Brady Paramedic Care Third Edition Volume 5 Flashcards

content review
Terms Definitions
Content Review:
Endotracheal Medications
1.Lidocaine
2.Vasopressin
3.Epinephrine
4.Atropine
5.Naloxone

Page 407
resembling acetylcholine in pharmacological action
cholinergic

Dictionary
Content Review:
Crystalloid Classes
1.Isotonic
2.Hypertonic
3.Hypotonic

Page 434
Rough endoplasmic reticulum synthesis what?
Protiens
Granular structures that manufacture protiens
Ribosomes
Sludge effects of cholinergic medications
1.Salivation
2.Lacrimation
3.Urination
4.Defecation
5.Gastric motility
6.Emesis

Page 336
A sharp, pointed instrument
Trocar

Page 466
Content review
ECG Leads
1.Bipolar (limb)
2.Augmented (unipolar)
3.Precordial

Page 91
Liquefactive necrosis that usually affects internal organs
Wet gangrene
Enlargement. In reference to the heart, an abnormal enlargement resulting from pathology
Dilation
a cytokine released by a macrophage.
monokine
Excess fluid in the interstitial space
Edema
Anatomic barriers.
Inflammatory response
Immune response
Three Lines of Defense
An agent that increases urine secretion and elimination of body water
Diuretic
Drug used to treat hypertension
Antihypertensive

Page 353
Constriction of arterioles increase the hearts.....
Afterload

Page 343
Name the three classes of antipsychotic medications
1.Phenothiazines
2.Butyrophenones
3.Atypicals

Page 326
Drug that inhibits blood cloting
Anticoagulant

Page 451
Content Review:
IV Access Complications
1.Pain
2.Local infection
3.Pyrogenic reaction
4.Allergic reaction
5.Catheter shear
6.Inadvertent arterial puncture
7.Circulatory overload
8.Thrombophlebitis
9.Air embolism
10.Necrosis
11.Anticoagulants

Page 450
Unit of measurement approximately equal to one-third millimeter
French

Page 568
inadequate oxygenation of the blood.
hypoxemia

Page 556
The fluid within the circulatory system; blood plasma
Intravascular fluid
A state of physical or psychological arousal to stimulus
Stress
The study of disease and it causes
Pathology
The outer covering of a cell
Cell membrane
A blockage in the delivery of oxygenated blood to the cells
Ischemia
large cells, resembling bags of granules, that reside near blood vessels. When stimulated by injury, chemicals, or allergic responses, they activate the inflammatory response by degranulation ( emptying their granules into the extracellular environment) a
mast cells
a substance produced by B lymphocytes in response to he presence of a foreign antigen that will combine with and control or destroy the antigen, thus preventing infection.
antibody
Healing of a wound with scar formation
Repair
Test to ascertain a drug's availability in a biological model
Bioassay

Page 298
An endogenous substance that afffects a wide variety of organ systems
Histamine

Page 366
inflammation of paranasal sinuses.
sinusitis
volume 3, page 638
Foreign protein capable of producing fever
Pyrogen

Page 450
The size of a needle's diameter
Gauge

Page 415
Content review
Hazmat requirements/standards
1.OSHA publication CFR 1910.120
2.EPA regulation 40 CFR 311
3.NFPA standard 473

Page 450
Any deviation from the normal electrical rhythm of the heart
Dysrhythmia

Page 103
Excessive pressure of carbon dioxide in the blood
Hypercarbia

Page 546
In regards to endotracheal intubation what does the acronym BURP stand for
Backward
Upward
Rightward
Presure

The laryngoscope operatior uses his right thumb and index finger to apply pressure to the thyroid cartlige (Adams apple) and mainipulate in this fasion to achieve a better view of the epiglottis. At this point an assistant takes over while the laryngoscope operator places the ETT tube

Page 586
A steroid hormone released by the adrenal cortex that regulates the metabolism of fats, carbohydrates, sodium, potassium, and proteins and also has an anti-inflammatory effect
Cortisol

