EMS Training Institute Office: (219) 947-6874 or (219) 947-6347 Fax: (219)947-6119 1500 South Lake Park Avenue, Hobart, IN 46342 E- Continuing Education September 2013- Medical Due October 22, 2013 BLS portion: 2 hours ALS portion: 4 hours Complete packet: 6 hours Basic Life Support Research and Review (reference/source: EMT Complete, 2nd ed. by Brady/Pearson) **Note** The curriculum for all EMS levels (EMR, EMT, AEMT, Paramedic) has changed, effective the EMS Commission meeting in January 2011 and is now based from the National EMS Education Standards. If you took class prior to 2012, it is highly possible that new items in the curriculum were not included in the course. We are attempting to address the “gap” in these ECE modules. Medical Terminology (Chapter 4) Complete the following: Common Root words Common Prefixes Common Suffixes Artery 1. Slow (as in pulse) 2. Pain 3. Blood 4. Fast (as in pulse) 5. Inflammation 6. Blood vessel 7. Before 8. Disease/condition 9. Vein 10. Against 11. Disease/condition 12. Brain 13. Absent 14. Enlargement 15. Gall bladder 16. Double/two 17. Stoppage 18. Head 19. Difficult 20. Leak/drip 21. Heart 22. Within/inside 23. Creation of opening 24. Kidney 25. Outside 26. Paralysis 27. Liver 28. Below 29. Numbness 30. Lungs 31. In between 32. Recording 33. Neck 34. Within 35. Destruction 36. Nerve 37. Muscle 38. Vomit 39. Rib 40. Small 41. Narrowing 42. Skull 43. Around 44. Study of 45. Stomach 46. Fever 47. Pertaining to 48. Throat 49. New 50. Pertaining to 51. Pathophysiology (chapter 5 and 6) 52. Cells require what two components for normal function? 53. Glucose is broken down in the cell to form ___________________________________________. 54. “The process of converting glucose with the appropriate amount of oxygen is called _______________”. 55. Normal waste products for the above are ______________ and _______________________. 56. When there is insufficient oxygen for the process answered in #54, what is the name for that process? 57. There is more or less (circle one) ATP produced with the answer to #56? 58. Additionally, when there is not sufficient oxygen to break down glucose, what other byproduct is produced? 59. Define perfusion: 60. Define ventilation/perfusion match (V/Q match): 61. How is cardiac output calculated? 62. How is blood pressure calculated? 63. What is systemic vascular resistance? 64. Epinephrine is produced by what organ system? 65. When is epi released into the blood stream? 66. List five effects that epinephrine has on your patient: a. b. 67. Where are beta-1 receptors? 68. What happens when they are activated? 69. Where are beta-2 receptors? 70. What happens when they are activated? 71. What does the sodium-potassium pump do? 72. Define FiO2: c. d. e. Advanced Life Support Research and Review (Paramedic Practice Today, 2nd ed, Aehlert ) 1. Which agency enforces regulation of controlled substances, in conjunction with the FDA? 2. What did the Pure Food and Drug Act establish? 3. What did the Harrison Narcotic Act establish? 4. Complete the following regarding controlled substances Schedule Description Drugs in this schedule EMS uses? I II III IV V 5. Complete the following: Drug class Sympathomimetic Sympatholytic Cholinergic Anticholinergic Affects which division of the autonomic nervous system? Drug examples (List at least 2 each) EMS Uses? 6. Give an example of the following, along with explain the mechanism of action for these medication classes: Drug class Examples (list at least 2 each) Mechanism of action Anticoagulant Antihistamines Beta agonist Beta blocker Calcium channel blocker Cardiac glycosides Fibrinolytics Glycoprotein IIB/IIIA inhibitors H2 receptor antagonists Neuromuscular blocking agents Platelet inhibitor Xanthines 7. Complete the following: Drug name Indication(s) Amyl Nitrate Dextrose 5% in water Lactated Ringers’ Magnesium Naloxone Nitrous Oxide Oxytocin Promethazine HCl Thiamine Contraindication(s) Mechanism of action Dose 8. Define the following: -Oxygenation -Ventilation -Respiration -internal respiration -external respiration 9. Explain the following as it relates to muscle contraction: Definition ATP Creatinine phosphate Creatinine Glucose glycogen Polarization Depolarization Repolarization Action Potential Role 10. What is the formula that depicts what transpires in the carbonic acid-bicarb buffering system? 11. Complete as it relates to PRIMARY acid-base derangement: pH CO2 HCO3 Causes Normal Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis 12. Complete as it relates to partially compensated and fully compensated acid-base imbalance: Partial compensated pH Partial compensated CO2 Partial compensated HCO3 Fully compensated pH Fully compensated CO2 Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis 13. Complete the following as it relates to electrolyte imbalances: Condition Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Hypocalcemia Hypochloremia Hyperchloremia Hypomagnesemia Lab values Causes Field presentation Fully compensated HCO3