Deck 33: Medical Resuscitation

Question 1

Primary cardiogenic shock results when there is inadequate forward blood flow due to inadequate ____.

A) contractility
B) ventilation
C) oxygenation
D) hypoperfusion

Answer 1

contractility

Question 2

Upper gastrointestinal bleeding originates in the intestines.

Answer 2

False

Question 3

Patients who have inadequate perfusion will have ____ skin.

A) cool
B) hot
C) dry
D) wrinkled

Answer 3

cool

Question 4

If the patient's systolic blood pressure is above ____ mmHg, then pharmacologic treatments can be attempted prior to moving to electrical treatments.

A) 20
B) 30
C) 60
D) 90

Question 5

Several studies have concluded that intubation with sedation only, as opposed to sedation and paralysis, provides for adequate visualization of the airway.

Question 6

The movement of air in and out of the lungs is known as ____.

A) oxygenation
B) ventilation
C) perfusion
D) hypoperfusion

Question 7

Without adequate movement of air into and out of the lungs, diffusion of oxygen into the bloodstream and diffusion of ____ out of the bloodstream will not occur.

A) oxygen
B) glucose
C) carbon dioxide
D) energy

Question 8

A patient with ____ skin tone is well perfused and not likely in shock.

A) pink-colored
B) grey-toned
C) mottled
D) flushed

Question 9

The presence of massive amounts of blood in the gastrointestinal tract slows down the transit time of material.

Question 10

Adequate tissue ____ occurs when there is an adequate nutrient supply to the body's cells.

A) ventilation
B) myelination
C) modulation
D) perfusion

Question 11

The primary goal of resuscitation is to ensure the adequate delivery of oxygen to the patient's organs and tissues.

Question 12

Aerobic metabolism is less efficient than anaerobic metabolism.

Question 13

Normally, room air FiO₂of ____ provides more than enough oxygen to well oxygenate all of the body's cells even under extreme physical stress.

A) 11%
B) 21%
C) 31%
D) 41%

Question 14

For issues with systemic vasodilation and leaky blood vessels, it is reasonable to provide up to 2 liters of intravenous normal saline before starting on vasoactive medications.

Question 15

Every time the Paramedic attempts an intubation, the risk of airway trauma increases.

Question 16

As long as the heart has adequate pumping power, elderly and pediatric patients should be able to tolerate large boluses of intravenous fluid to replace lost circulating blood volume.

Question 17

When in shock, patients with darker complexions will develop a lighter shade of skin tone.

Question 18

If a patient is severely tachycardic, generally their heart rate will be above ____ beats per minute.

A) 60
B) 90
C) 100
D) 160

Question 19

The ____ position, in which the patient is leaning forward with hands resting on his knees, is an indicator of severe respiratory distress and impending respiratory failure.

A) supine
B) tripod
C) Sim's
D) prone

Question 20

Death of brain cells begins within four minutes of cessation of blood flow to the brain.

Question 21

____________________ affects the patient at the cellular level by disrupting the action of natural catecholamines, and also affects any medications that have been administered to the patient.

Question 22

Acute severe blood loss from a medical standpoint most often occurs from ____ bleeding.

A) gastrointestinal
B) pulmonary
C) external
D) arterial

Question 23

Hypotension requires support with ____ medications to maintain adequate forward blood flow.

A) NSAID
B) antipyretic
C) vasopressor
D) cytotoxic

Question 24

The tissues most important from the respect of oxygen delivery are the heart and the ____________________ (the vital organs).

Question 25

When treating severe dehydration in patients with poor cardiac function, fluid resuscitation should occur in small frequent ____________________.

Question 26

The vasopressor of choice in the case of sepsis is ____, which is almost a pure alpha adrenergic medication and will decrease blood vessel diameter, thus increasing the blood pressure without increasing the patient's heart rate.

A) dopamine
B) norepinephrine
C) isoproterenol
D) psuedoephedrine

Question 27

To reverse the process of a beta blocker, ____ may be administered.

A) glucagon
B) calcium
C) naloxone
D) atropine

Question 28

The three components of the circulatory system that affect adequate tissue perfusion are the ____________________, the heart, and the amount of fluid in the circulatory system.

Question 29

To reverse the process of toxic alcohols, ____ may be administered.

A) naloxone
B) fomepizole
C) sodium bicarbonate
D) pralidoxime

Question 30

The treatment for acute blood loss includes administering up to 2 liters of normal saline intravenously with a target systolic blood pressure of between ____.

A) 80 and 90
B) 90 and 100
C) 100 and 110
D) 110 and 120

Question 31

____________________ refers to the movement of oxygen into the lungs, across the alveoli membrane, and into the blood.

Question 32

Black stool that represents significant blood in the stool is known as ____________________.

Question 33

____________________ helps improve the patient's work of breathing by splinting open the alveoli.

Question 34

Repeated intubation attempts without adequate oxygenation increases the likelihood of ____________________.

Question 35

Lack of circulating blood volume can occur in one of two ways, either through fluid loss or through ____________________ loss.

Question 36

Patients who develop primary cardiogenic shock may require placement of a(n) ____________________ at the hospital, which is inserted by a cardiologist or cardiothoracic surgeon to mechanically augment blood flow from the heart.