Page 278
A chemical or physical disturbance in the cells or tissue fluid produced by a change in the external environment or within the body.
Physiological stress
a tumor or growth that forms when foreign bodies that cannot be destroyed by macrophages are surrounded and walled off.
granuloma
chemicals that attract white cells to the site of Inflammation, a process called chemotaxis.
chemotactic factors
Which FDA pregnancy catagory shows that adequate studies in pregnant women have not demonstrated a risk to the fetus in the 1st trimester or later trimesters
Catagory A

Page 302
Drug used to treat high blood cholesterol
Anithyperlipidemic

Page 363
Specialized synapse between a nerve cell and the organ or tissue it innervates
Neuroeffector junction

Page 333
purified protein derivative, he substance used in a test for tuberculosis.
PPD
volume 3, page 608
External Jugular access is considered.....
Peripheral venous access

Page 432
Material applied to and absorbed through the skin or mucous membranes
Topical medications

Page 399
An excess in intravascular fluid volume
Circulatory overload

Page 450
Calibrated chamber of berutol IV administration tubing that enables precise measurement and delivery of fluids and medicated solutions
Burette chamber

Page 438
Content review
Components of patient assessment
1.Scene size up
2.Initial assessment
3.Focused history and physical exam
4.Ongoing assessment
5.Detailed physical exam

Page 186
Signs and or symptoms rapidly displayed on exposure to a toxic substance
Acute effects

Page 464
Specialized bands of tissue inserted between myocardial cells that increase the rate in which the action potential is spread from cell to cell
Intercalated discs

Page 85
Cartilage that separates the right and left nasal cavities
Septum

Page 535
The mechanical process that moves air into and out of the lungs
Ventilation

Page 541
A recording or display of the measurement of exhaled carbon dioxide concentrations
Capnography

Page 557
To remove with a vacum type device
Suciton

Page 629
Name one outcome of healing.
1. Resolution-complete restoration of normal structure.
2. Repair- scar formation
Name 1 of the 5 structural Hierarchy's of the body. Try to name all 5.
1.Cells
2.Tissues
3.Organs
4.Organ systems
5.Organism
Early stage of shock during which the body's compensatory mechanisms are able to maintain normal perfusion
Compensated shock
In this type of necrosis the cells become liquid and contained in walled cysts. This is common in the ischemic death of neurons and brain cells.
Liquefactive necrosis
Four blood groups formed by the presence or absence of two antigens known as A and B.
ABO Blood groups
Name 1 of the 3 special considerations
1.Pregnant paitients
2.Pediatric patients
3.Geriatric patients

Page 302
Describes the lengths of onset, duration, and termination of action, as well as the drug's minimum effective concentration and toxic levels
Plasma level profile

Page 316
Tight junctions of the capillary endothelial cells in the central nervous system vasculature through which only non protein bound, highly lipid-soluble drugs can pass
Blood brain barrier

Page 308
capable of being transmitted to another host.
communicable
volume 3, page 602
Name 4 factors affecting disease transmission
volume 3, p. 602, content review.
1.mode of entry
2.virulence
3.Number of organisms transmitted
4.Host resistance
creation of antibodies after exposure to a disease.
seroconversion
volume 3, page 603
infection of pharynx and tonsils .
pharygngitis
volume 3, page 638
to destroy certain forms of microorganisms, but not all.
disinfect
volume 3, page 611
Glass container with color coded, self sealing rubber top
Blood tube

Page 461
Surgically implanted port that permits repeated access to central venous circulation.
Venous access device

Page 458
Probelem oriented assesment process based on initial assessment and chief complaint
Focused history and physical exam

Page 211
Your anticipation of possible injuries based on your analysis of the event
Index of suspicion

Page 197
Lowest temperature at which a liquid will give off enough vapors to support combustion/ slightly higher than flashpoint
Ignition temperature

Page 461
The triangle around the heart frormed by the bipolar limb leads
Einthoven's triangle

Page 91
The normal electrical state of cardiac cells
Resting potential

Page 86
Uncuffed tube that follows the natural curvature of the nasopharynx, passing through the nose and extending from the nostril to the posterior pharynx
Nasopharyngeal airway

