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Exam (elaborations)

Critical Care/Flight Paramedic Exam Graded A+

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Critical Care/Flight Paramedic Exam Graded A+ babinski reflex ️extension and spreading of toes when bottom of foot is stroked. sign of nervous system lesion battles sign ️bruise behind ear, basilar skull fracture becks triad ️jvd, muffled heart tones, hypotension. from cardiac tampona...

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  • October 11, 2024
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  • 2024/2025
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  • Critical Care/Flight Paramedic Exm Graded A+
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Critical Care/Flight Paramedic Exam Graded A+

babinski reflex ✔️extension and spreading of toes when bottom of foot is stroked. sign of nervous
system lesion



battles sign ✔️bruise behind ear, basilar skull fracture



becks triad ✔️jvd, muffled heart tones, hypotension. from cardiac tamponade



brudzinski sign ✔️flexion of the neck results in flexion of the hip. meningitis



coopernails sign ✔️ecchymosis on perineum, labia, scrotum. sign of pelvis fracture



cullens sign ✔️bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy



grey turners sign ✔️discoloration of skin around flank. sign of pancreatitis



hammans sign ✔️crunching sound of heart with asynchronous heart beat. sign of mediastinal
emphysema/tracheobronchial disruption



kehrs sign ✔️left shoulder pain associated with splenic rupture



kernigs sign ✔️pain to knee extension when hip is at 90 degrees. sign of meningitis



levines sign ✔️pain with clutched fist over midline of chest. sign of cardiac chest pain



mcburneys sign ✔️tenderness 2/3 the distance between umbilicus and ileum. sign of appendicitis

,muphys sign ✔️pt unable to take deep breath on inspiration with deep palpation beneath right coastal
margins. sign of gall bladder issues



S2 "dub" heart tones ✔️aortic and pulmonary valve closure



s1 "lub" sound ✔️bicuspic/tricuspid valve closure



stroke volume is affected by ✔️preload, afterload, contractility



s4 heart tone ✔️indicative of stiff or noncompliant ventricle, like with an old MI



s3 heart tone ✔️ventricle stretch due to fluid overload



right coronary artery is typically repaired by using ✔️saphenous vein



dresslers sign ✔️pericarditis from recent MI or cardiac surgery



alpha 1 stimulation results in ✔️increased SVR/vasoconstriction



beta 1 stimulation results in ✔️increased HR, contractility



janeway lesions and osler nodes are indicative of ✔️endocarditis



elevated BNP signals ✔️increased stretching of ventricles. found in CHF



where should a cardiac transducer be placed? ✔️phlebostatic axis (4th intercostal space midaxillary)



what does the dicrotic notch symbolize? ✔️aortic valve closing

, saline from ART line should infuse at what rate ✔️3ml/hr



normal central venous pressure (CVP) ✔️2-6



when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon ✔️1.5



coronary perfusion pressure calculation ✔️PAWP-DBP (should be 50-60)



PAWP range ✔️8-12



PVR range ✔️50-250



PA pressure ✔️15-25 systolic, 8-15 diastolic



SVR range ✔️800-1200



what does PVR signify ✔️right heart afterload, pulmonary vascular resistance



what is PCWP ✔️same as pAWP



left heart preload is also called ✔️left ventricular end diastolic pressure LVEDP



what is CI ✔️same as CO



what happens to pressures during cardiogenic shock ✔️decreased cardiac output (CO/CI), increased
everything else

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