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ALBERTA COLLEGE OF PARAMEDICS
EXAM 2024 WITH 100% ACCURATE
SOLUTIONS
What are the 6 rights or medication administration? - ANSWER ☑☑Right patient Right dose Right route Right medication Right time Right documentation How long does oral administration take to absorb? - ANSWER ☑☑ 30 to 90 minutes How long does an inter muscular injection take to absorb? - ANSWER ☑☑10 to 20 minutes Which medication, within an EMRs scope of practice, is an adrenergic agonist? - ANSWER ☑☑Epinephrine What is the parenteral route of administration? - ANSWER ☑☑All routes that are not oral; IV, subcutaneous, IM
What are kussmaul respirations? - ANSWER ☑☑A patient who is hyperventilating, decreasing CO2 in their body and increasing acidity What is angiedema? - ANSWER ☑☑Another term for allergic reaction caused by bee stings or ACE inhibitors Which condition creates bless in the lungs as a result of smoking? - ANSWER ☑☑Emphysema (pink puffer) How long would a person have bronchitis before it can be diagnosed as chronic bronchitis? - ANSWER ☑☑3 or month months out of the year for more than 2 years What creates a barrel chest in patients with COPD? - ANSWER ☑☑Years or hyperventilating to maintain normal carbon dioxide levels If you hear crackling in the lungs, what condition can you assume your patient has? - ANSWER ☑☑Pulmonary edema What condition results from hours to days of weakness, a productive cough, a fever, and sometimes chest pain due to cough? - ANSWER ☑☑Pneumonia
When should a nasal cannula be used? - ANSWER ☑☑When a patient cannot tolerate a BVM or when a patient requires long term oxygen therapy (such as COPD) How many litres of O2 can be held in D, M, and E cylinders? - ANSWER ☑☑350 litres D (portable supply) 3450 litres M (on board supply) 625 litres E When should oxygen cylinders be replaced? - ANSWER ☑☑When the pressure falls below 200 psi (which is considered safe residual pressure) Can an OPA be used with a BVM? - ANSWER ☑☑Yes, it holds the tongue away from the back of the throat, to make bagging the patient easier What is the preferred portable suction device? - ANSWER ☑☑Battery operated When should you not use an NPA? - ANSWER ☑☑When the patient won't tolerate it When there is a facial or skull fracture What is the normal respiration rate in an adult? - ANSWER ☑☑12 to 20 breaths per minute
What is tidal volume? - ANSWER ☑☑The measure of depth of breathing, volume of air inhaled and exhaled in a single respiratory cycle (normal is 500 ml) What type of consent is given through an action or by verbally authorizing the EMR? - ANSWER ☑☑Expressed consent Can a mentally ill person give an informed consent? - ANSWER ☑☑No, get assistance from police or physician What is case law? - ANSWER ☑☑A similar case that is used as an example of how care should be given Which act defines our scope of practice? - ANSWER ☑☑The health professions act (remember its not the health disciplines act anymore) Which act declares that EMRs must be registered with a college body? - ANSWER ☑☑Health professions act What is the emergency medical aid act? - ANSWER ☑☑It is an act that states that a nurse, physician, or other person, who provides aid at the scene of an accident, is protected from liability provided; The aid is voluntary
How does the Good Samaritan Drug Overdose act work? - ANSWER ☑☑It provides some legal protection for individuals who seek emergency help during a drug overdose It will not protect those with outstanding warrants or production and trafficking or controlled substances What is the star of life and what does it represent? - ANSWER ☑☑It is the 6 points of EMS
- Detection
- Reporting
- Response
- On scene care
- Care in transit
- Transfer to definitive care What is tort? - ANSWER ☑☑Wrongful act or infringement of a right leading to a civil legal liability. How deep should your compressions be in CPR? - ANSWER ☑☑5 cm What should your rate of compressions be in CPR? - ANSWER ☑☑ 100 to 120 compressions a minute
Is cardiac arrest the same as a heart attack? Why or why not? - ANSWER ☑☑No, cardiac arrest is a rhythm problem and a heart attack is a clot problem What is the first step in adult rescue CPR? - ANSWER ☑☑Scene safety, if you find a person unconscious, ask yourself if there is something in the environment that made them unresponsive (chemical, another human) Where do you check a pulse in an unresponsive person? - ANSWER ☑☑Carotid ALWAYS How long should you check for breathing and a pulse before performing CPR? - ANSWER ☑☑No longer than 10 seconds each What are the 5 steps you must take when a person is unresponsive? (for CPR) - ANSWER ☑☑1. Check for scene safety
- Check for responsiveness, shout "are you okay?"
- If they are unresponsive, shout for help
- Call 911, or if there is another person, get them to
- If you're alone, get the AED yourself, if there is another person, have them get it If the person has a pulse but is not breathing, what do you do? - ANSWER ☑☑Provide breaths every 5 to 6 seconds or 12 per minute
Aside from airway management, what are 2 other important steps to managing a burn victim? - ANSWER ☑☑Removing smouldering clothing and cooling the burn Removing jewelry, because swelling will make it impossible to remove later Rule of nines: What % is the back? What % is one leg? What % is one arm? What % is the head? What % is chest and abdomen? - ANSWER ☑☑Back 18% Leg 18% Arm 9% Head 9% Chest and abdomen 18% If you assess a burn using the palm of your hand as a measurement, what % does that cover? - ANSWER ☑☑1% of the body
Should you use ice on a burn? - ANSWER ☑☑Never What should you do after cooling a burn? - ANSWER ☑☑Keep the patient warm, cover them in a dry blanket How long should you flush a person with a chemical burn? - ANSWER ☑☑30 minutes How should you approach a person with a radiation burn? - ANSWER ☑☑Safety first, make sure they are decontaminated before you come in contact with them What is hyphema? - ANSWER ☑☑Bleeding that occurs in the anterior chamber of the eye, this should be consider a life threatening condition because of the high mechanism of injury How should you treat an avulsed eye? - ANSWER ☑☑Cover it with a moist sterile dressing and protect the eye from further damage What is a collies fracture? - ANSWER ☑☑A break in the distal radius that gives the arm a dinner fork look What are two important signs indicating a fracture in a bone? - ANSWER ☑☑Deformity and shortening of a limb
