Fisdap paramedic OB/GYN study guide Graded A+

risk factors for high risk pregnancy - ANSWER-maternal age, medical conditions, preeclampsia, gestational diabetes, multiple gestation, drug or alcohol abuse, Chorioamnionitis - ANSWER-infection of the amniotic sac and contents Chorioamnionitis risk factors - ANSWER-young age, nulliparity, extended duration of labor, Pyelonephritis - ANSWER-kidney infection pyelonephritis signs and symptoms - ANSWER-fever, chills, flank pain and tenderness, frequency, urgency, hematuria, dysuria pregnancy complications from trama - ANSWER-mom is more prone to becoming hypoxic, lay mom on left side after 24th week, C-spine if appropriate and tilt backboard 15 degrees. Placenta abruption can be life threatening. Consider this for any trama. complications of deilvery - ANSWER- When to suction a newborn - ANSWER-obvious obstruction to spontaneous breathing or who require positive pressure ventilation. Meconium is present - ANSWER-if newborn is depressed, insert et tube and suction croup - ANSWER-upper respiratory viral infection signs and symptoms of croup - ANSWER-hoarseness, inspiratory stridor, barking cough. Primarily effects 6 months to 3 year olds interventions for croup - ANSWER-keep calm, nebulized saline, racemic or nebulized epi for moderate to severe croup. epiglottitis - ANSWER-bacterial infection of the upper airway epiglottitis vital signs - ANSWER-increased ventilatory support, increased heart rate, temperature 102 to 104 degrees. interventions for epiglottitis - ANSWER-keep calm, Oxygen at 94%. BVM with 100% oxygen if in respiratory distress signs and symptoms of epiglottitis - ANSWER-typically occurs 2 to 7 years old. sudden onset of fever. Quiet wet stridor, muffled voice, difficulty swallowing, tripod position, drooling, dysphasia, distress. signs and symptoms of abuse and trama - ANSWER-bruises at various stages of healing, burns, patterns of injury, unsafe, unusual, unsanitary conditions, behavior of those at scene. causes of pediatric cardiac arrest - ANSWER-primary apnea, secondary apnea, bradycardia, persistent fetal circulation, pulmonary hypertension indications for pediatric cpr - ANSWER-unresponsive, no breathing or only gasping, no pulse, arrest rhythms - ANSWER-asystole, PEA, VF, pulseless VT hypovolemia - ANSWER-most common type of shock in kids, signs of compensated shock - ANSWER-irritability, anxiety, tachycardia, tachypnea, delayed cap refill, cool pale extremities, decreased urine output, normal BP signs of decompensated shock - ANSWER-lethargy, altered mental status, marked tachycardia or bradycardia, absent peripheral pulses, cool pale dusky mottled extremities, hypotension, decreased urine output common signs of meningitis in kids over 2 years - ANSWER-high fever, headache, stiff neck called nuchal rigidity, common signs of meningitis in newborns - ANSWER-poor feeding, decreased activity, irritability, bulging fontanel, appendicitis - ANSWER-loss of appetite, abdominal swelling, nausea and vomiting, dull pain near navel or upper abdomen that becomes sharp as it moves to the lower right. bronchiolitis - ANSWER-inflammation of smaller bronchioles caused by virus. RSV is the primary cause. bronchiolitis physical examination - ANSWER-low grade fever, runny nose and sore throat, wheezing if worse, tachypnea and tachycardia often present. bronchiolitis intervention - ANSWER-keep calm and oxygen, pneumonia - ANSWER-inflammation and infection of the lower airway and lungs caused by virus, bacteria, fungal, or parasitic. pneumonia physical findings - ANSWER-fever, chills, headache, lethargy, poor feeding, grunting, tachypnea, tachycardia, crackles over affected lobes, retractions, apnea spells, pleuritic chest pain. pneumonia interventions - ANSWER-keep calm, Oxygen at 94%, treat respiratory distress as needed. meningitis - ANSWER-inflammation of the meninges meningitis onset - ANSWER-A gradual onset is more common. several days of fever, upper respiratory tract infection, GI symptoms, increased lethargy and irritability. meningitis in children - ANSWER-usually a recent ear or upper respiratory infection, fever, apnea, vomiting, poor feeding, altered mental status, meningitis physical examination - ANSWER-findings are apnea, fever, hypothermia, altered mental status, headache, seizures, ataxia, jitteriness, vomiting, stiff neck, buldging fontanel. shock - ANSWER-inadequate circulation of blood to an organ or part of the body Compensated shock - ANSWER-irritability, anxiety, tachycardia, tachypnea, weak peripheral pulses, delayed cap refill, cool pale extremities, decreased urine output, systolic bp within normal ranges decompensated shock - ANSWER-lethargy, altered mental status, cool, pale, dusky, mottled extremities, hypotension, absent peripheral pulses, weak central pulses, marked tachypnea or bradypnea, marked tachycardia or bradycardia. signs and symptoms of anaphylaxis - ANSWER-stridor, wheezes, cough, hoarseness, retractions, hypotension, anxiety, swelling, urticaria, abdominal pain, pruritus is itching. signs and symptoms of increasing intracranial pressure - ANSWER-headache, vomiting, confusion, bulging fontanelle, comatose, pupil change, slowing pulse, irregular respirations, posturing, seizures. fluid resuscitation doses for pediatrics - ANSWER-20 milliliter per kilogram fluid resuscitation doses for newborn - ANSWER-10 milliliter per kilogram sinus tachycardia in kids - ANSWER-less than 220 beats per minute in infants, Less than 180 beats per minute in children SVT - ANSWER-constant, abrupt, greater than 220 beats in kid and greater than 180 beats in infants. how to treat vaginal bleeding - ANSWER-massage the abdomen, allow mom to breastfeed, Oxygen, keep warm, large bore IV how to treat a patient with an ectopic pregnancy - ANSWER-closely monitor for shock. two large bore IV's, transport to surgical center. breech presentation - ANSWER-as the infant delivers, support the legs and pelvis, gently rotate and guide the body upward to allow posterior shoulder to deliver, the downward to allow anterior shoulder to deliver. shoulder dystocia - ANSWER-turtle signs, put mom in knee chest position, push downward on the baby's shoulder thru mom's abdomen. cephalopelvic disproportion - ANSWER-the head is too large to fit thru mom's vagina. transport prolapsed umbilical cord - ANSWER-knee/chest position, trendelenburg if possible, placed hand in vagina and push upward to reduce pressure. compound presentation - ANSWER-more likely in preterm birth or twins. protect the umbilical cord. how to prevent postpartum bleeding - ANSWER-massage the abdomen over the uterus, encourage breastfeeding, watch for signs and symptoms of shock. apgar score - ANSWER-Appearance, pulse, grimace, activity, respiratory effort number one cause of pediatric seizures - ANSWER-hypoxic-ischemic encephalopathy is the most common cause