Paramedic Procedures 2 Test 3

Parasite

any living organism in or on any other living creature, takes advantage of the host by feeding off cells and tissue

Infestation

the presence of an unusually large number or insects or animals in a place, typically to cause damage or disease

Where are parasites found

in or on animals, blood, food, insects and water

PPV for a new born

less then 100bpm

CPR for a new born

less then 60 bpm

after 30 sec of PPV using room air

Contraindications PPV and CPR

obviously dead as per BLS

Presumed gestational age less than 20 weeks

when might we need to resuscitate a new born

less then 36 weeks breech delivery

more then 41 weeks intrapartum bleeding

pre, and eclampsia meconium stained amniotic fluid

maternal hypertension prolapsed umbilical cord

maternal gestation no prenatal care

what present of new borns need resuscitation

10% require assistance to breathe

1% require extensive resuscitation

newborn

less than 24 hours

neonate

greater than or equal to 24 hours old

routine care

Provide warmth
•Dry baby
•Provide warmth
•Clear airway (only if necessary- copious fluid)
•Provide warmth
•Ongoing evaluation

drying the baby

dry amniotic fluid and vernix

place baby on dry surface, remove wet towels

keep baby warm during this procedure

suctioning the airway

avoid unnecessary suctioning. (to much can induce bradycardia)

amniotic fluid clear?

no need to suction

amniotic fluid has meconium

If the baby has poor muscle tone, poor breathing efforts, suction the mouth and pharynx – then the nose while ensuring oxygenation is maintained
•Routine meconium suctioning is not required

hypothermia in a baby

associated with serious morbidities: respiratory issues, increased risk for intraventricular hemorrhage, hypoglycemia and sepsis

Primary Apnea

If newborn experiences a
relatively short period of
hypoxia in utero, the baby
can present as apneic and
bradycardia
• These babies will respond to
drying and stimulation

secondary Apnea

Hypoxia continues during
primary apnea
• The baby may respond to
ventilatory support

Scabies

7-year itch

Itch mite

MRSOPA

Mask adjustment

MRSOPA

Reposition airway

MRSOPA

Suction mouth and nose

MRSOPA

open mouth

MRSOPA

Pressure (increase ventilatory pressure- slightl

MRSOPA

Alternative airway

Newborn VSA

Start with PPV on room air prior to initiating chest compressions

Lithotripsy

A medical procedure that uses shock waves to break up kidney stones or other calculi in the urinary tract.

Uremia

A condition associated with elevated urea and other nitrogenous waste products in the blood, often resulting from kidney failure.

UTI

Urinary Tract Infection, characterized by the presence of harmful bacteria in the urinary system, leading to symptoms such as pain, urgency, and frequent urination.

Urosepsis

A severe bacterial infection that spreads to the urinary tract and can lead to systemic infection, often arising from a UTI.

Acute Renal Failure

A rapid decline in kidney function, resulting in the inability to filter waste and maintain fluid balance, often caused by injury or illness.

Chronic Renal Failure

A gradual loss of kidney function over time, leading to the kidneys' inability to filter blood effectively and maintain fluid and electrolyte balance. This condition may require dialysis or renal transplantation.

GTPAL

Gravity

GTPAL

Term (37 weeks or older)

GTPAL

Premature (23-37 weeks)

GTPAL

Abortions (or miscarriages)

GTPAL

Living

Concussion

mild traumatic brain injury that results from a sudden impact or rapid acceleration and deceleration of the brain within the skull

Contusion

a bruise on the brain’s surface caused by a direct blow to the head

Bleeding or swelling in the brain tissue

Brain Bleed

Cerebral Herniation

brain tissue is displaced due to increased intracranial pressure or localized mass effects

Renal Colic

severe pain caused by the obstruction of the urinary tract due to kidney stones or other factors.

Dialysis 

a medical procedure that removes waste, fluids, and toxins from the blood when the kidneys are not functioning properly.

Central Nervous System Disruption

Baseline mental status- AVPU

Distal Motor function

Distal Sensory function

Peripheral Nervous System Disruption

Cranial nerve function (Pupils, eyes, smile, speech, swallow, shoulder shrug)

Hemiparesis

a condition characterized by weakness or partial paralysis on one side of the body, often resulting from brain injury or stroke.

Hemiplegia

a condition marked by complete paralysis on one side of the body, usually resulting from a brain injury or stroke.

Tonic Activity

Rigid, contracted body posture

Clonic Activity

Moving torso, rhythmic contraction

paresthesia

numbness and tingling

Anesthesia

Inability to feel anything