Why were NOCPs created - Answer -define a national scope of practice
ACP - Answer -alberta college of paramedics
assessments performed in the secondary survey - Answer -History
vitals
understanding the complaint assessment
OPQRST
secondary head to toe
PATCH
another set of vitals
Why SAMPLE and OPQRST history obtained - Answer -to understand pts complaint
What does DCAP-BLS TIC, DRT mean - Answer -deformities, contusions, abrasions,
punctures/penetrations - burns, lacerations, swelling
tenderness, instability and crepitus
distention, rigidity, tenderness
Level of consciousness is - Answer -the most sensitive indicator of pts physiological
response to injury and illness
AVPU - Answer -alert
responsive to verbal
responsive to pain
unresponsive
What does AVPU assess? - Answer -LOC
What else should be assessed if pt is alert? - Answer -Orientation
,4 areas of orientation - Answer -person
location
time
event
Highest score on GCS - Answer -15
Lowest score on GCS - Answer -3
What is decorticate posturing - Answer -arms towards core
what is decerebrate posturing - Answer -arms straight forward
GCS lower than 13 - Answer -means that the person may not be able to understand
instructions to take medication
Reasons for altered LOC - Answer -alcohol consumption
epilepsy
insulin requirements
overdose of drugs
uremia
kidney failure
trauma
infection
psychiatric/poison
stroke
What question do you ask when assessing breathing in the primary? - Answer -What is
the rate, rhythm, quality, effort and depth?
What question do you ask when you assess breathing by auscultation? - Answer -Is the
airway present, equal, and clear?
Treatment for sucking chest wound - Answer -occlusive dressing, taped on 3 sides
Treatment for flail chest - Answer -bulking dressing taped over flail chest
Treatment if an unconscious, head injured pt doesn't have an open airway? - Answer -
head tilt chin lift
jaw thrust
When would you use an OPA - Answer -pt has no gag reflex
Pt always receives what medication after breathing is assessed in primary - Answer -
oxygen
,What mask would you use if the pts breathing is between 10 and 30 bpm? - Answer -
non-rebreather mask
What mask would you use if the pts breathing is less than 10, greater than 30 bpm? -
Answer -bag valve mask
rate ventilations on non-breathing adult - Answer -1 ventilation every 5-6 seconds
up to 10-12 ventilations in a minute
Rate ventilations on a non-breathing pediatric pt - Answer -1 ventilation every 3-5
seconds
Pulse Oximetry - Answer -measures oxygen saturation of hemoglobin
normal 95% +
Systolic pressure - Answer -maximal against the arterial walls when the left ventricle
contracts
Diastolic pressure - Answer -pressure against the arterial walls when the left ventricle is
filling
heart is relaxed
Normal body temp - Answer -36.5-37.5
, Skin color and condition - Answer -Normal - warm and dry
Shock - pale, cool and clammy/diaphoretic
Heat stroke - hot, red, dry
Blood Glucose Level - Answer -measures level of sugar in the blood
normal between 4 and 6 mmol/L
Purpose of the nose - Answer -passageway
air conditioner
Purpose of the epiglottis - Answer -provide protection for the trachea when swallowing
How long is the trachea? - Answer -11.5 cm
Purpose of the mucous membrane - Answer -to trap debris that may enter the
respiratory tract
What does the trachea divide into? - Answer -bronchioles
Respiratory tree - Answer -trachea
bronchi
bronchioles
Gas exchange occurs - Answer -in the alveoli/lungs
structures in the mediastinum - Answer -trachea
esophagus
aorta
heart
superior/inferior vena cava
Where is the mediastinum located? - Answer -compartment between left and right lung
Purpose of the Pleura - Answer -a membrane that lines the lung tissue
Purpose of the diaphragm - Answer -muscle of breathing
separates the thoracic cavity from the abdominal cavity
performs important function
Process of inspiration - Answer -diaphragm and intercostal indrawing
muscles contract
inhalation
Process of expiration - Answer -diaphragm and rib muscles relax
exhalation
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