pronikání molekul rozpouštědla z méně koncentrovaného roztoku do roztoku koncentrovanějšího
outcome /'aut.kAm/ výsledek, výsledek
čeho, jak věc dopadne, závěr
palliative /'pael.i.a.tiv/ paliativní, utišující,
bolest zmírňující
peers /piarz/ vrstevníci
permissible /p9'mis.a.bl/ přípustný,
dovolený
permit /pa'mit/ povolit, dovolit pooling /puil.irj/ nahromadění krve nebo jiné tekutiny, nahromadění krve je následkem dilatace a zastavení oběhu v kapilárách a žilách v oblasti possession /pa'ze/.9n/ majetek, vlastnictví posttraumatic /.paust.tm.maet.ik/ posttraumatický, poúraz /ý precede /prťsiid/ předch i X < o\ preserve /prťz3:v/ zachoval, ui_novai rape /reip/ znásilnit, znásilnění reasonable /'ri:.z3n.9.bj / přijatelný, rozumný
refusal /n'fju :i 'o ,n nu
regional /'rn.d39n.9l/ regionální, týkající se
dané oblasti
right /rait/ právo
scope /skaup/ rozsah
solvent /'sol.vsnt/ ředidlo, rozpouštědlo
spouse /spaos/ choť, manžel/ka
standing /staend.irj/ order /'Dids/ trvalý
příkaz
statute /'staetjuit/ zákon, předpis steady /'sted.i/ stálý survivor /sa'vai.var/ přeživší, pozůstalý take /teik/ time /taim/ trvat, věnovat čas turn out /'t3in,aut/ zahnout ven, naruby, projevit se
upgrade Mp'greid/ zlepšit, stoupnout, zvýšení
valid /'vaelid/ platný, oprávněný vent /vent/ ventilovat, otvor, průduch
Volume 2 Unit 1 1
You are called for a 55-year-old man w "suddenly collapsed." He is__________
Initial management of this patient' airway should include. - Insertion of an s oropharyngeal airway and ventilation with !f bag-valve mask. * | An apnoeic and pulse less patient is unlikely to have an intact gag reflex, .s|
_____________an OPA to help control the |
_____________A BVM will need at least 10 |
Lpm of oxygen flow in order to adequately; _________the patient during ventilations.
oy 3 iate, apnoeic and pulse less, upper ai vav, necessitating
2
fou re-pond to a college fraternity where 'Oi sr oi te a 9- ear-old male with a : Dai al   c str ct. J ^'rway. According to
witnesses, he wa___.mg pizza and
drinking beer when he began to________
____his throat. The patient is able to speak
in a_____________only, and he has been
coughing repeatedly for about 20 minutes. What is the best treatment for this
patient? - Remove the___________with
forceps.*
A conscious patient with a partial obstructed airway should be dealt with by
_________________and continuous
monitoring of patient status. Interventions like Heimlich manoeuvre are considered counterproductive, as they may actually
______the obstruction.
To perform a needle cricothyrotomy you should place the patient: supine with head and neck hyperextended.*
anatomical structure.
hoarse whisper, hyperextended position, worsen, identified, obstruction, cough and grab, encouraging coughing
3
Your patient is a 26-year-old male with a
midshaft_____________and no other
apparent injuries. The patient is_____and
oriented, and all vital signs are normal.
The best way to__________this fracture is
to use:
the PASG/MAST a long spine board
*       a traction splint. * f>      a softly padded board
In a stable patient, the PASG is I unnecessary. The long board will not ^adequately immobilize this injury because
Ithe muscles of the leg will_____and
|_______the leg. A padded board may not
provide adequate traction to prevent 'muscle spasms either, so the_______
_______is the best choice.
shorten, immobilize, femur fracture, spasm, alert
I
A 16-year-old male complains of a fever, sore neck, nausea, vomiting, and headache. During transport, he begins to have a
^______Which of the following would be
Jfpur most likely field impression? ftv _____abscess
m
|§ cerebral________
||t     meningitis * m sepsis
ÉÉhile the other answers are possible, flpsed upon the fever, vomiting, and
seizure, neoplasm, meningitis, Brain
5
Your patient is a 24-year-old female who shows signs and symptoms of pelvic
What is the goal of_______________
for this patient? - Make the patient as comfortable as possible and transport to the hospital. *
The goal of prehospital care for patients
with PID is to______________. There is no
need to perform a___________or ask any
questions regarding sexual contacts.
provide comfort, inflammatory disease, vaginal exam, prehospital care
6
You respond to a 22-year-old male who is
complaining of__________of chest pain.
The patient states that the pain________
and sharp and that it started when he
surfaced from a_________from 60 feet
(18.2 metres) down. The patient's diving
partner states that the patient________too
rapidly.