Page 568
Lining in body cavities that handle air transport; usually contains small, mucus secreting cells
Mucous membrane

Page 535
Name 1 of the 7 major functions of cells. Try to name all 7.
1.Movement
2.Conductivity
3.Metabolic absorption
4.Secretion
5.Excretion
6.Respiration
7.Reproduction
The strength of a contraction of the heart
Cardiac contractile force
Name 1 of the 4 types of necrotic cell change.
1.coagulative
2.liquefactive
3.Caseous
4.Fatty
The resistance of the vessels to the flow of blood increased when the vessels constrict, decreased when the vessels relax
Peripheral vascular resistance
Click here for a key point
Digitalis (Lanoxin) is still frequently used to increase cardiac output in CHF and to control the rate of ventricular response in atrial fibrillation

Page 359
the time required for the activity of a substance taken into the body to lose one half its initial effectiveness.
half life

Page 303
disease causing organism that can be seen only with an electron microscope.
Virus
volume 3, page 598
accute infection of the brain, usually caused by a virus.
encephalitis
volume 3, page 641
the most common phagocytic white blood cell.
neutrophil
volume 3, page 604
an apparatus worn that cleanses or qualifies the air.
respirator
volume 3, page 624
State in which a solution has a lower solute concentration on one side of a semipermeable membrane than on the other side
Hypotonic

Page 434
What does HEENT stand for
Head, eyes, ears, nose, and throat.

Page 226
Pressure of a vapor against the inside walls of a container
Vapor pressure

Page 461
A law of physiology stating that blood flow through a vessel is directly proportional to the radius of the vessel to the fourth power
Poiseuille's law

Page 79
Symbol for alveolar partial pressure
PA

Note the A is capitilized signifyig it is alveolar reading

Page 544
progressive impairment of two or more organ systems resulting from an uncontrolled inflamatory response to a severe illness or injury.
multiple organ dysfunction syndrome (MODS)
Name the 3 distinct authorities for drug laws and regulations
1.Federal law
2.State laws and regulations
3.Individual agency regulations

Page 296
proportion of a drug available in the body to cause either desired or undesired effects
Free drug avaliabilty

Page 303
organism that lives in or on another organism.
parasite
volume 3, page 600
IV tubing used to extend a macrodrip or microdrip setup
Extention tubing

Page 437
The amount of air that can be maximally inhaled after a normal inspiration
Inspiratory reserve volume
(IRV)

Page 548
An ion with a positive charge
Cation

so called becuase it will be attracted to a cathode, or negative pole
The basic structural unit of all plants and animals. Amembrane enclosing a thick fluid and a nucleus.
Cell

Cells are specialized to carry out all of the bodys basic functions
The following is a set of conditions known as what?
1.Adequate concentration of inspired oxygen
2.Appropriate movement of oxygen across the alveolar/capillary membrane into the arterial bloodstream
3.Adequate number of red blood cells to carry the oxygen
The Flick principle

see page 218
the duration from the onset of signs and smptons of disease until the resolution of symptons or death.
disease period
volume 3, page 603
The weight of a volume of liquid compared with an equal volume of water
Specific gravity

Chemicals with a specific gravity greater than one will sink in water....Chemicals with a specific gravity of less than one will float on water

Page 461
A series of actions triggered by a first action and culminating in a final action
Cascade

Typical of th eactions caused by plasma proteins involved in the complement, coagulation, and kinn systems.
This sound points to what kind of airflow compromise:
Snoring
Results from partial obstruction of the upper airway by the tongue

Page 555
How many liters of o2 do you set for a nebulizer
5 - 8 LPM
Name one of the five types of Mature T cells
1. Memory cells
2. Td cells-delayed hypersensivity
3. Tc cells- cytotoxic
4. Th cells-helpers
5. Ts cells-supressors
What are the internal tube diameters of the Endotracheal tube
2.5 - 4.5 mm uncuffed
5.0 - 9.0 mm cuffed

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