EMS Chapter 36 Flashcards
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Questions and Answers

Which of the following statements regarding patients with intellectual disabilities is correct? (Select all that apply)

  • Most patients with intellectual disabilities have normal cognitive function, but abnormal physical features.
  • An intellectual disability differs from mental retardation in that it is the result of a congenital abnormality.
  • Patients with intellectual disabilities are susceptible to the same disease processes as other patients. (correct)
  • Speaking with the patient's family is the least effective way to determine how much the patient understands.
  • Which of the following conditions would MOST likely be encountered in a patient with cerebral palsy?

  • Paralysis
  • Seizure disorder (correct)
  • Type 2 diabetes
  • Brain tumors
  • Spina bifida is defined as:

  • Chronic pressure on the brain caused by excess cerebrospinal fluid.
  • Congenital inflammation of the spinal cord, usually in the neck.
  • A birth defect caused by incomplete closure of the spinal column. (correct)
  • A birth defect in which the child is born without spinal vertebrae.
  • A 13-year-old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should:

    <p>Disconnect the ventilator and apply a tracheostomy collar.</p> Signup and view all the answers

    According to the 'E' in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?

    <p>Check the mechanical ventilator for malfunction.</p> Signup and view all the answers

    The purpose of a ventricular peritoneum shunt is to:

    <p>Prevent excess cerebrospinal fluid from accumulating in the brain.</p> Signup and view all the answers

    You are assessing a 440-lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98 mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:

    <p>Avoid placing him in a supine position if possible and administer oxygen.</p> Signup and view all the answers

    Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?

    <p>Communication with the patient's caregiver or family members is important because they are the most familiar with the patient's condition.</p> Signup and view all the answers

    Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?

    <p>Using a piece of paper and writing utensil to ask questions</p> Signup and view all the answers

    Study Notes

    Intellectual Disabilities

    • Patients with intellectual disabilities are susceptible to the same disease processes as others.
    • Communication with families is essential for understanding patient needs and conditions.

    Cerebral Palsy

    • Seizure disorder is a common condition encountered in patients with cerebral palsy.

    Spina Bifida

    • Defined as a birth defect caused by incomplete closure of the spinal column, resulting in varying degrees of disability.

    Pediatric Respiratory Emergencies

    • In cases of ventilator malfunction with respiratory distress, disconnecting the ventilator and applying a tracheostomy collar is the immediate action required.

    DOPE Mnemonic for Tracheostomy Issues

    • The "E" in DOPE stands for "Equipment," indicating the need to check the mechanical ventilator for malfunction during ventilation troubles.

    Ventricular Peritoneum Shunt

    • The primary purpose is to prevent excess cerebrospinal fluid from accumulating in the brain, which can lead to increased intracranial pressure.

    Assessment of Obese Patients

    • For a patient weighing 440 lbs with shortness of breath, avoiding a supine position and administering oxygen is the most immediate action to take.

    Communication with Caregivers

    • Effective communication with caregivers is crucial, as they possess the most familiarity with the patient's conditions and needs.

    Assisting Hearing-Impaired Patients

    • The most practical method of communication with a hearing-impaired patient, until hearing aids are located, is using paper and a writing utensil to ask questions.

    Left Ventricular Assist Device (LVAD)

    • LVADs are utilized under specific circumstances, primarily for patients with severe heart failure, to support heart function temporarily or permanently.

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    Description

    Test your knowledge on the critical aspects of managing patients with intellectual disabilities with these flashcards. Focus on understanding the correct statements and misconceptions related to these patients, which are crucial for effective emergency medical services.

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