NREMT EXAM | QUESTIONS & ANSWERS (
m m m m m m
VERIFIED) | LATEST UPDATE | GRADED A
m m m m m m
+
cardiogenicmshock
CorrectmAnswer -themtypemof mshockmcausedmbyminadequatemfunction mof mthemheart.mThis
:
developsmwhenmthemheartmcannotmmaintainmsufficientmoutputmtommeetmthemdemandsmof mthe
m body
-causedmbymanymdiseasemormeventmwhich mpreventsmheartmpumping
-can moccurmdirectlymaftermAMImupmtom24mhours
Obstructivemshock
CorrectmAnswer Themtypemof mshockmthatmresultsmwhen mconditionsmthatmcause
:
mechanical mobstructionmof mthemcardiacmmusclemalsomimpactmpumpmfunction m
ex.mcardiacmtamponade,mtension mpneumothorax
Beck'smtriad
CorrectmAnswer Signsmof mamcardiacmtamponade.mJVD,mnarrowingmBPmpressures,
:
muffledmheartmsounds
Distributivemshock
1
,CorrectmAnswer Themtypemof mshockmwhen mtheremismwidespreadmdilation mof mthemsmall
:
arterioles,mvenules,mormboth.mBloodmpoolsminmthemexpandedmvascularmbedsmandmtissuemper
fusion mdecreases
Typesmof mdistributivemshock
CorrectmAnswer Septicmshockmcausedmbymsevereminfections;mneurogenicmshockmcause
: d
bymdamagemtomthemspinalmcordm(bradycardia,mlow mBP,mwarmmskin);manaphylacticmshockmc
ausedmbymallergicmreaction;mpsychogenicmshock
Hypovolemicmshock
CorrectmAnswer Themtypemof mshockmthatmresultsmfrommanminadequatemamountmofmfluidmo
: r
volumemin mthemsystem
-15%mof mbloodmvolume
How mdomyou mtreatmformshock?
CorrectmAnswer Keepmthempatientmwarm,mcontrol mbleeding,mputmthempatientminmampositio
: n
of mcomfort,mandmadministermhigh-flow moxygen
brain mdamagemwithoutmoxygen
CorrectmAnswer -withoutmenough moxygen,mcardiacmarrestmormbrain mdamagemoccurs
:
within maboutm4mminutes
-permanentmbrain mdamagemwithin m6mminutes
-death mlikelymwithin m10mminutes
,2
, FBAO
CorrectmAnswer -signsmof mblockagemincludeminabilitymtomcough mormspeakmorminabilitymto
:
ventilatempatient
-
bendingmpatientmforwardmatmthemwaist,msupportmchestmwithmonemhand,musemheel mof mhandmt
omgivem5mbackmblowsmbetween mshouldermblades
-then m5mabdominal mthrusts
-alternatembetween mthemtwomuntil mobjectmismdislodged
-if mpatientmlosesmconsciousness,mgivemCPR mstartingmwith mchestmcompressions
-given meven mif mpatientmhasmampulse,msomdon'tmcheck
-beforemgivingmbreaths,mlookminsidemmouth mformanymvisiblemobjects
FBAOmin mchildren
CorrectmAnswer -
: usingmthighmformsupport,mlaymfacingmdownmalongmforearm;mensuremhead
ismlowermthan mthembody
-givem5mfirmmbackmblowsmbetween mblades
-
5mchestmthrusts;mplacem2mtom3mfingersminmthemmiddlemofmthemchestmjustmbelowmthemnipples.mp
ush mdown m1.5minches.
-alternate,munlessmlosemconsciousness,mthen mCPR
mousemtommouth/mouth mtomnose
CorrectmAnswer -mouth mtommouth mperformedmwhen mpatientmdoesmnotmhavemadequate
:
breathingmandmartificial mventilation mnotmavailable
m m m m m m
VERIFIED) | LATEST UPDATE | GRADED A
m m m m m m
+
cardiogenicmshock
CorrectmAnswer -themtypemof mshockmcausedmbyminadequatemfunction mof mthemheart.mThis
:
developsmwhenmthemheartmcannotmmaintainmsufficientmoutputmtommeetmthemdemandsmof mthe
m body
-causedmbymanymdiseasemormeventmwhich mpreventsmheartmpumping
-can moccurmdirectlymaftermAMImupmtom24mhours
Obstructivemshock
CorrectmAnswer Themtypemof mshockmthatmresultsmwhen mconditionsmthatmcause
:
mechanical mobstructionmof mthemcardiacmmusclemalsomimpactmpumpmfunction m
ex.mcardiacmtamponade,mtension mpneumothorax
Beck'smtriad
CorrectmAnswer Signsmof mamcardiacmtamponade.mJVD,mnarrowingmBPmpressures,
:
muffledmheartmsounds
Distributivemshock
1
,CorrectmAnswer Themtypemof mshockmwhen mtheremismwidespreadmdilation mof mthemsmall
:
arterioles,mvenules,mormboth.mBloodmpoolsminmthemexpandedmvascularmbedsmandmtissuemper
fusion mdecreases
Typesmof mdistributivemshock
CorrectmAnswer Septicmshockmcausedmbymsevereminfections;mneurogenicmshockmcause
: d
bymdamagemtomthemspinalmcordm(bradycardia,mlow mBP,mwarmmskin);manaphylacticmshockmc
ausedmbymallergicmreaction;mpsychogenicmshock
Hypovolemicmshock
CorrectmAnswer Themtypemof mshockmthatmresultsmfrommanminadequatemamountmofmfluidmo
: r
volumemin mthemsystem
-15%mof mbloodmvolume
How mdomyou mtreatmformshock?
CorrectmAnswer Keepmthempatientmwarm,mcontrol mbleeding,mputmthempatientminmampositio
: n
of mcomfort,mandmadministermhigh-flow moxygen
brain mdamagemwithoutmoxygen
CorrectmAnswer -withoutmenough moxygen,mcardiacmarrestmormbrain mdamagemoccurs
:
within maboutm4mminutes
-permanentmbrain mdamagemwithin m6mminutes
-death mlikelymwithin m10mminutes
,2
, FBAO
CorrectmAnswer -signsmof mblockagemincludeminabilitymtomcough mormspeakmorminabilitymto
:
ventilatempatient
-
bendingmpatientmforwardmatmthemwaist,msupportmchestmwithmonemhand,musemheel mof mhandmt
omgivem5mbackmblowsmbetween mshouldermblades
-then m5mabdominal mthrusts
-alternatembetween mthemtwomuntil mobjectmismdislodged
-if mpatientmlosesmconsciousness,mgivemCPR mstartingmwith mchestmcompressions
-given meven mif mpatientmhasmampulse,msomdon'tmcheck
-beforemgivingmbreaths,mlookminsidemmouth mformanymvisiblemobjects
FBAOmin mchildren
CorrectmAnswer -
: usingmthighmformsupport,mlaymfacingmdownmalongmforearm;mensuremhead
ismlowermthan mthembody
-givem5mfirmmbackmblowsmbetween mblades
-
5mchestmthrusts;mplacem2mtom3mfingersminmthemmiddlemofmthemchestmjustmbelowmthemnipples.mp
ush mdown m1.5minches.
-alternate,munlessmlosemconsciousness,mthen mCPR
mousemtommouth/mouth mtomnose
CorrectmAnswer -mouth mtommouth mperformedmwhen mpatientmdoesmnotmhavemadequate
:
breathingmandmartificial mventilation mnotmavailable
