AIR METHODS CC PARAMEDIC EXAM ACTUAL 82

AIR METHODS CC PARAMEDIC EXAM (ACTUAL 82

QUESTIONS AND VERIFIED ANSWERS

ABG - PH

7.35-7.45 mm HG

ABG - PaCO2 range 35-45 mm HG

OB: Gestational hypertension - TX?

Treat with:

-Beta Blockers like Labetalol -Arterial vasodilators like Hydrolozine -Consider seizure prophylaxis like 4G Mag over 20 min

OB: Pre-eclampsia - S/S & TX?

S/S = HTN with edema, neuro changes and clonus

TX = -Beta Blockers like Labetalol -Arterial vasodilators like Hydrolozine -Consider seizure prophylaxis like 4G Mag over 20 min (Delivery is only option to stop condition)

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OB: Pre-eclampsia - severe S/S?

BP >160/100 Pulmonary edema Platelets under 100k Headache/ vision changes RUQ pain Proteins in urine

OB: Eclampsia - S/S & TX?

S/S - HTN with seizures TX - Magnesium -4G bolus over 2 minutes; 2G Mag bolus if already administered. Consider Midazolam (2-5mg IM) if seizure continues

OB: Placenta Previa - S/S?

Painless, bright red bleeding No significant findings on abdomen exam

OB: Abruptio Placentae - S/S & TX?

Caused by Trauma, HTN, ETOH/drugs

S/S = tearing, abdominal pain, vaginal bleeding. In severe cases, hemorrhagic shock and rigid abdomen

TX = 100% O2 NRB, 2 IV's with volume replacement. Consider 4G Mag or steroid 2 / 3

OB: Uterine Rupture - S/S and TX?

S/S = sharp pain, hypovolemic chock, distention and possible bleeding

TX = LLR, 100% O2, IV's and 4G Mag bolus

OB: Prolapsed cord - TX

Knees to chest, don't push, 100% O2, Keep cord moist, consider manual displacement if needed. Consider Nitro infusion of 2ug/min or 4G Mag bolus

OB: Name the delivery presentations

Cephalic, vertex - normal presentation Cephalic, face - head down, posterior, head not flexed Complete breech - feet first, indian style Incomplete breech - one foot presenting Transverse - (non deliverable) Butt first or sideways

OB: Vitals at birth?

RR - 30-60

HR - 100-160

SBP - 50-70

BGC - over 70

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