emt 2 module 7

Allergic reaction defintion

hypersenestiveity from allergen immune system over reacts to an allergy

We treat allergic reactions with

antihistamines

Anaphalactic :

severe stage of allergic reaction causes blood vessels to dilate, heart rate drop, dp pick up, constricted bronchioles, high raspatory rate involving hives/ two or more body systems under attack

Treatment of anaphalaxic shock:

EPI

Anaphalxsis mangament alert:

o2, assess circulation, secondary assessment administer epi, o.3 adult .15 kids

Anaphylaxis altered:

open airway, suction if needed, assess breathing then continue normally (

Toxicology:ingestion (most common) ,

= meds, cleaning objects etc, longer absorption cus the body gotta break ti dow n

Inhalation:

breathing in a posionious gas ( carbondioxide, mustard gas etc) rapid absorption into the body bc of the avioli

Injection:

injecting drugs etc or animal insect/ snake injections, cause immediate reaction at injection site followed by a delayed systemic reaction

before leaving the scene what do u do with the suspected poison

bring it with u

who do u call when someon e is poisoned

posion controll

Activated charcoal what is it and do u need medical direction :

absorbs posion while in stomach only used for ingestion, u need medical direction

When his activated charcoal most effective:

within the first hour of posion ingestion

Dosage of activated charcoal

1 g per kg of body weight

How many times can u give activated charcoal of they vomit? :

twice once innitionally and ocne after vomiting

Huffer patient:

someone inhailing chemical on purpose

Even if spo2 Is high u want to put patient on 15l o2 non rebreather bc carbonmonixde

poisoning gives false pulseox readings

Injection patient assessment:

scene safe, take out toxic enviorment, 02 less than 94 put on 02, ask them about time stung and symptoms and allergies,

Absorption:

powder on man cleaning powder, put on proper ppe, don’t put water brush it away, then irrigate infection area for 20 minutes

Drug and alcohol emergency how to identify:

unresponsive to verbal or pain stimuli, have to repetely wake them, temp about 100, vomiting, raspatory difficulties, tachacardia, seizures,

Alchol withdrawl syndrome stage :

STAGE 1; NAUSIA , INSOMNIA TREMMORS: STAGE 2: 8-72 HOURS , WORSEN, STAGE 3 48 HOURS SEIZURES DELIERIUM TREMMORS STAGE 4 1-14 DAYS: DELERIUM, TREMMERS,

ALCHOLIC WITHDRAWL SYNDROME: happens when

usually quit cold turkey/ trying to quit

Opioid overdose:

overdose on pain medicine,

Opioid overdose steps:

assess ABCS, Narcan,

Narcan is used to:

increae raspatory rate NOT to wake up

Opioid overdose signs:

delayed reactions, constricted pupals, raspatory issues

Narcan dosage :

0.5-2 mg, we give 1 mg in each nostril typically

Narcan dosage : chilld

1-1 mg Narcan, give 0.5 per nostril

Visceral peratenal:

inner most layer covering organs

Paritetal layer:

over most layer lines the outer side of the organs

Solid organs: related to bleedin g

bleed out more compared to hollow organs

Hollow organ rupture is bad bc:

pertinitis, bile leaks into partential system

Visceral pain/ reffered pain

pain in an organ where u feel it else where and not where the pain actually is

Markle test:

stand on toes, drop down to heels, if complain of pain shooting up then suspect abdominal pathophysiology such as petonitisis

Esophogeal varices:

bulding weakening of blood vestles in lower part of the espohpogus caused by increased pressure in the blood systm, identified with painless bleeding in the GI track, jaundice,

Abdorminal aortic aneurysm:

weakening ballooning of the abodomial aortia outer wall

Tearing back pain:

abdominal aotroic aneurysm AAA

DO NOT PALPATE AN

AAA

Dialysis

kidney faiure treatment, artificial process used to remove water and waste substance from the blood

Hypothermia stages:

shivering, apathy and decreased muscle function, decreased responsiveness, decreased vital signs, death

