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What is the endometrium?
The inner lining of the uterus
At what percent is too much external bleeding too much for the body?
20 percent
What is mnemonic for OCKV?
Open. Clear. Keep. Ventilate
What is the goal number to have ETCO2?
Above 10mmHg
What are the steps for CPR?
911. CPR. AED. ALS
What are the 3 symptoms of cushings triad?
hypertension
bradycardia
irregular respirations
How many vertebrae are there?
33
Why does tension pneumothorax cause for the heart to fail?
The pressure it sets against the heart
Where is the spleen located in the quadrants?
Left upper
What is the most common burn?
Thermal
What opens the voice box?
Larynx
What allows air into the trachea?
The glottis
Where is the carina located?
Before the lungs. Its the crossroads
How are peds larynx shaped?
Like a funnel
Where is C3 and C4 located on a ped?
On the neck. Behind the throat.
What is emphysema?
Its when the alveoli is destroyed due to it being attempted to heal.
What is a T piece?
To test if you are able to breathe on your own if you are intubated.
What's a PEEP valve?
Its a valve the keeps oxygen in the lungs while using a BVM to make it easier and more efficient.
What's a pop off valve?
A valve on the BVM that pops when too much air might go into the patient's lungs.
What's an oxygen blender?
A machine that you use to control the amount of concentrated oxygen given to a patient.
What is acute coronary syndrome?
It's just when a coronary artery is blocked by a clot.
What is a coronary artery?
It's an artery that provides oxygenated blood to the heart so that it stays alive and well to pump.
What's MINOCA?
A heart attack that isn't directly affected by a blood clot in the coronary artery.
What is advanced life support?
It's just a more advanced version of BLS. You are able to do more things.
Why is post cardiac arrest care so important?
The body can still spiral down after your heart stops. This step helps the body NOT go down that route.
What's afterload?
It's the resistance the heart goes against because of really tight arteries/veins.
What's preload?
The energy the heart uses to push the blood out to the arteries/veins
Why is position of comfort important for an MI?
It helps the heart not overwork itself meaning the patient isnt struggling. It helps preload.
Why would you NOT use an AED for a suspected overdose?
Because you want to get on the chest first. You don't to lose time waiting around for an AED.
What is angina?
It's like an MI but not severe. Only temp. Almost like a warning light to an MI
What is JVD?
It's deoxygenated blood pooled up in the jugular vein due to heart failure.
What's ascites?
Build up in the belly. More research needs to be completed to see what it is.
Why would an IV be appropriate for CHF?
To administer medications like diuretics.
Why would IVs be administered for COPD?
For antibiotics in case there is a flare up causing it.
How is PEEP related to COPD?
The copd machine itself is a PEEP. Keeps air in the lungs while people sleep to make it easier for them.
What is the main purpose of alveoli?
The alveoli has 2 jobs. Its to give the blood oxygen and to hold the excess co2 so that way the body can breathe it out.
Where is the subcutaneous layer located in the body?
It's the very first layer in the body.
What is thyroid storm?
Its when your thyroid throws a huge amount of hormones into you due to a flare up caused by external/internal factors.
What is cardiac tamponade?
It's fluid being built up in the shield of the heart. The pericardium.
What is systolic heart failure?
Basically when the left ventricle fails and its hard to pump blood to the rest of the body.
What is diastolic heart failure?
Its when the left ventricle gets too stiff to fill blood.
What is myocarditis?
Its when the heart muscle catches a virus and the body sends blood cell/white cells to kill the virus/infection
Why is it not recommended to blow your nose during a nosebleed?
Because you are basically opening up the broken skin again to which caused the bleed in the first place
Whats the primary rule when dealing with soft tissue injuries with external bleeding?
Just put direct pressure, thats it.
What causes pale clammy skin?
It means all your blood is going to your organs instead of your skin. Survival mode basically.
What is hemostasis?
The process of the body beginning to clot a blood losing injury.
What's warfarin?
A blood thinner medication
Why is oxygen delivery critical during blood loss?
Because the body is losing oxygen when losing blood so oxygen is needed to add what you are losing.
What is thermolysis?
An activation in your body where it tells you automatically that you need to go somewhere cooler.
What is thermogenesis?
Its when your body needs heat so it activates something in your body to produce it.
What is a closed pneumothorax?
Its air in the pleural space because of a tear in the lung but its still able to get out because of the tear.
What is glenohumeral?
Its basically the shoulder joint
What is a scapular?
The bone on your back.
What is lethargy?
Its just when someone is not acting like their selves. Not their baseline.