What is this patient most likely suffering from? - Pulmonary embolism. * A too rapid ascent from a scuba dive may result in a pulmonary embolism due to lung---------____.
What does treatment for this patient consist of? - IV, high-flow oxygen, and rapid transport to a recompression chamber. *
An IV, 100% oxygen via a nonrebreather
mask, and transport to a_____________
_______are essential for this patient.
Due to his rapid ascent, this patient may also be suffering from another diving related emergency: decompression sickness.*
Due to the_____of the dive and the rapid
ascent, this patient may also be suffering
from_____________________.
What is an additional possible problem associated with this injury? -Nitrogen bubbles entering tissue spaces and smaller blood vessels. *
scuba dive, rapid onset, is tearing, decompression sickness, cyanotic, depth, surfaced, overinflation, recompression chamber
7
Your patient is a 28-year-old diver who has been using scuba equipment. His diving partner states that he was unconscious when he surfaced after_____.
You should suspect: air embolism. *
___________presents as____________
_______(including unconsciousness) during
or after______from a dive, or as a sharp
pain in the chest.
Due to his rapid ascent, this patient
may also be_____________another diving
related emergency: decompression sickness. *
Due to the depth of the dive and the rapid ascent, this patient may also be suffering from decompression sickness.
What is an additional possible problem associated with this injury? -
Nitrogen bubbles entering____________
and smaller blood vessels.*
In this patient, nitrogen__________may
have entered tissue spaces and blood vessels.
a dive, tissue spaces, Air embolism, ascent, suffering from, gas bubbles, neurological deficit
8
This statement about care of a near-drowning ______is correct: The patient
should be admitted to the hospital for observation.*
Due to the chance of post event pulmonary
oedema, all___-________victims should
be admitted to the hospital for___________.
victim, near-drowning, observation
9
Your patient is a 23-year-old man who complains of abdominal pain. The patient
states that the pain began________and
was originally located only in the area
around the__________Now, however, it has
moved to the__________quadrant. The
patient also complains of nausea and vomiting, and he has a fever of 102 °F (38.8 °C). Examination displays rebound
What would you suspect? -Apendicitis. *
tenderness, right lower, suddenly, umbilicus
10
A patient suspected of having an_________
aortic aneurysm will receive oxygen, an IV, ECG monitoring, and rapid transport as part of his or her treatment.
What else should you do when
treating such a patient?_____the
PASC/MAST garment. *
Treat the patient for shock and transport
rapidly. Do not_______the abdomen. This
is one of the few medical conditions that may still benefit from the use of PASC/MAST as the garment may
tamponade any________that may be
occuring.___________which stimulate the
cardiovascular system should be avoided.
Medications, bleeding, palpate, Apply, abdominal
11
A 42-year-old male complains of sudden,
intense pain that is centered in his_____
____. He is____,____, and diaphoretic,
especially_____the level of his umbilicus.
I He is tachycardic and hypotensive.
What condition best describes the
' patient presentation? - Abdominal aortic
I aneurysm. *
s/The abdominal aorta is located in the
t._____-__________space. A sudden____of
| pressure due to an aortic aneurysm will |result in loss of perfusion below the site of I injury.
: lower back, below, pale, cool, retro-r peritoneal, loss
■ 12
i-You are called to the home of a 36-year-[ old man who is having a seizure. His wife
{.reports that he has not taken his "_______
H____" lately and that he has now had three
^seizures in a row without_________
|L____________. You have_______the airway
land are now ventilating with the_________
H What should you do next? - Begin an mt, monitor cardiac rhythm, and administer Miazepam. *
■or a patient in_________________,
treatment consists of establishing an IV, monitoring cardiac rhythm, and administering diazepam to stop the seizures.
Status epilepticus, seizure pills, regaining consciousness, bag valve mask, secured
13
What is the primary reason that diazepam is given to a seizure patient?
to suppress the spread of electrical activity in the brain and relax muscles. * Although diazepam (Valium) does reduce
_______, it is given to seizure patients to
suppress the spread of__________________
through the brain as well as to_____
anxiety, relax muscles, electrical activity
14
A 52-year-old male has been ejected from a car. He is apnoeic, with a slow pulse
palpated at the_____________.
What procedure would best manage this patient's airway? - Ventilate with the bag-valve mask and attach to high-flow oxygen.*
This patient needs immediate___________
______________. Using a bag-valve mask
will__________this task most effectively.
accomplish, oxygenation and ventilation, femoral artery
15
Your patient is a 27-year-old male who is found unconscious on a bathroom floor.
