for the ems classroom - emt review
TRANSCRIPT
. fortheEMSClassroom
DynamicLearningExercise
PathophysiologyWorksheet
1.Definethefollowingterms.Useyourbookforreferenceifyouhaveto.
Pathophysiologyisafounda>onal(yetfrequentlyunderemphasized)partofEMTeduca>on.Whetherunderstandingapa>entpresenta>onorreadingaNREMTexamques>on,anunderstandingofpathophysiologyiscrucial.
Thisac>vitycanbegivenouttogroupsorindividualsforuseinclassorathometogetthemintosomeofthemainpathophysiologicalconcepts.
Itisvitalthatyoufacilitateconversa>onanddemonstratetheimportanceofthematerial.Doyouhaveaninteres>ngcasethatmayhighlightsomeofthepointsbelow?
Amountofbloodpumpedfromtheheart(leNventricle)
Vascularresistance
Cardiacoutput
Compensa>on
Decompensa>on
Strokevolume
Heartratexstrokevolume
Theamountofcontrac>onofthebloodvessels.Indiscussionrelatehowcardiacoutputandvascularresistance=bloodpressure.
Inadequateperfusiontothe>ssues;notehowthisisdifferentthanhypotension.
Thebody’saWemptstomaintainperfusion.Thisisthepointtodiscusshowthecomponentsofheartrate,strokevolumeandvascularresistanceareusedtomaintainbloodpressure.
Shock
Failureofthecompensa>onmechanismsdescribedabove.
copyright2020LimmerEduca>on,LLC•LimmerEduca>on.com
Theamountofcontractionofthebloodvessels.Indiscussionrelatehowcardiacoutputandvascularresistance=bloodpressure
DynamicLearningExercise
PathophysiologyWorksheet(cont’d)
2.Listoneexampleofeachofthefollowingtypesofshockwithatwoorthreesentencedescrip>onofhow/whyithappens.(Example:Hypovolemicislowvolume.Itcanbecausedbyexcessivediarrheainanewborn.TheliquidislostthroughtheGItractandexpelledasdiarrhea).
Hypovolemic
Obstructive
Cardiogenic
Distributive
Externalandinternalbleedingaremostcommonlythoughtof.BurnsmaybeanotherexampleoffluidshiNwithoutexternalhemorrhage.
Anaphylaxisorsepsis
Tensionpneumothorax
Myocardialinfarc>on
copyright2020LimmerEduca>on,LLC•LimmerEduca>on.com
3.Youaretrea>ngapa>entinshock.Explainthephysiologic/pathophysiologicreasonyouseeeachofthefollowingsignsandsymptoms.Theanswersdonothavetobelongbutmustadequatelyandaccuratelydescribethemechanismthatcauseseachsigntoappear.
DynamicLearningExercise
PathophysiologyWorksheet(cont’d)
Alteredlevelofresponsiveness
Decreasedbloodpressure
Narrowedpulsepressure
Increasedpulse=increasedcardiacoutputinanaWempttoraiseBP
Rapidpulse
Keepingbloodoxygenated
Bloodshuntedfromtheskintovitalorgans
Moistskin
Bloodshuntedfromtheskintovitalorgans
Paleskin
Reducedlevelsoffuel(oxygenandglucose)tothebrain
Decompensa>on
Cardiacoutputdrops(reducessystolicpressure)andvascularresistanceincreases(increasingdiastolicpressure)resul>nginanarrowedpulsepressure.
Rapidrespira>ons
copyright2020LimmerEduca>on,LLC•LimmerEduca>on.com
. fortheEMSClassroom
DynamicLearningExercise
PathophysiologyWorksheet
1.Definethefollowingterms.Useyourbookforreferenceifyouhaveto.
Vascularresistance
Cardiacoutput
Compensa?on
Decompensa?on
Strokevolume
2.Listoneexampleofeachofthefollowingtypesofshockwithatwoorthreesentencedescrip?onofhow/whyithappens.(Example:Hypovolemicislowvolume.Itcanbecausedbyexcessivediarrheainanewborn.TheliquidislostthroughtheGItractandexpelledasdiarrhea).
Shock
Hypovolemic
Obstructive
Cardiogenic
Distributive
copyright2020LimmerEduca?on,LLC•LimmerEduca?on.com
Theamountofcontractionofthebloodvessels.Indiscussionrelatehowcardiacoutputandvascularresistance=bloodpressure
DynamicLearningExercise
3.Youaretrea?ngapa?entinshock.Explainthephysiologic/pathophysiologicreasonyouseeeachofthefollowingsignsandsymptoms.Theanswersdonothavetobelongbutmustadequatelyandaccuratelydescribethemechanismthatcauseseachsigntoappear.
PathophysiologyWorksheet(cont’d)
Alteredlevelofresponsiveness
Decreasedbloodpressure
Narrowedpulsepressure
Rapidpulse
Moistskin
Paleskin
Rapidrespira?ons
copyright2020LimmerEduca?on,LLC•LimmerEduca?on.com