What is the depth on chest compressions on an infant?
About 1/3
Is it okay to place adult pads on an infant?
Yes, its okay. Not doing anything outweighs the risk.
If someone is choking, what should you instruct them to do?
Encourage them to keep on cough as whatever is causing the obstruction will be released.
Why is a blind sweep not recommended during a choking adult?
It can cause for the object to go deeper and cause more obstruction.
After a choking patient clears their airway and resumes breathing, what should you advise them to do next?
Advice to go to the ER for possible checkups. Make sure there is no damage.
What's a universal sign of someone choking?
Someone holding their throat with both hands or one hand.
What is orthopnea?
Difficulty breathing when you are laying down. Usually found in COPD.
Why isnt a fever caused by heart failure?
Because heart failure is not an infection. Fevers are caused by infections.
Whats a capnogram?
Its what measures how much CO2 is being exhaled
Why is AED first in infants instead of CPR?
It depends if you witnessed it or not. If you did, its AED first.
What is stroke volume?
The amount of blood that was sent to the body per heartbeat
What is Starlings Law? How does it relate to shock?
The more blood the heart gets, the stronger the contraction.
Why is decompensated shock dangerous even with treatment?
Because once in decompensated shocks, a good amount of cells have already died.
How is acid build up bad for the blood?
Due to the acid in the blood, low oxygen is distributed to the organs causing failure in the long run.
What is diaphoresis?
Excessive sweating due to an underlying problem in the body.
What are IV crystalloids?
Basic bolus or lactated ringers if indicated.
How does the circulatory system remove waste?
Starts in the veins. Then goes to the heart and then from there to either liver, kidney or breathing it out.
What does the AV node do?
It causes a delay so that the ventricle can be filled with blood so it can pump it out.
What is bundle of his?
Its what sends the signal to the ventricles so it can contract.
What's a septa?
Its the border in the heart that stops the blood from mixing.
What is hemoglobin?
It carries the oxygen in the red blood cell.
What nerve controls the diaphragm's movement?
The phrenic nerve. Its what sends the signal to the muscle for it to move.
What's the diaphragm?
It's the muscle under your lungs the helps your lungs move air in and out of it.
What happens to thoracic pressure when the diaphragm contracts?
Air goes in meaning when the diaphragm goes down, air goes into the lungs
What role do the external intercostal muscles play in breathing?
They help the ribs move upward so that air can be received into the lungs with no problem.
What are fibrinolytics?
Medication to dissolve clots
What is hemolytic crisis?
Red blood cells falling apart meaning poor oxygen delivery and dump of toxins from the red blood cells.
What is acute chest syndrome?
When sickle cell blood cells get stuck in the alveoli capillaries.
What is splenic sequestration?
Its when the spleen sucks all the red blood cells like a sponge. Usually in sickle cell patients.
What is pulsus paradoxus?
Its when you breathe, your systolic drops more than it needs to.
What is muffled heart tones?
Its when you can't hear the heart due to liquid blocking the sound.
Whats an aortic valve?
Its where the blood leaves the heart so it can go to the rest of the body.
Whats cardiomyopathy?
A disease in the heart.
Why does MI cause for radiation on the left shoulder?
Because the heart shares the same nerve pathways as the left arm so the brain cant figure out where the pain is.
Why is the goal to have 10mmg during ETCO2?
To see if CPR is done correctly. Anything below that is ineffective.
What is cushings triad?
The symptoms for ICP. Hypertension, Bradycardia, and Irregular Respirations.
Why is pneumonia only one sided?
Its not. If its 1 sided, its early on. If its both sides, its progressed into a further infection.
Why is 20 percent too much blood loss for the body?
Because the organs are no longer perfusing well.
What is crepitus?
Abnormality in the chest or joint that gives the sound of a potato chip when felt or heard.
What is cullens sign?
It's a discoloration/internal bleeding in the belly due to something severe in the abdominal area.
What is subcutaneous emphysema?
Air trapped underneath the skin due to an underlying lung problem meaning air leaving the lungs.
Whats the difference between anterior and posterior nosebleeds?
Anterior is a mild opening in the front. Posterior is an underlying deeper heavier flow from a deeper problem.
What is pertussis?
Bacterial infection that affects the upper respiratory tract. Whooping cough.
What is croup?
Viral infection that affects the respiratory tract. Inflammation to the throat and barking cough.
Why would you need a surgical mask for a woman in labor?
For healthcare workers and the baby to remain safe and away from infections.
What's a prolapsed umbilical cord?
Danger of the baby sitting or pressing on the cord while in the uterus still.