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NREMT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
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Terms in this set (306)
Most severe dysrhythmia of the heart Asystole
Asystole indicates no electrical activity in the heart
indicates some residual electrical activity within the heart, but not enough for a
PEA
pulse
shockable rhythm, heart rhythm problem that occurs when the heart beats with
Ventricular fibrillation rapid, erratic electrical impulses. This causes pumping chambers in your heart (the
ventricles) to quiver uselessly, instead of pumping blood.
shockable rhythm, in which the lower chambers of your heart (ventricles) beat
very quickly because of a problem in your heart's electrical system.
Ventricular tachycardia your heart may not be able to pump enough blood to your body and lungs
because the chambers are beating so fast that they don't have time to properly
fill.
Sing of increased intracranial pressure
3 sings
Cushing's triad 1. Brachicardia
2.hypertension
3.Altered respirations
After your paramedic partner has Deliver each breathe over 1 second at a rate of 8 to 10 breathes per minute
intubated an adult cardiac arrest patient, When an advanced airway is in place, there is no pause in chest compressions to
you are providing ventilations as a deliver breaths.
firefighter performs chest compressions.
When ventilating the patient, you
should?
An airway that is not completely encourage to cough, heimlich is only performed on complete obstructions
obstructed
Infant respiratory rate 25-50
The condition of having a slow heartbeat, defined as under 60 beats per minute
Bradycardia
for an adult.
progressively increasing systolic blood pressure, leading to widening pulse
Hypertension
pressure
Region in mammals including the thoracic area just not the lungs, so the heart the
Mediastinum
trachea, the thymus gland are all included in it
What are the two methods for opening Jaw-thrust and head-tilt chin-lift
the airway of an unconscious patient? spine injury
When would you use one over the other?
What is the main complication of Could lead to hypoxia
suctioning the airway for more than 10
seconds?
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Flow rate: 1-6 lpm
What flow rate for a nasal cannula and
When it's used: Nasal cannulas are used to deliver oxygen when a low flow, low or
when should it be used
medium concentration is required, and the patient is in a stable state.
When should you use a NRM and at what Use when patent needs oxygen but can breath on their own and is getting
flow rate? sufficient tidal volume and O2 percent, flow rate of 10-15 lpm
Use when patient is unconscious and not breathing adequately or isn't getting
When should you use a bag-valve mask enough O2 or has stopped breathing, use 10-15 lpm, if patient is breathing less
and at what flow rate? than 12 times a min or more than 24 use BVM and check to see if it's working by
looking at rise and fall of chest
If there is a tracheostomy tube in place put the BVM on that and ventilate (after
How would you ventilate a patient who taking mask off) if no tube put a special mask over the stoma and if you don't
has a Stoma? have a special tracheostomy stoma mask use a child or infant BVM mask
cover nose and mouth
A metered-dose inhaler (MDI) is a device that delivers a specific amount of
What is the medicine inside an MDI and medication to the lungs, in the form of a short burst of aerosolized medicine that
how does it work? is usually self-administered by the patient via inhalation.
Medications are things like Bronchodilators like albuterol
patients with known COPD or asthma with acute exacerbations.
What are the indications of a MDI? patients without known respiratory disease who exhibit expiratory
wheezing. must be prescribed
Airflow obstruction due to foreign body
Airflow obstruction and an MI
What are the contraindications of a MDI?
Not used as the first drug to help with congestive heart failure
Hypersensitivity, tachycardia, MI.
Albuterol can quickly relieve shortness of breath, coughing, wheezing, and chest
What can albuterol treat? tightness.
relaxes muscles in the airways and increases air flow to the lungs.
Administering MDI Shake for 30 sec, administer while patient inhales and encourage to hold breath
Dyspnea Difficult or labored breathing
Sign of increased muscle use for breathing, sings of someone having difficulty
Retractions
breathing
Seeing the chest rise when a child is breathing because their ribcage muscles are
Belly breathing not developed enough to get enough air, ok if the tidal volume and breathing rate
are normal
Auscultations Listening to the heart or lungs with stethoscope
What does pulse oximetry measure? Measures the O2 saturation of someones blood
Dark nail polish
Patient moving too
What are three conditions that can give a much Dust and dirt
false pulse oximetry reading? Hand tremors
The 3 conditions: peripheral vascular disease, vasoconstrictor medications,
severe hypotension and hypothermia.
peripheral vascular disease narrowing of the blood vessels that carry blood to the extremities
abnormally low blood pressure, caused by sudden loss of blood (shock), severe
hypotension
infection, heart attack, or severe allergic reaction (anaphylaxis)
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