Brady Paramedic Care Third Edition Volume 4 Flashcards

Terms Definitions
Nerve cell

Page 333
Instagation of sleep

Page 322
Benneath the tongue

Page 400
Solute concentration or osmotic pressure relative to the blood plasma or body cells
Moves fluid across cell surfaces
Space between nerves cells

Page 333
Content Review:
Intramuscular Injection Sites
2.Dorsal gluteal
3.Vastus lateralis
4.Rectus femoris

Page 427
Content review
Factors affecting stroke volume
2.Cardiac contractility

Page 80
Cell death; a pathological cell change.
A group of tissues functioning together
proteins, produced by white blood cells, that regulate immune responses by binding with and affecting the function of the cells that produced them or of other, nearby cells.
The interactions of psychological, neurological,/endocrine, and immunological factors that contribute to alteration of the immune system as an outcome of a stress response that is not quickly resolved.
Psychoneuroimmunological regulation

Page 277
An exaggerated and harmful immune response an umbrella term for allergy, autoimmunity, and isoimmunity.
Relative therupeutic effectiveness of chemically equivalent drugs

Page 298
Pertaining to the neurotransmitter acetylcholine

Page 333
Air in the vein
Air embolism

Page 451
Intravenous solutions that contain electrolytes but lack the larger proteins associated with colloids

Page 433
Pertaining to cardic contractile force

Page 82
Content review
Oxygen delivery devices
1.Nasal cannula
2.Venturi mask
3.Simple face mask
4.Partial rebreather mask
5.Nonrebreather mask
6.Small volume nebulizer
7.Oxygen humidifier

Page 634
Tissue death over a wide area
Gangrenous necrosis
A measure of relative acidity or alkalinity
The percentage of the blood occupied by erythrocytes
the emptying of granules from the interior of a amst cell into the extracellular environment.
Name 1 of the 3 Pharmacokinetic Processes

Page 306
Movement of MOLECULES across a membrane from an area of higher pressure to an area of lower pressure

Page 305
Alkalotic compound used to increase the gastric environment's PH

Page 368
a product of metabolic action; breaking down into different chemicals

Page 308
plantlike microorganism; pl fungi.
volume 3, page 599
Rigid plastic device specifically constructed to fit into the hub of an intravenous cannula
Needle adapter

Page 437
The destruction of red blood cells

Page 464
Documents routinely carried aboard vehicles transporting hazardous materials, ideally should identify specific substances and quantities carried; also known as bills of lading
Shipping papers

Page 457
Content review
ECG Time intervals
1.PR interval
2.QRS interval
3.ST segment

Page 94
Inhaling foreign material such as vomitus into the lungs

Page 537
In this type of necrosis incompletely digested cells take on a cottage cheese like consistancy. Common in tubercular lung infection
Caseous necrosis
Alkalinity caused by an increase in plasma bicarbonate resulting from causes including diuresis, vomiting, or ingestion of too much sodium bicarbonate
Metabolic Alkolosis
The fluid inside the body cells
Intracellular fluid (ICF)
What FDA Pregnancy category consists of animal studies have demonstrated adverse effects, but there are no adequate studies in pregnant women; however, benefits may be acceptable despite the potential risks, OR, no adequate animal studies or adequate stud
Catagory C

Page 302
Drug that decreases the formation of platelet plugs

Page 361
organism responsible for acquired immunodeficiency syndrome (AIDS).
human immunodeficiency virus (HIV)
volume 3, page 615
Name 4 Nervous sysytem infections.
1. Encephalitis
2. Rabies
3. Tetanus
4. Lyme disease
volume 3, page 641
chapter 11 content review
Change in a medication's chemical composition that occurs in the liver
hepatic alteration

Page 412
leakage of fluid or medication from the blood vessel that is commonly found with infiltration

Page 449
Problem oriented evaluation of patient and establishment of priorities based on existing and potential threats to human life
Patient assessment

Page 186
Enzyme complex, found in cellular mitochondria, that enables oxygen to create the adenosine triphosphate (ATP) required for all muscle energy
Cytochrome oxidase

Page 466
Group of cardiac muscle cells that physiologically function as a unit

Page 85
Air cavity that conducts fluids from the eustachian tubes and tear ducts to and from the nasopharynx

Page 535
Membrane between the cricoid and thyroid cartilages of the larynx
Cricothyroid membrane

Page 537
Shallow, slow, or infrequent breathing , indicating brain anoxia
Agonal respirations

Page 554
A plasma protein system that produces bradykinin, a substance that works with prostaglandins to cause pain. It also has actions similar to those of histamine (vasodilation, and bronchospasm, increased permeability of the blood vessels, and chemotaxis) but
Kinin system

Page 260
In the cells of higher organisms, the nucleus is surounded by what?
A membrane
A high energy compound present in all cells especially muscle cells; when split by enzyme action it yields energy.
Adenosine triphosphate
Shock that has progressed so far that no medical intervention can reverse the condition and death is inevitable
Irreversible shock
Oncotic force is sometimes refered to as what?
Colloid osmotic pressure
In the world of receptors this type of receptor responds to chemical stimuli?
substances that destroy or inhibit microorganisms, tiny living bodies invisible to the naked eye.
antibiotic means "destructive to life"
A drugs ability to cause the expected response

Page 312
Drug that binds to a receptor and causes it to initiate the expected response

