1. Where is the femoral vein in relation to the femoral artery?

2. Medial Remember NAVY

3. When relieving a Tension Pneumothorax: 1) What should you insert? 2) Where should you insert it?

4. 1)Large angiocath (~14g) 2)2nd intercostal space, mid-clavicular line or Mid-axillary, 4th ICS

5. When preparing to start an IV, name 3 things which will promote vein distention.

6. 1)Tourniquet or BP cuff 2)Open and close fist 3)Lower extremity below heart level 4)Tap vein with your fingers 5)Stroke upward 6)Moist heat 7)MAST

7. Describe the landmarks for giving an IM injection in the deltoid

8. Top margin: 2-3 fingers down from acromion process Bottom margin: Axillary line

9. Name the primary contraindication to the application of MAST

10. CHF/Pulmonary edema

11. Name three types of patients for whom you should use mini-drip tubing when starting an IV

12. 1)Children 2)Head Injury-not mannitol 3) Cardiac problems 4)Respiratory Problems 5)Chronic renal failure 6)All infusions of medications

13. Describe how to determine the location of the cricothyroid membrane

14. -Just below the “Adam’s Apple” -Palpate up from the suprasternal notch-the first ring you feel is the cricoid cartilage. Membrane is just above cricoid

15. Which of the following procedures can be done to a patient in inflated MAST? 1) ecg 2)X-rays 3)defibrillation 4)foley cath insertion

16. All of them

17. Prior to insertion, how do you correctly measure an NG tube?

18. Tip of nose to ear, then ear to xiphoid

19. Describe the landmarks for giving an IM injection in the Vastus Lateralis

20. One handwidth below the groin, one handwidth above the knee, slightly lateral of midline.

21. How is the diagnosis of pericardial tamponade confirmed?

22. If blood was removed from the pericardial sac, it will not clot.

23. What size needle is commonly used for a SQ injection?

24. 25g, 5/8inch

25. 1) What should the patient be doing when an NG tube is passed? 2) What should the patient not be doing?

26. 1) Swallowing or retching 2) Inhaling

27. If a patient is unconscious, what must be done before an NG tube is passed?

28. Endotracheal Intubation

29. When doing CPR on an adult, how far should the chest be compressed?

30. At least 2 inches

31. One complication of IV therapy is infiltration. 1)Define infiltration 2)Name 3 signs/symptoms of infiltration

32. 1) Dislodging of needle out of the vein 2) flow slows/stops, swelling, pain, feels cool

33. Name 2 ways to check that an NG tube is in the stomach

34. 1) Aspirate stomach contents 2) Inject air while auscultating stomach 3) Check for rythmic bubbling with end of tube underwater 4) Evaluate respiratory status- listen to end of tube for breathing 5) Visualize with laryngescope

35. CPR should not be interrupted for more than 10 seconds, with certain exceptions. Name two of those exceptions

36. 1) Stair transport 2) Endotracheal Intubation 3) Clearing the airway (suctioning)

37. When monitoring a patient in lead II, which is the ground lead? A) R arm B) L arm C) L leg

38. B: L arm Drawing by:

39. List all of the reasons you can think of why IV’s do not run (or run slowly) There are at least 9!

40. l Tourniquet is still on l Catheter is against vessel wall or valve l Catheter is clogged due to clot l Tubing is kinked l Tape is on too tightly l Bag is lower than site l Drip chamber is full (can’t see drips) l IV catheter is kinked l BP cuff is inflated to check vitals