NREMTP Review-Alyssa 🚑🚒 Medical/OB/Trauma
Areas of Weakness
CNS-Central Nervous System
Brain
Spinal Cord
Neurogenic Shock
Occurs in SCI above the level of T-6
They are UNABLE to compensate!!!!!!
Immediate Bradycardia
Hypotension (massive vasodilation)
Warm/Dry/Flushed
Hypovolemic Shock (A FLUID Problem)
Cardiogenic Shock (A PUMP Problem)
Distributive Shock (A VESSEL Problem)
Breakfast, Lunch, and 2 Dinners
Cervical-7
C3, 4, and 5=Keep the diaphragm alive (Phrenic Nerve)
C1 & C2=Atlas & Axis
Thoracic-12
Chest
Intercostal muscles
Abdomen
Lumbar-5 (L for Legs)
Hips
Thighs
Legs
Knees
Feet
Sacral-5 (S is for sex & Shitting)
Sexual function
Bowel & Bladder
Inotropy
Refers to the STRENGTH of the contraction
Chronotropy
Refers to the HR
Epinephrine=+ chronotropic
Beta Blockers, Calcium Channel Blockers=- Chronotropic
Dromotropic
Refers to the hearts ability to conduct electrical impulses
Magnesium Sulfate (Electrolyte)
Responsible for smooth muscle relaxation=vasodilation
Smooth muscle=Heart, Lungs, Vessels, Diaphragm
Monitor for Respiratory Depression
Reversal agent=Calcium Chloride
Blood Types
ABO Compatibility
The + and the - on a blood type is called=Rh Factor
A+
A-
B+
B-
O+
O-.....Universal Donor
AB+ Universal Recipient
AB-
Rh incompatibility/sensitization
If the baby is +, but Mom is -, that is an incompatibly
Example Baby B+ and Mom's B-
The baby is NOT in any Danger
Mom is in Danger, but not immediate danger
If Mom gets pregnant again, then the antibodies she develops will attach her and that next pregnancy
Mom needs a medication called Rhogam (IG-Immunoglobulin)
Pleuritic CP
CP on inspiration/when they take a deep breath
Diabetic Hyperglycemic Emergencies
Type 1 Diabetic
genetic disease-Born with it
Juvenile Onset
The pancreas produces NO INSULIN!!!!!
On Insulin for life
No cure
Type 2 Diabetes
Adult Onset
caused by poor diet, obesity, sedentary lifestyle
The pancreas produces small amounts of insulin
OR
They are insulin resistant
Curable and reversible
managed by weight loss and diet, and Oral medications
Insulin (Hormone)
produced by the BETA Cells in the Pancreas
Lowers BGL
Lock & key-Opens up the cells to allow them to use glucose for energy (ATP)
Type 1
DKA-Diabetic Ketoacidosis
Type 2
HHNK/HHNS-Hyperglycemic Hyperosmolar Non-ketosis
70-110
DKA-Type 1
BGL increase to 250-550 mg/dl (Poor insulin compliance)
The cells begin to STARVE
The cells now start using FATS for energy
The biproduct of fat metabolism=KETONES
Ketones are ACIDS!!!!!
Metabolic Acidosis
massive dehydration
HHS-Type 2
BGL severely elevate-600-1200 mg/dl
Type 2 diabetic still produces some insulin, so they will not be producing ketones
NO fruity breath
No Kussmaul respirations
No acidosis
Massive dehydration