LOC
-dilated pupils
-sustained tachycardia
,EMS 1055 FINAL EXAM QUESTION AND ANSWERS ALREADY
GRADED A+
-tachypnea
-decreased urine output
-thirst
-delayed capillary refill
general treatment in shock - (ANSWER)-high flow oxygen
-trendelenberg position
-keep warm
-load and go transport
cardiogenic shock - (ANSWER)-most commingly caused by AMI
-other causes: Myocarditis, myocardial contusion
-"pump problem"
-decreased CO leads to hyperfusion
-heart begins to fail
cardiogenic shock treatment - (ANSWER)-standard shock treatment applies
-patient may not tolerate supine or trendelenberg position
-transport to cardiac facility critical
neurogenic shock - (ANSWER)Circulatory failure caused by paralysis of the nerves that control the size of
the blood vessels, leading to widespread dilation; seen in patients with spinal cord injuries.
-caused by-
-spinal cord injury above T6
-spinal anesthesia
-vasomotor center depression
, EMS 1055 FINAL EXAM QUESTION AND ANSWERS ALREADY
GRADED A+
-may take hours to appear
*symptoms*
-skin warm and dry
-bradycardia
-poikilothermia
septic shock - (ANSWER)Shock caused by severe infection, usually a bacterial infection.
-distributive type of shock
-due to infection that becomes systemic
-very common in icu setting
-patients often febrile
-antibiotics are needed to treat infection
-more gradual onset starting with SIRS
hypovolemic shock - (ANSWER)shock resulting from blood or fluid loss
obstructive shock - (ANSWER)Shock that occurs when there is a block to blood flow in the heart or great
vessels, causing an insufficient blood supply to the body's tissues.
-tension pneumothorax
-pericardial tamponade
anaphylactic shock - (ANSWER)-distributive shock
-severe allergic reaction
-onset is quick
-most deaths from people with NKA and no epi pen
-uticaria, wheezes, pruritus
