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NREMT POCKET PREP /NREMT PARAMEDIC EXAM 2024
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NREMT POCKET PREP /NREMT PARAMEDIC EXAM 2024
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NREMT POCKET PREP /NREMT PARAMEDIC EXAM2024
What are the late signs of hemorrhagic shock? - Answers -Rapid breathing, cool
clammy skin, dull slightly dilated pupils
Is carbon monoxide an internal factor or external factor for respiration? - Answers -
External
Name 3 of the AHA reccomended managment principles for ROSC patients. - Answers
-Initiate Targeted Temperature Management if patient is comatose, Administer
colloid/vasopressor to a goal blood pressure of <90 systolic or MAP <65mmHg, and
obtain 12-lead. (THINK TAKE PT TO THE MOVIES)
According to the NREMT, what is the dose of NARCAN for a patient with suspected
opiod overdose? - Answers -Narcan 2mg IN (1mg per nare)
Name 3 WMD chemical agent exposures that a paramedic can see symptoms of on
scene? - Answers -Pulmonary agents, nerve agents, and vesicant agents. (Vesicant
agents include mustard gas and primarily affect DNA to cause cellular damage)
Evaluation of ST segment elevation is not indicative of a myocardial infarction if there is
________ present. - Answers -Left bundle branch blocks. A left bundle branch block
may impair repolarization, making it look like an ST elevation myocardial infarction
(STEMI).
A patient is having an allergic reaction. Patient complains of itching with angioedema
and shortness of breath, but denies swelling of the tongue or airway. What medication
class (with example) is therefore indicated? - Answers -During an allergic reaction or
anaphylaxis, it is appropriate to administer a beta-agonist, such as albuterol, in an
attempt to reverse the bronchospasm and increase the patient's alveolar ventilation.
What is the dose formula for morphine sulfate in a PEDIATRIC patient? - Answers -0.1-
0.2mg/kg IV
Name the signs of heatstroke (7 answers) - Answers -Core temperature of <104.0
degrees F, altered mental status, alteration in sweating, nausea/emesis, tachypnea,
tachycardia, and headache.
For a traumatic patient with significant blood loss, what is likely to be administered upon
hospital arrival and why? - Answers -Packed red blood cells are commonly used in the
US emergency departments. They have a hemoglobin volume of two units in every
single unit and do not contain plasma. This makes it less likely the patient will
experience fluid overload or an infusion reaction from the infusion. O-negative packed
, red blood cells would quickly be administered to a hypovolemic female of childbearing
age after three liters of lactated Ringer's solution fail to improve her blood pressure.
Which of the following injury types is most likely to occur if your adult patient strikes his
head on the bottom of a shallow pool while attempting to dive? - Answers -Axial loading
is often referred to as vertical compression of the spine when direct forces are sent
down the length of the spinal column from the top of the head. The forces involved can
produce compression fractures or crushed vertebral bodies without spinal cord injury
and normally occurs from the area of T12-L2.
Which of the following is most likely to present with unequal pupillary response, neck
stiffness, and can be fatal in minutes? - Answers -A subarachnoid hematoma refers to
intracranial bleeding that enters the cerebrospinal fluid, resulting in bloody cerebrospinal
fluid and meningeal irritation. Bleeding results from trauma and other means. Patients
with this type of hemorrhage often complain of the worst headache of their life with
sudden-onset dizziness and blurred vision. Bleeding is often sudden and severe with
this injury and can be deadly in minutes in some cases. Patients may also have unequal
pupillary response and neck stiffness associated with meningeal irritation.
Name the volume lost in each of the four classes of hemorrhage. - Answers -Class I
>15%, Class II 15-30%, Class III 30-40%, Class IV <40%
Patients exposed to a housefire who have inhaled smoke may be exposed to what 3
gases? - Answers -Carbon monoxide, hydrogen sulfate, and hydrogen cyanide.
Periumbilical bruising indicates what type of injury? - Answers -Retroperitoneal
hemorrhage
Which of the following incomplete spinal cord syndromes commonly occurs with
hyperextension and/or flexion cervical spine injuries and presents with a greater loss of
function in the upper extremities than in the lower extremities? - Answers -Central spinal
cord syndrome presents with some hyperextension and/or flexion injuries of the cervical
spine. The syndrome is characterized by greater motor impairment in the upper than
lower extremities. The signs and symptoms of central spinal cord syndrome include
paralysis of both arms with sacral sparing.
A patient is trapped in a vehicle in a seated position, and extrication is expected to take
20 minutes or more. Patient is unresponsive, a weak thready carotid pulse, and has no
intact gag reflex. What kind of airway is indicated and why? - Answers -King LTD is
indicated because it will maintain the airway, and c-spine manipulation must be kept to
a minimum.
Why is an uncuffed ET tube appropriate for a 6 year old child? - Answers -Pediatrics of
this age range have a narrowing of the trachea at the level of the cricoid cartilage.
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