Radiation heat loss:

when u give off body heat without touching anything,

hypothermia. Conduction:

body heat is loss by touching nearby objects

hypothermia Convection:

air molecules the wint hits u your body gives off molecules to try and warm the wind but now u lose heat

Evaporation hypothermia:

sweating to cool self

Thermal type is lost when body is lover than

95

cold treatment/hypothermia

Abcs, remove patient from cold enviorment, apply blanket if necessary, transport supine if possible

Rewarm moderate/ severe hypotherma :

actively

Active heat:

turning up heat, warm bottles, blankets doing something to  warm them

Local cold injury:

frost bite, passively rewarm with just a wrapped up

Hyperthermia:

body. Temp greater than 98.6, heat cramps, heat exhaustion, heat stroke

Heat cramps:

losing to much salt, lactic acid increase, vasodilation, body cooling mechanism exhausted

Drowing:

incident in which submergenent results in respaotry issue causing no breathing

Boyles law: explain diver breathing underwater

volume of gas inversely related to pressure, if diver takss breathe under water can cause barotrauma the deeper the diver goes the more nitrogen can cause nitrogen narcosis decreasing divers brain, every 50 feet= 1 alcholic drink

Decompression sickness,

nitrogen bubbles in blood for divers

Hypothermia:

: no one is pronounced dead until they are warm and dead

If u are on a scene and it becomes unsafe

remove yourself

Combative patients could be from:

drugs, low blood sugar, trauma

As much as necessary don’t restrain patient unless

there is danger to themselves or others.

NON IGE anaphylaxis response:

never had before

Signs of someone going into anaphalaxis shock

swelling, hives ,sweating, strider, lethargy,

epi pen is on the porch what is the best course of action:

point 3 mg from his auto-injector

how to define a posion:

toxic for your body that causes adverse affects

contraindications of activated charcoal:

cyanaide, recent gi surgery, cyanide, altered mental status

Wintertime space heater on dizzy, weak, nauseous, headache, what is that a sign of:

vcarbon monoxide poisoning.

Alcoholics falling is dangerous because:

it thins your blood, simple fall could lead to a brain bleed

Solid organs in abdomen:

pancreas, liver, spleen, kidney, overies

Hollow order:

intestines, blatter,

Hallow: 2

galblatter, appendex,

Solid 3

kidney, pancreas, spleen,

Main treatment for huffers

oxygen

Kids are susceptible to what kid of poison

ingestion

Difference between anaphalaxis and allergicreactions:

sprider, uricardia, and wheezing with anaphalaxis anaphlaxisis is serious alergic reaction uncontrolled

Uper right: 

 GL galblatter liver

Lower right:

 A apendex

Upper left :

SS: stomach and spleen

Sexual assault:

oropharyngeal varices: bleeding in the oophagous bc the vessels are bleeding and tearing bc of weakening

Patients with kidney problems/dialysis suseptable with

fluid build up, hyper bp, pulmonary adema

How to treat pulmonary adema

CPAP

Careful when u move hypothermic patient bc:

heart is not working properly

Heat stroke:

altered mental status and stopped sweating

Drowning:

any submerged event that causes a respiratory problem

Never put psych patient in what postion

prone

Psych patients what two thingst od o

Verbal de-escalation, 4-point restraint

Anaphalaxtoid: first time non

IGE

Why does epi cause an increase in heart rate:

mimicking beta 1 effects

Hydrogen sulfite: smell

rotten eggs

Naphthaleancampthor: smell

moth balls

Petroleum disaloates smell

gasoline

Metasilicates: smell

mint

Hasheesh: what drug

cannabis

methidome what drug

depressive

Dmt: drug type

halciagin

Cocaine overdose pupals:

dilated

If patient has gallbladder removed what happens:

: less fatty diet bc the ability to digest fat is impared

Hematacheesia:

bloody poop

]

 having gi bleed

Hematuria:

: kidney or uti blood in urine

Abnormal vaginal discharge:

pelvic inflammatory disease PID (pus in dere)

Sudden offset in abdominal pain while lifting

hernia

Indometriosis:

overgrowth indometriosis tissue outside the uterus

Patient with gi bleed

black stool can happen