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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

B.

C.

D.

  • 1.

    Precipitating causes

    • a.

      History of hypertension

    • b.

      Non-compliance with medication or any other treatment

    • c.

      Toxemia of pregnancy

Morbidity/ mortality

  • a.

    Hypertensive encephalopathy

  • b.

    Stroke

Initial assessment

  • 1.

    Airway/ breathing

    • a.

      Labored breathing may or may not be present

  • 2.

    Circulation

    • a.

      Peripheral pulses

      • (1)

        Quality

      • (2)

        Rhythm

    • b.

      Changes in skin

      • (1)

        Color

      • (2)

        Temperature

      • (3)

        Moisture

Focused history

  • 1.

    Chief complaint

    • a.

      As in precipitating causes above

  • 2.

    Medication history

    • a.

      Prescribed

      • (1)

        Compliance

      • (2)

        Non-compliance with medication or treatment

    • b.

      Borrowed

    • c.

      Over-the-counter

3.

Home oxygen use

E.

Detailed physical examination

  • 1.

    Airway

  • 2.

    Breath sounds

  • 3.

    Circulation

4.

  • a.

    Pulse

  • b.

    Vital signs

    • (1)

      Blood pressure

      • (a)

        Systolic greater than 160 mmHg

      • (b)

        Diastolic greater than 94 mmHg

Diagnostic signs/ symptoms

a. b .

General appearance Level of consciousness

    • (1)

      Unconscious

    • (2)

      Altered level of consciousness

    • (3)

      Responsive

  • c.

    Skin color

    • (1)

      Can be pallor, flushed, or normal

  • d.

    Skin hydration

    • (1)

      Can be dry or moist

  • e.

    Skin temperature

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

29

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