AMLS Final Exam
What do you do for pin point pupils and low respirations?correct answerManage airway first, then give
Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do first?correct
answerSuction their airway
COPD and Pulmonary Emphysema patients usually have a history of what?correct answerAFib
What does AFib cause?correct answerBlood clots, which cause an increase risk for pulmonary
embolisms
What is the Renin-Angiotensin-Aldosterone system?correct answerBody's response to low BP. Renin,
which is released primarily by the kidneys, stimulates the formation of angiotensin in blood and tissues,
which in turn stimulates the release of aldosterone from the adrenal cortex. This causes the body to
retain water and increase BP.
What are the signs and symptoms of a pulmonary embolism?correct answerSudden onset, SOB, chest
pain, increased HR & RR, cool pale clammy skin, pink tinged sputum
What are the risk factors for a pulmonary embolism?correct answerBed ridden pt., trauma or surgical
pt., prolonged sitting, recent c-section or traumatic delivery, <40 y/o taking oral contraceptives, smokers
What causes respiratory alkalosis?correct answerIncreased O2
Decreased CO2
What causes respiratory acidosis?correct answerDecreased O2
Increased CO2
What causes metabolic acidosis?correct answerKidneys aren't removing enough acid from the body, so
there is a build up. RR increases to blow off excess.
What are signs and symptoms of pericarditis?correct answersharp pain, fever, and ST elevation in ALL
leads
In pericarditis, what leads have ST elevation?correct answerAll of them
What is the physiological event that comes from anaphylaxis?correct answerVasodilation, swelling,
itching
How does ARDS effect the alveoli and capillaries?correct answerFluids build up in the alveoli, causing
less oxygen exchange at the capillaries
What patients do CPAP work best on?correct answerCOPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline?correct answerIsotonic crystalloid solution
, What drug do you give to an organophosphate poisoning?correct answerAtropine
What do you give a patient who is actively seizing?correct answerVersed or Valium
What is another name for Versed?correct answerMidazolam
If a patient with low blood sugar is actively seizing, which do you fix first?correct answerthe seizing, then
treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure?correct answertreat what
caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning?correct answerSLUDGE
What type of breathing do you get with DKA?correct answerKussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome (HHNS)?correct
answerNo
Anytime you see the word anxiety what type of respiratory problem do they have?correct
answerRespiratory Alkalosis
What is the problem with your lung compliance the older you get?correct answerIt decreases and
becomes more brittle
What is Proximal Nocturnal Dyspnea?correct answerCan't lay down at night without getting shortness of
breath
What patients generally have PND?correct answerCHF
What is another name for CHF?correct answerLeft sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake, orthostatic
hypotension, and increased urinationcorrect answerTHINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm, dry skin?correct
answerDKA
Can an infection increase your temperature?correct answerYes
Can an infection increase your blood sugar?correct answerYes
If you are a diabetic with an infection, what are you more likely to go into?correct answerDKA
If I have a fever, HR through the roof, tremors, low BP, and a history of Grave's Disease, how do i
manage this?correct answerFluids, continuous 12 lead monitoring, Beta Blockers
What happens to Bicarb in metabolic acidosis?correct answerIncreases
What happens to pH in metabolic acidosis?correct answerDecreases
What happens to CO2 in metabolic acidosis?correct answerIncreases
What do you do for pin point pupils and low respirations?correct answerManage airway first, then give
Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do first?correct
answerSuction their airway
COPD and Pulmonary Emphysema patients usually have a history of what?correct answerAFib
What does AFib cause?correct answerBlood clots, which cause an increase risk for pulmonary
embolisms
What is the Renin-Angiotensin-Aldosterone system?correct answerBody's response to low BP. Renin,
which is released primarily by the kidneys, stimulates the formation of angiotensin in blood and tissues,
which in turn stimulates the release of aldosterone from the adrenal cortex. This causes the body to
retain water and increase BP.
What are the signs and symptoms of a pulmonary embolism?correct answerSudden onset, SOB, chest
pain, increased HR & RR, cool pale clammy skin, pink tinged sputum
What are the risk factors for a pulmonary embolism?correct answerBed ridden pt., trauma or surgical
pt., prolonged sitting, recent c-section or traumatic delivery, <40 y/o taking oral contraceptives, smokers
What causes respiratory alkalosis?correct answerIncreased O2
Decreased CO2
What causes respiratory acidosis?correct answerDecreased O2
Increased CO2
What causes metabolic acidosis?correct answerKidneys aren't removing enough acid from the body, so
there is a build up. RR increases to blow off excess.
What are signs and symptoms of pericarditis?correct answersharp pain, fever, and ST elevation in ALL
leads
In pericarditis, what leads have ST elevation?correct answerAll of them
What is the physiological event that comes from anaphylaxis?correct answerVasodilation, swelling,
itching
How does ARDS effect the alveoli and capillaries?correct answerFluids build up in the alveoli, causing
less oxygen exchange at the capillaries
What patients do CPAP work best on?correct answerCOPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline?correct answerIsotonic crystalloid solution
, What drug do you give to an organophosphate poisoning?correct answerAtropine
What do you give a patient who is actively seizing?correct answerVersed or Valium
What is another name for Versed?correct answerMidazolam
If a patient with low blood sugar is actively seizing, which do you fix first?correct answerthe seizing, then
treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure?correct answertreat what
caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning?correct answerSLUDGE
What type of breathing do you get with DKA?correct answerKussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome (HHNS)?correct
answerNo
Anytime you see the word anxiety what type of respiratory problem do they have?correct
answerRespiratory Alkalosis
What is the problem with your lung compliance the older you get?correct answerIt decreases and
becomes more brittle
What is Proximal Nocturnal Dyspnea?correct answerCan't lay down at night without getting shortness of
breath
What patients generally have PND?correct answerCHF
What is another name for CHF?correct answerLeft sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake, orthostatic
hypotension, and increased urinationcorrect answerTHINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm, dry skin?correct
answerDKA
Can an infection increase your temperature?correct answerYes
Can an infection increase your blood sugar?correct answerYes
If you are a diabetic with an infection, what are you more likely to go into?correct answerDKA
If I have a fever, HR through the roof, tremors, low BP, and a history of Grave's Disease, how do i
manage this?correct answerFluids, continuous 12 lead monitoring, Beta Blockers
What happens to Bicarb in metabolic acidosis?correct answerIncreases
What happens to pH in metabolic acidosis?correct answerDecreases
What happens to CO2 in metabolic acidosis?correct answerIncreases
