Exam (elaborations)
EM PAEA Study Guide (Complete)
EM PAEA Study Guide (Complete)
[Show more]
Content preview
EM PAEA Study Guide (Complete)What does a 1st degree heart block look like
What is the treatment Correct Ans - -lengthened PR interval
-treat reversible causes like ischemia, increased vagal tone, or meds
What is a second degree Wenckebach (Mobitz type 1) heart block look like
What is the treatment Correct Ans - -progressive PR prolongation for
several beats prior to non-conducted P wave
-treat reversible causes like ischemia, increased vagal tone or meds
-pacemaker if there is symptomatic bradycardia
What does a second degress mobitz type 2 heart block look like
What is the treatment Correct Ans - -PR interval remains unchanged
prior to nonconducted P waves
-treat reversible causes like ischemia, increased vagal tone or meds
-*pacemaker*
What does a third degree heart block look like
,What is the treatment Correct Ans - -P waves dont correlate to QRS
-treat reversible causes like ischemia, increased vagal tone or meds
-*pacemaker*
What are signs and symptoms of ventricular tachycardia Correct Ans -
-if a short run = alert and stable
=if prolonged run = hypotension, Myocardial ischemia, syncope, CP, dyspnea
-sudden cardiac death
What is the management of torsades Correct Ans - -IV Mg
What is the management of ventricular tachycardia Correct Ans - -
antiarrhythmics such as *amiodarone, lidocaine, and procainamide*
-*cardioversion* if pt remains unstable
What are the signs and symptoms of ventricular fibrillation Correct Ans -
-if a short run = alert and stable
=if prolonged run = hypotension, Myocardial ischemia, syncope, CP, dyspnea
-sudden cardiac death
,What is the treatment of ventricular fibrillation Correct Ans - -treat
underlying cause
-*electric defibrillation*
What are causes of hypotension Correct Ans - -low stroke volume:
dehydration, hemorrhage, vomiting, diarrhea, burns, valve problems, aortic
dissection, ventricular septum or free wall rupture
-brady or tachy HR
-sepsis, adrenal insufficiency, vasodilating drugs, neurogenic shock
-orthostatics due to antipsychotics, diuretics, ACEI, vasodilators, methyldopa,
What are signs and symptoms of hypotension Correct Ans - -SBP <90
or >30 below baseline
-cyanosis
-oliguria
-cool clammy extremities
-weakness
-presyncope/syncope
-altered mental status
What is the workup for hypotension if you suspect cardiogenic shock
Correct Ans - -echo
What is the management for hypotension Correct Ans - -treat
underlying cause
-IVF
-pressors = *dopamine, dobutamine*
-intraaortic baloon pump
What are the signs and symptoms of an acute MI Correct Ans - -CP,
SOB, diaphoresis
-jaw, neck, shoulder pain
-*CP > 30 minutes* that is not response to nitro
-tachy/brady
-S3 or S4
What 3 groups of individuals have atypical presentation of acute MI
Correct Ans - -women, diabetics, and the elderly
, What is the workup for a suspected MI Correct Ans - -EKG within 10
minutes and repeat every 10 minutes if initial is non diagnostic (*early peaked
T waves, ST elevation, Q waves*)
-cardiac consult
-ECHO to determine cardiac function
T or F: the presence of LBBB or pacing spikes makes the EKG difficult to
interpret in the setting of MI Correct Ans - T
What is the management for a pt with an acute MI Correct Ans - -O2 if
sats <90%
-aspirin and nitro...morphine if CP continues
-start atorvastatin if pts is not already taking
-treat with furosemide if HF present and beta blockers if not present to reduce
MI O2 demand
-antiplatelet *clopidogrel* and anticoag *heparin* therapy (in addition to
aspirin)
-stent if <3 hours from symptoms onset
-lytic therpay if not contraindicated and symptoms <12 hours
What is the treatment of cocain related acute coronary syndrome Correct
Ans - -benzos ever 15 min prn
-NO BETA BLOCKERS
What is the post acute coronary syndrome treatment Correct Ans - -
continue drugs used in hospital (beta blockers, statin, asa, SL nitrates,
aldosterone antagonist and ACEI, clopidogrel
-pre or post discharge stress test
What is the TIMI score used for Correct Ans - -The 14 days risk of
death, recurrent MI, or need for urgent revascularization post MI as a %
What 7 things will give you a positive point on the TIMI scoring Correct
Ans - -age ≥65
-≥3 CAD risk factors (FHx of CAD, HTN, hypercholesterolemia, DM, FMhx of
CAD, current smoker)
-Known CAD (stenosis >50%)
-ASA use in the past 7 days
-severe angina (≥ 2 episodes in 24 hours)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$29.03. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now