Exam (elaborations)
FISDAP READINESS, FISDAP Readiness Exam/807 Q’s and A’s
FISDAP READINESS, FISDAP Readiness Exam/807 Q’s and A’s
[Show more]
Content preview
FISDAP READINESS, FISDAPReadiness Exam/807 Q’s and A’s
Where are Beta 1 receptors found? - -Heart and Kidneys
-Stimulation of Beta 1 receptors result in an increase of what? - -Heart:
Inotropy, Chronotropy, Dromotropy
Kidneys: Renin-Angiotensin-Aldosterone System = Vasoconstriction =
Increase blood pressure
-Which node is located at the junction of the superior vena cava and the
right atrium, is typically supplied by the Right Coronary artery, and fires at a
rate of 60-100 bpm. - -SA Node
-Atrial depolarization characterized by smooth, round, upright deflection less
than 0.11 secs long and less than 2.5mm tall is referred to as what on the
ECG? - -P wave
-Carvedilol (Coreg)
Metropolol (Lopressor)
Atenolol (Tenormin)
Propranolol (Inderal)
Bisoprolol (Zebeta)
Acebutolol (Sectral)
Comolol (Brevibloc) - -Beta Blockers - used for blood pressure and cardiac
problems
-Epinephrine
Norepinephrine
Vasopressin
Dopamine
Phenylephrine
Dobutamine - -Vasopressors
-The middle of phase 3 to beginning of phase 4 in the cardiac cycle where
cardiac cells are partially refractory and partially repolarized and certain cells
can be depolarized in response to electrical stimulus. - -Relative Refractory
Period
(Partial flush of the toilet)
-Treatment for Beta Blocker Overdose - -Glucagon: 1-5mg IV/IO (1st Line
Drug)
,Calcium Chloride: 500mg - 1g IV/IO
-Swelling of affected limb, pain and tenderness, inflammation/redness, warm
to touch on affected limb, pain on dorsiflexion (Homan Sign) are all signs of?
- -DVT
-Treatment of DVT - -Supportive Care, Position of Comfort, Establish IV,
Cardiac Monitor, Pulse Ox, O2, Monitor vitals for embolism.
Do not massage affected limb.
-The pressure gradient that drives coronary blood pressure.
The difference between aortic diastolic pressure and left ventricular end
diastolic pressure that perfuses the coronary arteries. - -Coronary Perfusion
-Tachycardia, Difficulty Breathing, Diminished Lung Sound, Pulse Quality
Changes, and unequal chest rise are early signs and symptoms of? - -
Tension Pneumothorax
Air is entering the pleural space but cannot escape. Positive pressure
ventilation can make it worse.
-Criteria for Unstable Dysrhythmia - -Ischemic Chest Pain
ALOC
Hypotension/Hypovolemia
Signs of Shock
Acute Heart Failure
-Restriction of of cardiac contraction, falling cardiac output, and shock as a
result of pericardial fluid accumulation are characteristics of? - -Cardiac
Tamponade
-Hypotension, SOB, Lightheadedness, Chest Pain, Syncope, Palpitations,
Extremity Swelling, and Muffled heart sounds are signs and symptoms of? - -
Cardiac Tamponade
-Indications for Dopamine - -Cardiogenic Shock
Distributive Shock after fluids
Hemodynamically significant Hypotension
Symptomatic Brady (2nd Line drug)
-AHA Guidlines for Terminating CPR efforts in field(4) - -Arrest was not
witnessed
,No bystander CPR was administered
ROSC was not achieved after complete
ALS care in the field
No shocks were administered
-Time frame that starts at the patient contact by EMS and ends with
definitive therapy of catheter passing through lesion of coronary vessel. - -
EMS-to-Balloon-Time
-Time from patient entering ED to catheter passing through lesion of
coronary vessel. - -Door-to-balloon-time
-Time from patient entering ED to fibrinolytic therapy administration. - -
Door-to-needle-time
-Time frame for door-to-balloon - -<90mins
-Time frame for door-to-needle - -<30mins
-Principle symptom of Coronary Artery Disease or Acute Coronary Syndrome
that occurs when supply of O2 is to the myocardium is insufficient to meet
demand and cells become ischemic? - -Angina Pectoris
-Chest pain that occurs at rest and is caused by coronary artery vasospasm?
Risk for Dysrhythmia, MI, Heart Block and Death - -Prinzmetal Angina (PA)
-Which electrolyte flows into cardiac cells to initiate depolarization? - -
Sodium (Na+)
-Which electrolyte flows out of cardiac cells to to initiate repolarization? - -
Potassium (K+)
-Which electrolyte plays a major role in depolarization of pacemaker cells to
maintain depolarization and myocardial contractility? - -Calcium (Ca++)
-Which electrolyte stabilizes cell membrane and acts in concert with K+ and
opposes actions of Ca++? - -Magnesium (Mg++)
-Hypokalemia results in? - -increased myocardial irritability
-Hyperkalemia results in? - -decreased automaticity/conduction
-Hypocalcemia results in? - -decreased contractility and increased irritability
, -Hypercalcemia results in? - -Increased contractility
-Hypomagnesemia results in? - -decreased conduction
-Hypermagnesemia results in? - -increased myocardial irritability
-Four properties of the Cardiac Conduction System - -Excitability - cells
respond to electrical impulse
Conductivity - cells pass impulse to one another
Automaticity - hearts ability to generate its own electrical impulse
Contractility - hearts ability to contract when stimulated
-Affects of RCA occlusion in terms of the SA node ischemia? - -SA node
becomes ischemic = slower firing rate (<60-100) or cease fire completely
causing another automaticity foci to take over such as AV (40-60) or Purkinje
(20-40).
-Which electrolytes are responsible for depolarization? - -Sodium and
Calcium influx
-Which electrolyte is responsible for repolarization? - -Potassium outflow
-Indications for CPAP (5) - -Alert and able to follow commands
Moderate to Severe Respiratory Distress
Hyperventilation
SpO2 <90%
Systolic >90mmHg
-Contraindications for CPAP (8) - -Respiratory Arrest
Hypoventilation
ALOC
Chest Trauma/Pneumo
Tracheostomy
GI bleed or Vomiting
Inability to fit CPAP
Excessive Facial Hair/Dysmorphic features
-During what phase of circulation do coronary arteries receive blood? - -
Diastolic
-Coronary circulation begins from aorta at the? - -Right and Left Coronary
Arteries
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 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 Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £24.09. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now