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Medical: 5

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

(3)

Moisture

C.

Focused history

  • 1.

    Chief complaint

    • a.

      As in precipitating causes above

  • 2.

    Medication history

    • a.

      Prescribed

      • (1)

        Compliance

      • (2)

        Non-compliance

    • b.

      Borrowed

    • c.

      Over-the-counter

D.

Detailed physical exam

1.

Critical findings

a. b. c .

d.

e.

f.

g.

Unconscious Altered levels of consciousness Airway

  • (1)

    Dyspnea

  • (2)

    Productive cough

  • (3)

    Labored breathing

    • (a)

      Paroxysmal nocturnal dyspnea (PND)

    • (b)

      Tripod position

    • (c)

      Adventitious sounds

    • (d)

      Retraction

ECG rhythm analysis

  • (1)

    Any tachycardia

  • (2)

    Atrial arrhythmias

  • (3)

    Ectopics

Changes in skin

  • (1)

    Color

  • (2)

    Temperature

  • (3)

    Moisture

Peripheral pulses

  • (1)

    Quality

  • (2)

    Rhythm

Edema

  • (1)

    Pitting versus non-pitting

  • (2)

    Extremities

    • (a)

      Obliteration of pulses

  • (3)

    Sacral

E.

Management

1.

Position of comfort

a.

May prefer sitting upright with legs in dependent position

2

.

Pharmacological

  • a.

    Gases

  • b.

    Vasopressor

  • c.

    Analgesia

  • d.

    Diuretics

  • e.

    Glycoside

  • f.

    Sympathetic agonist

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

31

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