Page 313
The loss of hydrogen atoms or the acceptance of an oxygen atom. This increases the positive charge (or lessens the negitive charge) on the molecule

Page 309
Medicaation that is not active when administered, but whose biotransformation converts it into active metabolites.
Prodrug (Parent Drug)
Highly contagious sexually transmitted ulcer.
chapter 11, volume 3, page651
What illness is most commonly transmitted through sexual contact?
Sexually transmitted disease (STD)
Chapter 11, volume 3, page646
Measures to decrease your risk of exposure to blood and body fluids
Standard Precautions

Page 396
Content Review:
Needle Handling Precautions
1.Minimize tasks in a moving ambulance
2.Properly dispose of all sharps
3.Recap needles onlyu as a last resort
Black and blue discoloration over the mastoid process
Battle's sign

Page 232
Content review
Signs of inadequate breathing
1.Altered mental status
2.Shortness of breath
4.Asymmetric chest wall movement
5.Accessory muscle use
7.Audible sounds
8.Abnormal rate or pattern
9.Nasal flaring

Page 206
Effects that occur throughout the body after exposure to a toxic substance
Systemic effects

Page 464
Pause following an ectopic beat where the SA node is depolarized and the underlying cadence of the heart is interrupted
Noncompensotory pause

Page 116
Ratio of blood pumped from the ventricle to the amount remaining at the end of diastole
Ejection fraction

Page 80
Irregular pattern of rate and depth with sudden periodic episodes of apnea, indicating increased intracranial pressure
Biot's respirations

Page 554
Content review
Ventilation methods
1.Mouth to mouth / Mouth to nose
2.Mouth to mask
3.Bag valve device
4.Demand valve device
5.Automatic transport ventilator

Page 635
A group of signs, symptoms, and disorders that often develop as a consequence of HIV infection
AIDS (Aquired immunodeficiency syndrome)
the type of white blood cel that does not prouce antibodies but, instead, attacks antigens directly.
T lymphocytes
The concentration of solute per kilogram of water.

See also Osmolarity on page 195 (refrenced in one of the upcoming flashcards)
Click here for a key point
Hydralazine (Apresoline) is the preferred antihypertensive for the management of pregnancy-induced hypertension

Page 358
One drug binds to a receptor and causes the expected effect while also blocking another drug from triggering the same receptor
Competitive antagonism

Page 313
Types of Sympathetic receptors
Alpha 1 (a1)
Alpha 2 (a2)
Beta 1 (B1)
Beta 2 (B2)

Page 342 also see Table 9-7 on page 343
an organism's strength or ability to infect or overcome the body's defenses.
volume 3, page 602
organism that can grow and reproduce only within a host cell.
obligate intracellular parasite
volume 3, page 598
Self sealing membrane into which a hypodermic needle is inserted for drug administration
Medication injection port

Page 437
Vial with two containers, one holding a powdered medication and the other holding a liquid mixing solution
Nonconstituted drug vial/ Mix-o-vial

Page 419
The lowest concentration of chemical that will burn in the air
Lower explosive limit (LEL

Page 461
Goes along with Flamable / explosive limits
The amount of blood ejected by the heart in one cardiac contraction
Stroke volume

Page 80
The amount of air remaining in the lungs at the end of maximal expiration
Residual volume

Page 548
Airway assessment used by some EMS personel to rate the percentage of glottic opening (POGO) one can visualize from "0" percent (None) to "100" percent (All)
POGO classification system

Page 625
Drop in blood pressure of greater than 10 torr durring inspiration
Pulsus paradoxus

Page 554
The total loss of water from blood plasma across the capillary membrane into the interstitial space.
Net filtration

Normally, hydrostatic pressure forcing water out of the capillary for a net filtration of zero.
What is 1 of the 4 Acid base derangements
1.Respiratory acidosis
2.Respiratory alkalosis
3.Metabolic acidosis
4.Metabolic alkalosis
The part of the nervous system that controls involuntary actions
Autonomic nervous system

Page 331
Requires the use of energy to move a substance
Active transport

Page 304
time between a host's exposure to infectious agent and the appearance of symptons.
incubation period
volume 3, page 603
family of viruses that are carried by deer mouse and transmitted by ticks and other anthropods.
volume 3, page 638
skin disease caused by mite infestation and characterized by intense itching.
chapter 11, volume 3, page 652
Content review
Normal Interval Durations
1.PR 0.12 - 0.20 sec
2.QRS 0.08 -0.12 sec
3.QT 0.33 - 0.42 sec

Page 95
The average volume of gas inhaled or exhaled in one respiratory cycle
Tidal volume
Approximately 500 mL

Page 548
An ion with a negitive charge

so called becuase it will be attracted to an anode or positive pole
What is 1 of the 4 functions of antibodies?
1.Neutralization of Bacterial toxins
2.Neutralization of viruses
3.Opsonization of bacteria
4.Activation of inflamatory processes

Page 247
time between exposure to a disease and seroconversion.
window phase
volume 3, page 603
Click here for the 4 types of drug actions
1.Binding to a receptor site
2.Changing the physical properties of cells
3.Chemically combining with other chemicals
4.Altering a normal metabolic pathway

Page 312
What type of blood qualifies as a universal donor?
Type O

This type has no antigens to trigger an immune response
Peripheral IV cannula with a distal medication port used for intermittent fluid or medication infusions, Saline is injected into the device to maintain its patency.
Saline lock

18 - 20 guage
1 - 1 1/2 inch long

Page 456
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