He is not breathing, has______________,
and has a fresh________wound to his right
— 155 —
forearm. He has_____________that form a
bluish streak over the veins on the backs on both hands. This patient is most likely suffering from which of the following?
a seizure disorder
multiple spider bites
a narcotic overdose *
anaphylactic shock
Common signs of a________________are
described: Pinpoint pupils are characteristic of heroin and narcotic use, a fresh puncture wound over a vein indicates
a recent_____________, and_____________
over the veins is consistent with the presence of track marks.
bluish scarring, multiple scars, puncture, narcotic overdose, injection site, pinpoint pupils
16
A 24-year-old female is complaining of chest pain and difficulty breathing. She has been up for three days studying for finals and has been taking ephedrine
supplements to help her__________and
alert. She also admits to drinking 12
___________soft drinks in the past day.
Vitals are BP 80/40, P 180 carotid, and R
42. She is_________and lethargic.
The best treatment for this patient would include: cardioversion at 100 joules
This patient presents in unstable
supraventricular____________. Her
condition may___________quickly;
therefore, immediate synchronized _____________is indicated.
cardioversion, caffeinated, stay awake, tachycardia, very pale, deteriorate
17
Your patient is a 19-year-old female who has been stung by a stingray while swimming.
What should you do after________
airway breathing and circulation are intact? - Apply heat or warm water to reduce pain
and________the poison. *
Heat will cause the______to break down
and______the harm to the patient.
detoxify, poison, ensuring, lessen
18
Your patient is a comatose 56-year-old male. His breath smells fruity and sweet and his respirations are very deep and rapid.
After the initial assessment, you should provide the following treatments: Draw blood, start an IV of 0.9% NaCI, and give a 500 ml fluid bolus.* This patient is showing signs and
symptoms of diabetic___________. Avoid
the use of______________________if at all
possible.
At the minimum, you should obtain a
________________before administering any
glucose containing solutions. The fluid
bolus will help_______the glucose
contained within his blood.
glucose administration, glucometer reading, ketoacidosis, dilute
19
Your patient is a 30-year-old female who is complaining of a generalized rash and a dyspnoea after eating shellfish. The patients has small itchy, red welts all over her body 1 and says her tongue feels like it is swollen.| She complains of difficulty moving air in
and difficulty___________________. This
patient's vital signs show a blood pressure of 110/60; a pulse of 100, strong and regular; and a respiratory rate of 36. Her breathing is somewhat shallow and
This patient is exhibiting the signs and symptoms of: an allergic reaction. * This patient's blood pressure is still
_______________the allergic reaction;
therefore, the patient is not in anaphylactic shock.
;.■«       This patient needs close monitoring
because she could____________:
anaphylactic shock *
jfCompensating for, catching a full breath, progress into, laboured
V
ft
U respond to a 1 7-year-old female nd unconscious in her backyard by her jNints. She has a newly developing skin Ih on her right arm and is having |ftculty breathing. You note that she is feezing. Her parents state that she has history of respiratory problems or other Hdical disorders, ich of the following is a possible cause her condition? Anaphylaxis * febrile seizures status asthmaticus epiglottitis environment she is in and previously
n____,________, difficulty breathing
negative past history are keys to this a case of possible anaphylactic
*
pWhat is the first step in managing llient? - Aggressively manage the
P.:
You should aggressively manage the
airway. It may be necessary to_________
________this patient, and you may get only
one attempt. Once the tube contacts the
larynx, the__________can spasm and
completely shut off the airway.
The next step in treating this patient is to start a normal saline or Ringer's lactate IV and to give: epinephrine *
Epinephrine is a potent_____________and
can reverse many of the effects of
histamine________. This patient is__
________and should first be treated with
epinephrine. If respiratory________
continues once the epinephrine has entered the patient's system, you may try using diphenhydramine (another antihistamine) or albuterol to bring about
Antihistamine, distress, bronchodilation, carefully intubate, rash, vocal cords, in extremis, overload, wheezing
Vocabulary 1
abdominal /aeb'dnm.i.nsl/ thrust /BrASt/
břišní úder, první pomoc při dušení
abscess /'asb.ses/ absces
accomplish /9'kAm.pliJ/ dosáhnout,
provést, uskutečnit
admit /sďmit/ připustit, uznat,
hospitalizovat
aggressively /a'gres.iv.li/ agresivně, útočně
air /'ear/ embolism /'em.ba.li.zam/ vzduchová embólie
anaphylaxis /,aen.3.fi'laek.sis/ anafylaxe, druh alergie, přecitlivělosti na cizorodou bílkovinu
ascent /a'sent/ stoupání, výstup
bag /baeg/ mask /maisk/ dýchací maska,
ambuvak, resuscitační vak,