Exam (elaborations)
critical care_flight paramedic exam
- Module
- Accounting 405
- Institution
- Accounting 405
critical care_flight paramedic exam
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critical care/flight paramedic exambabinski reflex - ANS-extension and spreading of toes when bottom of foot is stroked.
sign of nervous system lesion
battles sign - ANS-bruise behind ear, basilar skull fracture
becks triad - ANS-jvd, muffled heart tones, hypotension. from cardiac tamponade
brudzinski sign - ANS-flexion of the neck results in flexion of the hip. meningitis
coopernails sign - ANS-ecchymosis on perineum, labia, scrotum. sign of pelvis fracture
cullens sign - ANS-bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy
grey turners sign - ANS-discoloration of skin around flank. sign of pancreatitis
hammans sign - ANS-crunching sound of heart with asynchronous heart beat. sign of
mediastinal emphysema/tracheobronchial disruption
kehrs sign - ANS-left shoulder pain associated with splenic rupture
kernigs sign - ANS-pain to knee extension when hip is at 90 degrees. sign of meningitis
levines sign - ANS-pain with clutched fist over midline of chest. sign of cardiac chest
pain
mcburneys sign - ANS-tenderness 2/3 the distance between umbilicus and ileum. sign
of appendicitis
muphys sign - ANS-pt unable to take deep breath on inspiration with deep palpation
beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - ANS-aortic and pulmonary valve closure
s1 "lub" sound - ANS-bicuspic/tricuspid valve closure
stroke volume is affected by - ANS-preload, afterload, contractility
, s4 heart tone - ANS-indicative of stiff or noncompliant ventricle, like with an old MI
s3 heart tone - ANS-ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - ANS-saphenous vein
dresslers sign - ANS-pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - ANS-increased SVR/vasoconstriction
beta 1 stimulation results in - ANS-increased HR, contractility
janeway lesions and osler nodes are indicative of - ANS-endocarditis
elevated BNP signals - ANS-increased stretching of ventricles. found in CHF
where should a cardiac transducer be placed? - ANS-phlebostatic axis (4th intercostal
space midaxillary)
what does the dicrotic notch symbolize? - ANS-aortic valve closing
saline from ART line should infuse at what rate - ANS-3ml/hr
normal central venous pressure (CVP) - ANS-2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon -
ANS-1.5
coronary perfusion pressure calculation - ANS-PAWP-DBP (should be 50-60)
PAWP range - ANS-8-12
PVR range - ANS-50-250
PA pressure - ANS-15-25 systolic, 8-15 diastolic
SVR range - ANS-800-1200
what does PVR signify - ANS-right heart afterload, pulmonary vascular resistance
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