Chapter 38 EMT Flashcards

-Long-Term Effects of Diabetes Mellitus

-Damage Small Eye Blood Vessels

-Can Cause Partial/Full Vision Loss

the patient may develop diabetic ___.

Retinopathy

-Articulation Disorder

-Caused by Impairment of Tongue

-Caused by Impairment of Other Muscles for Speech

-Patient Cannot Pronounce Words Correctly

Dysarthria

When performing an assessment on a patient with autism, move slowly and begin at the ___.

Feet

___ ___ is an umbrella term for motor impairments that result from brain abnormalities that arise early in development.

Cerebral Palsy

Paralysis from the waist down is referred to as ___.

Paraplegia

Patient with ___ is paralyzed in all four extremities.

Qaudriplegia

-Heart Disease

-Stroke

-Type 2 Diabetes

-Certain Cancers

these are all ___-related conditions.

Obesity

A morbidly obese person weights 50 to ___ percent more than their ideal weight or is more than ___ lbs. over their ideal weight.

100

-Medical Device

-Extracts O2 from Ambient Environment

-Supplies O2 to Patient

-Flow Commonly Delivered is <6 LPM

Oxygen Concentrator

An ___ monitor is:

-Designed to Constantly Monitor Breathing and

-Emits a Warning Signal Should Breathing Cease.

*Some are also designed to monitor heart rate

Apnea

The primary therapeutic goal of BiPAP or CPAP is to keep the bronchioles open during ___, which improves both oxygenation and ventilation.

Exhalation

-High-Pressure Alarm

-Low-Pressure Alarm (Tidal Volume <50-100 mL)

-Apnea Alarm

-Low FiO2

these are all alarms to alert the care provider that the ___ is not functioning properly.

Ventilator

Always troubleshoot the ventilator and the ___.

Patient

A ___ access device is a medical device that is used when a patient needs ongoing intravenous medications.

*Patients who need meds longer than 7-10 days

Vascular

-___ Intravenous Catheters

-Placed While Patient is in Hospital

-Delivers Medication to Central Circulation of Body

-Long, Thin Hollow Tubes (Catheters)

-Catheters are Inserted into Vein

Central

-Central Intravenous Catheter

-Inserted into Patients Arm

-Threaded into Body

PICC line stands for…

Peripherally

Inserted

Central

Catheter

-Vascular Access Device

secured to the anterior chest, just below the clavicle, is referred to as the central venous ___.

Line

-Surgically Implanted Medication Delivery Device

-TIVAS

-Implanted Port

-Surgically Placed Beneath the Skin

-Embedded into Right Upper Chest

Totally

Implantable

Venous

Access

System

-VAD

-Assists Pump Function of Ventricles

-Most Often Left Ventricle (LVAD)

-Pump, Electronic Controller, and Batteries

Ventricular

Assist

Device

Patient unresponsive or not breathing, ___ over left chest for whirling sound/smooth humming sound for VAD.

Auscultate

It is important to rely on the mental status and skin signs to determine ___ status of a patient with a VAD.

*SpO2 monitor likely provides innacurate reading

Perfusion

Many Patients with a VAD also have an ICD, ICD Device stands for…

Implanted

Cardiac

Defibrillator

VNS is an implanted device found in patients with a seizure disorder; VNS stands for…

-Planted Under Skin

-Wire Connected to Vagus Nerve

-Wire Delivers Weak Pulses of Electrical Current

Vagus

Nerve

Stimulator

If patient w/ VNS device is actively seizing/experiencing aura, a special ___ can be passed over the device to trigger electrical impulse.

Magnet

ARF occurs due to rapid loss of renal function that results in:

-Decreased Filtering

-Poor Urine Production

-Electrolyte Disturbance

-Fluid Balance Disturbance

ARF stands for…

Acute

Renal

Failure

Chronic ___ Failure (CRF) or Chronic Kidney Disease (CKD) occurs due to progressive loss of kidney function.

Renal

___ is a medical procedure designed to support the lost function of kidneys.

*Total Replacement of Renal Function Impossible

Dialysis

-Type of Dialysis

-Blood is Extracted From Body

-Sent Through Machine (Dialyzer)

-Cleasened and Returned

Hemodialysis

-Type of Dialysis

-Done in Home/Extended-Care Facility

-Dialysate Fluid Introduced into Port

-Port Leads to Peritoneal Cavity

-Fluid Collects, Removed, and Replaced

Peritoneal

-Dialysis ___

-Generic Term

-3 Different Ways to

-Join Arterial and Venous Systems

-Needlesticks to Take/Return Blood Causes Minimal Damage

Shunt

-__ Shunt

-Used on Short Term Hemodialysis Patients

-Used on Recent Started Dialysis Patients

-Patients Can Have Dialysis Catheters

-Catheters Can be Found Infraclavicular/Groin

AV

-AV Fistula of AV ___

-Long Term Dialysis Patients

-Fistula “Burp” Under Skin

-___Has Soft Vibration (Thrill)

Graft

Removal of the patient from the dialysis machine should occur only under the supervision of the dialysis center ___.

Staff

Never attempt to obtain a blood ___ in any extremity that has an AV shunt, AV fistula, or AV graft.

Pressure

The medical term for tube feeding is ___ feeding.

-Tube is flexible, long, and small in diameter

*NG-Nasogastric Tube

*OG-Orogastric Tube

Enteral

___ bags/pouches hold removed feces and are attached outside the body.

Ostomy

___ catheter diverts urine out of the bladder when there is some urinary tract dysfunction.

*Texas Catheter (Condom Catheter) is least invasive

*Foley Catheter (Internal Catheter) common invasive

Urinary

EMS summoned due to of GI/GU device malfunction, patient needs transport to the hospital along with his medical ___ for evaluation and repair.

Device

Transported patient has a urinary catheter:

-Drain Collection Bag

-Take Note of Urine Volume Removed

-Take Note of Irregularities in Color or ___.

Odor

Collection bad needs to be positioned below the ___.

Urethra

Patient with accumulation of excess CSF has a condition called ___.

Hydrocephalus

To alleviate rising ICP, a long hollow tubelike device called an ___ shunt is surgically placed.

Intraventricular

___ is an artificial limb designed and specially fitted to replace amputated extremities.

Prosthetic

___ is a brace that is worn by the patient to restore function/stabilize part of the body.

Orthotic

___ care describes medical interventions centered on reducing severity of disease symptoms and providing comfort.

Palliative