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Ch 17

Terms in this set (21)

A TV reporter has been assigned to your ambulance for a ride - along . He is doing a segment on the local EMS system for EMS Week . In your down time , the reporter tells you that his wife was diagnosed with atherosclerosis . He is unsure what this condition is and asks you to explain it to him . Your response would be :
"The coronary arteries become damaged and narrowed by fat deposits."
When administering aspirin to a patient with chest discomfort that is suggestive of a heart attack , the EMT recognizes that this medication will benefit the patient by :
decreasing the ability of the platelets in the blood to form clots.
Which action is it essential that the EMT take prior to assisting the patient in taking his nitroglycerin tablet ?
Evaluate the patient's systolic blood pressure and heart rate
A 44 - year - old male patient is experiencing chest pain . He has a history of angina and is prescribed nitroglycerin , which he has not taken yet . He is also taking another medication Which of these medications is a contraindication to the administration of nitroglycerin ?
Levitra
You are caring for an alert and oriented patient with chest pain . Emergency First Responders have initiated supplemental oxygen , and your EMT partner assisted in the administration of aspirin and two nitroglycerin tablets . Currently , the patient's vital signs are pulse , 76 ; respirations , 16 breaths / min ; blood pressure , 110/56 mmHg and SpO2 , 95 % . When transporting this patient on the stretcher , which position is best ?
Position of comfort
A patient complaining of shortness of breath and dizziness has called 911. Her history includes chronic obstructive pulmonary disease ( COPD ) . When assessing the patient , which of these findings would cause you to immediately prepare the patient for transport ?
Pulsating mass in the abdomen
Which instruction given by an EMT indicates the proper administration of nitroglycerin ?
" Let this pill dissolve under your tongue . "
Which of these statements made by another EMT , regarding chest pain and acute coronary syndrome , is correct ?
"Some patients experiencing acute coronary syndrome do not have actual chest pain; rather, they experience a sensation of discomfort or pressure."
You are interviewing a patient whom you suspect has an acute coronary syndrome . Which question is most appropriate initially ?
"Are you having any chest discomfort?"
On room air, which of these patients requires supplemental oxygen?
47-year-old female; temperature 100.3° F; denies dyspnea; SpO2, 91%
If a clot occludes the blood flow through the coronary artery , what will be the detrimental effect ?
The flow of oxygen-rich blood to the muscle of the ventricle will be decreased
You have arrived at a residence to help another crew with a 62 - year - old woman who is complaining of fatigue , chest discomfort , and diaphoresis . The EMTs on scene report that she has a history of hypertension from atherosclerosis , for which she takes a blood pressure pill , and is also prescribed nitroglycerin . She reports an allergy to aspirin . Vital signs are pulse , 64 ; respirations , 16 breaths / min ; blood pressure , 128/86 mmHg ; and SpO2 , 97 % on room air . Which of these statements made by your EMT partner would require immediate correction on your part ?
I'm going to put the pt on high concentration oxygen because she has chest discomfort
A patient has been diagnosed with high blood pressure . A medication that can effectively serve to lower this patient's blood pressure is one that :
dilates arteries
An alert and oriented patient presents with shortness of breath , crackles in both lungs , jugular venous distention , and edema to the feet and ankles . Her pulse is 132 , respirations 26 breaths / min , blood pressure 160/86 mmHg , and SpO2 at 88 % . Based on these findings , the EMT should suspect :
Right ventricle failure
Which portion of the heart , when weakened by a heart attack , is responsible for causing fluid to back up into the alveoli ?
left ventricle
Which of these statements made by the patient should the EMT associate with the condition of congestive heart failure ?
"I have a hard time breathing when I am lying down."
Which of these statements from a patient should the EMT recognize as an absolute contraindication to the use of fibrinolytic medications in the emergency department ?
"Two months ago I had a stroke on the left side of my brain."
You suspect that a patient with a history of chronic obstructive pulmonary disease ( COPD ) is has right ventricular failure . In your assessment , which finding would reinforce this suspicion ?
Edema to the feet
You have just arrived by the side of a male patient who is in cardiac arrest . Emergency Medical Responders have been on scene for 6 minutes performing CPR . Advanced life support ( ALS ) has been contacted and is 1 minute out . What should you do immediately ?
Apply and use the automated external defibrillator
You are transporting a patient who had an episode of chest pain . On scene , you assisted him in taking his nitroglycerin medication , which completely alleviated the chest pain . En route to the hospital , the patient asks you why the nitroglycerin took the chest pain away . Beyond telling the patient that nitroglycerin can increase coronary artery blood flow , you would add :
"It dilates the blood vessels, which decreases the workload of the heart."
You have been called to an office building for a 47 - year - old male patient complaining of chest pain . He is alert , oriented , and complaining of mild pain in his chest that came on suddenly about 15 minutes ago . Airway , breathing , and circulation are intact , and his skin is diaphoretic and cool . What should you do first ?
Obtain a heart rate, respiratory rate, blood pressure, and SpO2 reading
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