EMS1055 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTION GRADED A++ LATEST UPDATE
How to Read Blood pressure
Apply a sphygmometer, pump to around 240mmhg listen to the beginning and end of
beats for the systolic and diastolic pressures
Carotid Pulse
60mmHg SBP
Femoral Pulse
70mmHg SBP
Radial Pulse
80mmHg SBP
Pedal Pulse
90-100mmHg SBP
Anaphylactic Shock
Type of shock due to an allergic reactions. S/S: Anxiety, Altered LOC, thirst, decreased
urine output, runny nose, lightheadedness, diarrhea, vomiting, crampy abdominal pain,
cough, pain with swallowing, headache, pruritus, Skin: urticaria, flushing, Delayed
capillary refill, Tachypnea, Dilated pupils, Decreasing SBP, wheezes, stridor. Treatment:
High flow Oxygen, Trendelenburg position, keep warm, load and go transport, assist
with Epi Pen
Cardiogenic Shock
,Type of shock due to complications with the heart and or circulatory system. S/S:
Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic,
Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing
SBP. Treatment: High flow Oxygen, Trendelenburg position or position of comfort, keep
warm, load and go transport to a cardiac facility
Hypovolemic Shock
Type of shock that is due to fluid loss in the body, blood or dehydration. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic, Delayed
capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing SBP,
Fontanelle: sunken, Mucus membranes: Dry. Treatment: High flow Oxygen,
Trendelenburg position, keep warm, load and go transport
Hypoglycemic Shock
Type of shock that isn't true shock, can happen more often with diabetics. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic, Delayed
capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing SBP.
Treatment: oral glucose or sugar and juice if patient can swallow, if not immediate
transport, Paramedic: IV glucose
Neurogenic Shock
Type of shock that begins with injury to the brain or spinal chord. S/S: Anxiety, Altered
LOC, thirst, decreased urine output, Skin: warm and dry, autonomic dysreflexia,
temperature dysregulation (Poikilothermic), Hypotension, bradycardia. Treatment: High
flow Oxygen, Trendelenburg position, keep warm, load and go transport, protect from
further spinal cord damage (c-collar if necessary)
, Septic Shock
If this shock is not treated, patient can go into multi organ failure. Originates from an
infection within the body. S/S: Anxiety, Altered LOC, thirst, decreased dark urine output,
Skin: Pale, cool, and diaphoretic, Delayed capillary refill, Tachypnea, sustained
tachycardia, Dilated pupils, Decreasing SBP, Febrile. Treatment: High flow Oxygen,
Trendelenburg position, keep warm, load and go transport
Beck's Triad
Hypotension with narrow pulse pressure, neck veins distended, heart sounds muffled.
This triad means you have a cardiac tamponade.
Basilar Skull Fracture
Signs and symptoms of this condition: blood or fluid leaking from ears or nose, bruising
around the eyes, hearing problems, loss of sense of smell, vision changes, weakness in
the face from nerve damage, fatigue, dizziness
OPA (Oropharyngeal Airway)
used in patients with no gag reflex, measured from the corner of the mouth to the curve
of the jaw bone, insert by pointing the to the top of the head then rotating 180 degrees
until in position
NPA (Nasopharyngeal Airway)
patients with an gag reflex, measured from the tip of the earlobe to the corner of the
nostril, use the right nostril to insert using a twisting motion, do not use on patients with
suspected head injury
Bag Valve Mask
COMPLETE SOLUTION GRADED A++ LATEST UPDATE
How to Read Blood pressure
Apply a sphygmometer, pump to around 240mmhg listen to the beginning and end of
beats for the systolic and diastolic pressures
Carotid Pulse
60mmHg SBP
Femoral Pulse
70mmHg SBP
Radial Pulse
80mmHg SBP
Pedal Pulse
90-100mmHg SBP
Anaphylactic Shock
Type of shock due to an allergic reactions. S/S: Anxiety, Altered LOC, thirst, decreased
urine output, runny nose, lightheadedness, diarrhea, vomiting, crampy abdominal pain,
cough, pain with swallowing, headache, pruritus, Skin: urticaria, flushing, Delayed
capillary refill, Tachypnea, Dilated pupils, Decreasing SBP, wheezes, stridor. Treatment:
High flow Oxygen, Trendelenburg position, keep warm, load and go transport, assist
with Epi Pen
Cardiogenic Shock
,Type of shock due to complications with the heart and or circulatory system. S/S:
Anxiety, Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic,
Delayed capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing
SBP. Treatment: High flow Oxygen, Trendelenburg position or position of comfort, keep
warm, load and go transport to a cardiac facility
Hypovolemic Shock
Type of shock that is due to fluid loss in the body, blood or dehydration. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic, Delayed
capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing SBP,
Fontanelle: sunken, Mucus membranes: Dry. Treatment: High flow Oxygen,
Trendelenburg position, keep warm, load and go transport
Hypoglycemic Shock
Type of shock that isn't true shock, can happen more often with diabetics. S/S: Anxiety,
Altered LOC, thirst, decreased urine output, Skin: Pale, cool, and diaphoretic, Delayed
capillary refill, Tachypnea, sustained tachycardia, Dilated pupils, Decreasing SBP.
Treatment: oral glucose or sugar and juice if patient can swallow, if not immediate
transport, Paramedic: IV glucose
Neurogenic Shock
Type of shock that begins with injury to the brain or spinal chord. S/S: Anxiety, Altered
LOC, thirst, decreased urine output, Skin: warm and dry, autonomic dysreflexia,
temperature dysregulation (Poikilothermic), Hypotension, bradycardia. Treatment: High
flow Oxygen, Trendelenburg position, keep warm, load and go transport, protect from
further spinal cord damage (c-collar if necessary)
, Septic Shock
If this shock is not treated, patient can go into multi organ failure. Originates from an
infection within the body. S/S: Anxiety, Altered LOC, thirst, decreased dark urine output,
Skin: Pale, cool, and diaphoretic, Delayed capillary refill, Tachypnea, sustained
tachycardia, Dilated pupils, Decreasing SBP, Febrile. Treatment: High flow Oxygen,
Trendelenburg position, keep warm, load and go transport
Beck's Triad
Hypotension with narrow pulse pressure, neck veins distended, heart sounds muffled.
This triad means you have a cardiac tamponade.
Basilar Skull Fracture
Signs and symptoms of this condition: blood or fluid leaking from ears or nose, bruising
around the eyes, hearing problems, loss of sense of smell, vision changes, weakness in
the face from nerve damage, fatigue, dizziness
OPA (Oropharyngeal Airway)
used in patients with no gag reflex, measured from the corner of the mouth to the curve
of the jaw bone, insert by pointing the to the top of the head then rotating 180 degrees
until in position
NPA (Nasopharyngeal Airway)
patients with an gag reflex, measured from the tip of the earlobe to the corner of the
nostril, use the right nostril to insert using a twisting motion, do not use on patients with
suspected head injury
Bag Valve Mask
