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Exam (elaborations)

AIR METHODS CC Paramedic

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AIR METHODS CC Paramedic

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  • June 4, 2024
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  • 2023/2024
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AIR METHODS CC Paramedic
ABG - PH - ANS-7.35-7.45 mm HG

ABG - PaCO2 range - ANS-35-45 mm HG

ABG - PA02 - ANS-80-100mm HG

ABG - BE - ANS--2 - 3 MeQ/L

CBC: Hemoglobin (Hgb) - what is the normal range? - ANS-Normal Value: 14-17.5 G
/DL

CBC: Hemoglobin (Hgb) - what do high and low values indicate? - ANS-High value =
smoking?
Low value = anemia or blood loss?

CBC: Hematocrit - what is the normal range? - ANS-Normal value = 41-50%

CBC: Hematocrit - what do high and low values indicate? - ANS-High value =
dehydrated?
Low value = anemia or blood loss?

CBC: WBC - what is the normal range? - ANS-Normal value = 4500-11000

CBC: WBC - what do high and low values indicate? - ANS-High value = infection,
anemia, steroid use
Low value = viral infection or immunodeficiency

CBC: RBC - what is the normal range? - ANS-Normal value = 3.9-5.5 million mm3

CBC: RBC - what do high and low values indicate? - ANS-High value = polycythemia or
high altitude
Low value = cancer or bone marrow suppression

Coags: PT - what does it measure & how long? - ANS-Coumadin anticoagulation
10-13 second

, Coags: PT - what do high values indicate? - ANS-High values can indicate liver
cirrohsis, vitamin K deficiency or DIC

Coags: INR - ANS-International normalized ratio. Normal INR = 1.0.

Coags: aPTT - what does it measure & how long? - ANS-Measures Heparin
25-40 second

OB: What are some physiological changes which occur in pregnancy? - ANS--Blood
volume increases 40%
-Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
-Body becomes more insulin resistant
-Uterus enlarges 20x

OB: Physical assessment of pregnant patient - ANS-Palpate / Check vitals / Check FHT
/ Ask GP-PAL

OB: What is GP-PAL - ANS-Gravida, Para, Preterms, Abortion, Living children

OB: Tx for distressed fetus? - ANS-100% O2 via NRB on mother; place in LLR; give
fluids for hypotension and perform external vaginal exam

OB: Vaginal bleeding - caused by? - ANS-Ovarian cysts, spotting, fetal loss, ectopic
pregnancy or uterine rupture

OB: Vaginal bleeding - TX? - ANS-O2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
Monitor FHT

OB: Gestational hypertension - TX? - ANS-Treat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min

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