open fracture standing orders issued by the medical director that allow EMTs to do things without speaking to the med director off-line medical direction This increases in adults with breathing difficulty. This is called: supine hypotensive syndrome Signs of internal bleeding include: Bruising, swelling, and pain over vital organs painful, swollen, or deformed extremities Small round purplish spots, called petechiae, are caused by: capillary bleeding Splinting a closed, angulated fracture in the position in which it was found may cause a(n) _ during transport. Toxins are poisons that are produced by living organisms NTG: Action vasodilator, decreases blood return to heart NTG: Contraindications systolic pressure <100mm/Hg, use of ED med within last 24 hrs, head injury NTG: Dosage 0.4mg SL, repeat every 3-5 min for 15 min NTG: Indications chest pain of cardiac origin, angina, acute CHF NTG: Side Effects headache, hypotension, tachycardia occurs when an object migrates from one part of the body and causes a blockage of a blood vessel in another part of the body embolism Order of preference for artifical breathing techniques, best to worst Mouth to mask, 2-rescuer BVM, Flow-restricted O2 powered device, 1-rescuer BVM orders from the on-duty MD given directly to an EMT-B on-line medical direction Oximeter reading in a normal, healthy person 96-100 Pertinant characteristics of breathing rate, rhythm, quality, depth Prior to delivery, if the mother is in the supine position, she may develop dizziness and a drop in blood pressure. ![]() asystole list of steps to be taken in different situations protocols Lung sounds that resemble low-pitched snoring or rattling are called rhonchi Normal breathing rate for adults 12-20 Normal breathing rate for children 15-30 Normal breathing rate for infants 25-50 Normal diastolic BP in adults 60 to 90 Normal pulse rate for an adult 60-100 bpm Normal systolic BP in adults 90 to 150 Not all poisons are toxins. ![]() ![]() emphysema Chaotic electrical activity originating from many sites in the heart is called: Ventricular fibrillation DCAP-BTLS = deformities, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling Emphysema, chronic bronchitis, and many undetermined respiratory illnesses are classified as COPD Epinephrine: Action vasoconstriction, bronchodilation Epinephrine: Contraindications Glaucoma, shock other than anaphylactic, diabetes, cardiac problems, hypertension, pregnancy, meds include a beta blocker or MAOI Epinephrine: Dosage Epi-Pen = 0.3mg, Epi-Pen Jr = 0.15mg (for 44lbs, 0.5 mg for 1 y/o, the 1st pulse you check radial In the condition called _, there is not electrical stimulus to cause the heart muscle to contract. ![]() A weakened section of an arterial wall that begins to dilate is known as a(n) aneurysm Activated Charcoal: Contraindications Poor LOC, vomiting Activated Charcoal: Dosage 1 g/kg of body weight, adults usually 25-50g, children 12.5-25g Activated Charcoal: Side Effects Constipation, nausea, vomiting, bowel obstruction After delivering your first shock with an AED, the patient is still pulseless, you should next perform two minutes or 5 cycles of CPR Albuterol: Action Bronchodilator Albuterol: Contraindications Allergy Albuterol: Dose 2.5 mg nebulized with 2.5 mL saline (for a total of 3mL) Albuterol: Indications Acute bronchospasm due to asthma or COPD Albuterol: Side effects Headache, tachycardia, hypertension An example of a shockable rhythm pulseless ventricular tachycardia An infant or child patient who exhibits wheezing, increased breathing effort on exhalation, or rapid breathing without stridor probably has: A lower-airway disease an inflammation of the bronchi (medium-size airways) in the lungs bronchitis ASA: Action Impedes blood clotting ASA: Contraindications allergy, bleeding disorder, already taken 324mg ASA: Dosage 324mg (81mg x 4) Atrovent: Action Bronchodilator Atrovent: Contraindications Allergy to drug, soybeans, peanuts, glaucoma Atrovent: Dose 0.5 mg nebulized w/ 2.5 mL saline (3mL total) Atrovent: Side Effects Dry mouth, headache, gastrointestinal distress caused by loss of elasticity of the lung tissue, from destruction of structures supporting the alveoli, and destruction of capillaries feeding the alveoli.
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