NREMT Advanced-EMT With Complete Solution

NREMT Advanced-EMT Decreased Afterload Effects - Decreased Arteriole Pressure = Decreased Aortic Pressure = Left Ventricle Works Better Cushing's Triad - SxS of Increased Intracranial Pressure Increased Systolic Pressure Widened Pulse Pressure Decreased Pulse and Respiratory Rate PAT: Pediatric Assessment Triangle - General Appearance Work of Breathing Circulation to the Skin Beck's Triad - Indicates Cardiac Tamponade HoTN, JVD, Muffled Heart Tones Tuberculosis SxS - Weight Loss, Hemoptysis(Coughing Blood), Pyrexia(Fever) Apneustic Respirations - Prolonged inspirations with short ineffective expirations. Cause by damage to the Upper Pons - stroke or trauma. Biot's Respirations - Quick/shallow inspiration followed by periods of apnea. Caused by damage to the Pons - stroke, trauma or opioid use. Murphy's Sign - Pain of palpation of RUQ, causes patient to gasp. Indicative of gallbladder inflammation - cholecystitis/gallstones. McBurney's Point - RLQ Pain - Indicates Appendicitis RUQ - Organs - Liver, Gallbladder, Colon (Portion) LUQ - Organs - Spleen, Stomach RLQ - Organs - Ascending Colon, Cecum, Appendix, Small Intestine (Portion) LLQ - Organs - Descending Colon, Sigmoid Colon, Small Intestine (Portion) Most Damaging Radiation Type - Gamma Radiation Arterial Muscle - More prominent the venous musculature. Starling's Law - As cardiac muscle fibers are stretched, they are able to contract with greater force. The greater the preload, the greater the force of contraction. Septic Shock - SxS - AMS, increased HR, increased RR, feverish with flushed skin. Decontamination Steps - Reduce Toxin Intake Reduce Absorption of Toxin Increase Elimination of Toxin Epiglottis - 4D's - Dysphagia Drooling Dysphonia Distress Dysphagia - Difficulty/discomfort with swallowing, as a disease symptom. Preload - Amount of blood returning to the ventricles. The volume of blood returning to the heart. O2 Concentration - Nasal Canula - 24%-44% O2 Concentration - Non-Rebreather - 60%-90% Suctioning - Method/Duration Intervals - Alternate suctioning for 15 seconds and ventilations for 2 minutes. Kussmaul Respirations - Deep and rapid respirations to blow off excess CO2. Common with DKA, metabolic acidosis or kidney failure. Hemothorax - SxS - Hyperresonance/dullness upon percussion of the chest. Heat Exhaustion - SxS - Temperature Less Than 104* Sweating Normal Mentation Heat Stroke - SxS - Temperature Over 104*-105* Throbbing Headache Dizziness Not Sweating Red, Hot, Dry Skin Muscle Weakness/Cramps Nausea/Vomiting Rapid HR Rapid Shallow Breathing AMS Seizures Loss of Consciousness