MEDICAL PARAMEDIC FISDAP EXAM WITH 100%
GUARANTEED PASS QUESTIONS ANSWERS GRADED A+
You respond to a home of a female complains of the worst
... [Show More] headache ever what is the best appropriate treatment? - Pain management Morphine and Transport remember to treat immediately for stroke like symptoms
Treatments for GI bleeds - Orthostatic vital signs
Transpot
IV fluids
What is the structural of alters mental status? - icp, Hemorrhage
S/S of abdominal infection - Orthostatic vital signs
Transpot
IV fluids
S/S of Urinary tract infection - painful urination urges to urinate difficulty urinate visceral discomfort
extreme burning pain especially during urination the pain may be localized in the pelvis
bladder pain in woman prostate pain in men
pain can referred pain to the shoulder or neck restless and uncomfortable
S/S of kidney stones - flank pain migrates forwards the groin blood in the urine (hematuria) agitated and restless
pacing and moving about attempting to relieve the pain or motionless and guard the abdomen
Kidney stone management - position of comfort anagelesia medication (morphine) pain control IV fluids rehydration(hydration)
patients may have signs and symptoms of a UTI
s/s of acute kidney injury - dehydration (decreased urine output) flank pain
cool, pale, moist generalized edema acid build up
metabolic waste in the blood volume overload hyperkalemia uremia metabolic acidosis tachycardia acid base imbalance
S/S of HHNK hyperosmolar hyperglycemia nonketotic coma - type 2 diabetics hyperglycemia
Altered, drowsiness, and lethargy severe dehydration, thirst, dark urine visual or sensation deficits partial paralysis or muscle weakness seizures.
Assessment HHNKS (hyperglycemia hyperosmolar nonketotic coma) - does not experience ketoacidosis BGL higher than DKA pt
S/S of thyroid storm - rare life threatening condition that may occur in patients with thyrotoxicosis.
you respond to a home of a patient who ingested unknown substance? what should you do? - call poison control
petite mal seizures are also know as - absence seizures present with little or no movement
What type of seizure pertains a limited portion of the brain? - partial seizure can be localized to one side of the brain
What are the management of a seizure? - If trauma is noted c-spine precaution
Check blood sugar(treat it)
Provide ventilatory assistance(apnea)
Prepare to intubate, if difficult to bvm assistance
Benzodiazepine versed (midazalom)
A patient who is experiencing a seizure greater than 4-5 minutes or consecutive seizures without return to consciousness is experiencing what kind of seizure ? - Staus epilepticus prepare to give a benzodiazepines such as Midazolam, ask bystanders if patient had taken anti seizure meds.
You respond to a home of a patient who is experiencing facial drooping to the left side of his face with slurred speech patient is alert and oriented with equal grips and pushes, what type of medical emergency is this patient experiencing? - Bells palsy Bell's palsy is a viral infection. Bell's palsy is a condition in which the muscles on one side of the face become weak or paralyzed, may present with Stoke like symptoms
Treating a patient with internal bleeding patient may present with cool clammy skins with a low blood pressure - Treat for hypovolemic shock. O2, blanket, rapid transport, IV fluids 12 lead monitor (VOMIT)
s/s of upper GI bleed - Melena - black tarry sticky odorous stool and blood blended together into one substance; blood cannot be distinguished from stool
s/s of lower GI bleed - hematochezia (bright red blood)- stool and blood are incorporated together into the same substance, yet are easily distiguished from each other
portal hypertension causes pg (1183) - esophageal varices
S/S of esophageal varices (pg, 1183-1184) - signs of liver disease fatigue weight loss jaundice
anorexia edematous abdomen
pruritus(sever itching of the skin)
abdominal pain
nausea/vomiting
s/s of rupture of varices - pt will report of an abrupt onset of discomfort in the throat, may have severe dysphagia, vomiting bright red blood (hematemesis),hypotension, and signs of shock. patients who have liver disease.
General management for upper gi bleed of esophageal varices - Fluid resuscitation aggressive suctioning [Show Less]