Quiz over chapter 11 of nancy carolines emergency care in the streets.
The fact that it is easily lacerated, but bleeds minimally
That it attaches directly to the mandible and hyoid bone
Its proportionately large size compared to a child's tongue
Its tendency to fall back and occlude the posterior pharynx
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Vallecula
Uvula
Adenoid
Larynx
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Aspiration of foreign material
Spasmodic closure of the vocal cords
Voluntary closure of the glottic opening
Spontaneous collapsing of the trachea
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Warm, filter, and humidify air
Protect the lungs from aspiration
Deliver oxygenated blood to the cells
Exchange oxygen and carbon dioxide in the blood
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Constrict violently when their beta-2 receptors are stimulated excessively
Are identical in length and angle
Separate at the landmark called the cricoid
Are lined with beta-2 receptors that result in bronchodilation when stimulated
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Has two lobes
Has three lobes
In encased in the parietal pleura
Can only hold a small volume of air
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Produced by the mucous cells of the left and right mainstem bronchi
Quickly destroyed in patients who have a severe upper airway obstruction
A substance that decreases surface tension on the alveolar walls
A lubricating substance that increases alveolar surface tension during breathing
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Tidal volume
Alveolar volume
Minute volume
Inspiratory reserve volume
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3,650 mL
3,780 mL
4,260 mL
5,400 mL
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The majority of inhaled air lingers in areas of physiologic dead space
Inhaled air may only reach the anatomic dead space before being exhaled
The increase in tidal volume will compensate for a rapid respiratory rate
Minute volume increases because a larger amount of air reaches the lungs
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Respiration
Inhalation
Ventilation
Exhalation
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PH of venous blood
PH of the cerebrospinal fluid
Saturation of oxygen and hemoglobin
Amount of oxygen in the blood plasma
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Terminates inhalation and prevents lung overexpansion
Decreases pneumotaxic function during severe hypoxia
Sends messages to the diaphragm via the phrenic nerves
Allows the apneustic center to influence the respiratory rate
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PaO2 level falls quickly
PH of the CSF decreases
PaCO2 decreases slowly
PH of the CSF increases
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Narcotic analgesic use
Increased metabolism
The use of amphetamines
A rise in body temperature
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Low, increases
High, decreases
Low, decreases
High, increases
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Internal respiration
External respiration
Pulmonary ventilation
Intrapulmonary shunting
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Lactic acidosis
Increased metabolism
Anaerobic metabolism
Acute hyperventilation
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Has blood-tinged sputum
Awakens at night with dyspnea
Has dyspnea while lying flat
Is breathing through pursed lips
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You are meeting resistance when ventilating
Air can be forced into the lungs with relative ease
A lower airway obstruction should be suspected
The patient likely has an upper airway obstruction
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Fever of 102.5 degrees F
Productive cough
Chest pain or pressure
BP of 148/94 mm HG
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Biot respirations
Agonal respirations
Kussmaul respirations
Cheyne-Stokes repsirations
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Effectively protects the airway from aspiration
Is a suitable substitute for manual head positioning
Should be inserted in any patient who is semi-conscious
Does not remove the need for proper head positioning
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Should only be inserted if the patient is not breathing
Should be inserted whether the patient is breathing or not
Will effectively prevent aspiration if the patient vomits
Must be inserted by depressing the tongue with a tongue blade
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Hyperinflation of the lungs
Unrecognized rescuer fatigue
Improper manual head positioning
Inagequate tidal volume delivery
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The paramedic should manually decompress the stomach
Exophageal rupture may occur due to high gastric pressures
The intubator will not be able to view the patient's vocal cords
The patient may expel and aspirate a large volume of vomitus
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Tidal volume of 400 mL; respiratory rate of 14 breaths/min
Tidal volume of 350 mL; respiratory rate of 12 breaths/min
Tidal volume of 400 mL; respiratory rate of 24 breaths/min
Tidal volume of 300 mL; respiratory rate of 16 breaths/min
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Carina
Bronchus
Vocal cords
Cricoid ring
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20 gauge, 1 1/4"
18 gauge, 2 1/4"
16 gauge, 1 1/4
14 gauge, 2 1/4
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Gently manipulate the catheter and reassess the flow
Discontinue the IV and reestablish it in the other arm
Ensure that the constricting band has been removed
Use a pressure infuser device to improve the IV flow
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Apply direct pressure to the venipuncture site and elevate her extremity
Reapply the proximal constricting band to reduce edema at the catheter site
Recognize that infiltration has occured and immediately discontinue the IV
Discontinue the IV and circumferentially wrap a dressing around the extremity
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Administer 100% oxygen
Place him in the shock position
Start the IV in case he needs fluids
Obtain a complete set of vital signs
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29
36
42
50
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5.5
6.2
6.5
6.8
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12.4
13.8
14
16
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Dispose of the needle and syringe in a sharps container
Monitor the patient and obtain another set of vital signs
Reassess the patient for signs of clinical improvement
Document the medication name and time of administration
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A shorter body stature
Inadequate parental guidance
A proportionately larger head
A lack of personal responsibility
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Rare,nonfatal, and difficult to prevent
Common, severe, and readily preventable
Common, nonfatal, and difficult to prevent
Uncommon, serious, and easily preventable
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Broad and ongoing
Financed by the EMS system
Targeted to a specific population
Implemented within 6 months
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Must be approved by the general public
Should be implemented by a paramedic
Should have quantitatively measured results
Must clearly demonstrate increased mortaility
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Lecturing the parent of a small child in cardiac arrest that the parent should have placed a fence around the swimming pool
Telling a babysitter that the child for whom she was caring would not have been injured had the babysitter practiced safer babysitting habits
Being stern with a man in front of his family when telling him that he would not have fallen from the roof if his son was helping him
Advising the unstrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed
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Judge the patient's actions
Convey positive reinforcement
Employ the use of scare tactics
Occur during an acute emergency
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Keep your back in a slightly curved position
Take unnecessary equipment off the stretcher
Remember to lift with your back, not your legs
Recall that the foot end of the stretcher is the heaviest
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Limit your dialogue with the patient to avoid agitating him
Ask a family member to apprise the patient of the current situation
Sympathize with the man and tell him that everything will be all right
Carefully explain what you are doing and frequently talk to the patient
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Impending burnout
An acute stress reaction
A lack of interest for EMS
A personal conflict with the patient
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Continue with patient care, report the incident to your infection control officer and schedule an appointment with your physician
Complete your care of the patient, wash the affected area as soon as you reach the hospital, and report the incident to your supervisor
Ask the driver to pull over, assume the role of the driver, continue on to the hospital, and see a physician in the emergency department
Immediately clean the affected area with isopropyl alcohol, ask the patient if he has any infectious diseases, and report the incident to your supervisor
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Begin care for the patient and have your partner remove the man from the area
Notify law enforcement at once and request that the man be placed under arrest
Ask the man why he cut the patient as you perform an initial patient assessment
Retreat from the scene to a safe area and immediately notify law enforcement
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Remain in the ambulance and wait for law enforcement personnel to arrive at the scene
Assess the scene carefully and notify other responding units of any hazards that may be present
Exit your unit, immediately move the bystanders to an area of safety, and gain access to the patient
Quickly gain access to the patient, remain alert for any scene hazards, keep the bystanders aways from the vehicle.
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