Exam (elaborations)

Air Methods Pre-Hire Exam Study Guide

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Course
Air Methods

Institution
Air Methods

Air Methods Pre-Hire Exam Study Guide ST elevation is associated with - answermyocardial injury ST depressions is associated with - answerischemia, old infarction, digitalis toxicity Q wave with ST elevation - answeracute injury Q wave with ST depression - answerindeterminate Q wave without ST...

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Uploaded on September 16, 2024
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Type Exam (elaborations)
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air methods pre hire exam study guide

Institution Air Methods
Course Air Methods

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Air Methods Pre-Hire Exam Study Guide

ST elevation is associated with - answer✔myocardial injury

ST depressions is associated with - answer✔ischemia, old infarction, digitalis toxicity

Q wave with ST elevation - answer✔acute injury

Q wave with ST depression - answer✔indeterminate

Q wave without ST changes - answer✔old infarction

coronary artery occlusion: anterior - answer✔LAD

coronary artery occlusion: inferior - answer✔RCA

coronary artery occlusion: posterior - answer✔LCX or RCA

Coronary Artery Occlusion: lateral - answer✔LCX

coronary artery occlusion: septal - answer✔LAD

Inferior MI: elevation leads? reciprocal leads? - answer✔elevation: II, III, aVF. reciprocal: I,
aVL, V1-V4

anterior-septal MI: elevation leads? reciprocal leads? - answer✔elevation: V1-V4. reciprocal:
II,III, aVF, aVL

Lateral MI: elevation leads? reciprocal leads? - answer✔elevation: I, aVL, V5, V5. reciprocal:
II, III, aVF

Posterior MI: elevation leads? reciprocal leads? - answer✔elevation: V6. reciprocal: V1-V4

Junction (J) Point - answer✔end of QRS & beginning of ST segment where QRS stops and
makes a sudden SHARP change of direction

Delta wave is associated with - answer✔Wolff-Parkinson White Syndrome

where is the delta wave on EKG - answer✔Bump in the beginning of the QRS wave

Osborne wave is associated with - answer✔Hypothermia

, ©THEBRIGHTSTARS 2024
Peaked/tented T waves indicate - answer✔hyperkalemia

Peaked P waves/ flattened T waves/ U waves indicate - answer✔hypokalemia

Wide QRS could indicate x2 - answer✔BBB present, TCA overdose

Prolonged QT interval could indicate - answer✔TCA overdose

history of tricyclic antidepressant overdose can exhibit what ECG tracing - answer✔prolonged
QT interval

what is the amount of blood in the ventricles at end-diastole - answer✔Preload (right= CVP,
left= PAOP)
what is the resistance the ventricles must overcome to eject blood into the pulmonary and
systemic circulation - answer✔afterload (SVR)

Stroke volume is dependent on - answer✔contractility, preload, afterload

sequence blood flows throughout the heart valves - answer✔Tricuspid, Pulmonic, Mitral,
Aortic

common site affected for balloon dislodgment when treating your IABP patient - answer✔left
radial

contraindication for IABP - answer✔aortic aneurysm, aortic insufficiency, aortic stents, AAA

"rust-colored flakes" in IABP tubing indicated - answer✔balloon rupture

how to determine early or late inflation in IABP - answer✔draw line from dicrotic notch to
inflation point

if the inflation point (IP) is 2mm+ from the dicrotic notch (DN), it indicates - answer✔early
inflation

primary trigger used from most IABP operations is the - answer✔EKG

IABP balloon inflation on EKG starts at - answer✔middle of T wave

IABP balloon deflation on EKG prior to - answer✔end of QRS complex

IABP inflation mechanism occurs at - answer✔onset of ventricular diastole

IABP deflation mechanism occurs at - answer✔prior onset of ventricular systole

which patients are not affected with altitude temperature changes - answer✔cardiac patients

therapy focus for left ventricular heart failure patients - answer✔diuretics and relief of anxiety

, ©THEBRIGHTSTARS 2024
characteristics of systolic failure - answer✔<65 y/o , frequent/prior MI, S3 heart tone,
cardiomegaly present

characteristics of diastolic failure - answer✔>70 y/o, common in women, frequent hx of HTN,
S4 heart tone, no cardiomegaly

BP MAP formula - answer✔-(2xDBP) + SBP / 3

coumadin overdose antidote - answer✔vitamin K, FFP

Medication NOT to give cardiogenic shock and CHF patients - answer✔Beta-blockers

medications for cardiogenic shock - answer✔vasodilator and positive inotropes

treatment for decompensating bradydysrythmias (FAEDE) - answer✔fluids, atropine, external
pacing, dopamine, epinephrine

S/S decompensating bradydysrythmias - answer✔SBP <90 AMS
medication NOt to give decompensating bradydysrythmias with 2nd degree HB type II or CHB
or heart transplant - answer✔atropine

S/S decompensating tachydysrythmias - answer✔SBP <90 AMS

treatment for decompensating tachydysrythmias - answer✔consider sedation / synchronized
cardioversion (100 J)

becks triad indicates - answer✔cardiac tamponade

becks triad for cardiac tamponade - answer✔hypotension, muffled/distant heart sounds, jugular
venous distention (JVD)

elevated lab values in rhabdomyolysis (crush injury) - answer✔CK, K+, Bun/creatinine,
AST/ALT
markers of cardiac reperfusion after fibrinolytic therapy include relief of chest pain,
normalization of ST segment changes - answer✔reperfusion dysrythmias such AIVR

normal CVP range - answer✔2-6 mmHg

normal cardiac index - answer✔2.5-4.3

normal PAWP (pulmonary artery wedge pressure) - answer✔6-12 mmHg

normal SVR (systemic vascular resistance) - answer✔800-1200

normal coronary perfusion formula - answer✔aortic diastolic pressure (ADP), LCeft ventricular
end-diastolic pressure (LVEDP)

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