Fisdap cardiology stuvia Study guides, Class notes & Summaries

1. What does the OPQRST mnemonic stand for - ANSWER Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - ANSWER Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

1. What does the OPQRST mnemonic stand for - Answer Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - Answer Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient's outcome? - ANSWER Early CPR and defibrillation The AED gives "no shock" message to a patient who is in cardiac arrest. You should: - ANSWER Resume chest compressions What is the maximum amount of time that should be spent checking for spontaneous breathing in an unresponsive child? - ANSWER 10 seconds When performing CPR on an adult, you should compress the chest to a depth of ___ ...

64 yo states "I am about to die" NTG/O2 did not decrease chest pain, BP 90/66, P60, R24 - ANSWER transport immediately Largest artery - ANSWER Aorta Struck by lightning - ANSWER irregular heartbeat Oriented 78 yo, Female with pale, moist skin complaints of indigestion, BP 80/40, P116 irregular, R 24 regular - ANSWER MI 73 yo Female, chest pain and shortness of breath , bilateral crackles, BP 80/40, P112 R 22 - ANSWER Cardiogenic shock 49 yo male, history of heart problems, ha...

A 44-year-old man reports dizziness and lightheadness. His BP is 88/26 mm Hg, his heart rate is 190 beats per minute and weak. His skin is cool clammy and pale. Why is his BP low? - ANSWER decreased ventricular timing Switching compressors during two-rescuer CPR: - ANSWER should occur every two minutes throughout the arrest Stable angina - ANSWER chest pain that occurs when a person is active or under severe stress Unstable angina - ANSWER chest pain that occurs while a person is at res...

1. What does the OPQRST mnemonic stand for - ANSWER Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - ANSWER Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

Intrinsic rates - ANSWER SA node - 60 - 100 bpm AV junction - 40 - 60 bpm Purkinje network - 20 - 40 bpm Lidocaine doses - ANSWER 1-1.5 mg/kg, second dose 0.5-0.75 mg/kg Unstable VT tx - ANSWER Should be treated with synchronized cardioversion Hypotension, decreased LOC, shock, chest pain Stable VT tx - ANSWER IV/IO Adenosine 6mg; 12mg (followed by rapid saline flush) If ineffective, procainamide (20-50mg/min or amiodarone (150mg IV/10min) Consider antiarrhythmic infusion Defi...

A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do? a. assist with the administration of aspirin b. apply oxygen c. transport immediately d. administer a second dose of nitroglycerine - ANSWER a. assist with the administration of aspirin He is hypotensive and doesn't meet the requirements for additional nitroglycerine. It is important to administer aspirin early when yo...

What is a commonly used vasopressor in ems? - Answer Dopamine shock sequence medications for vfib/pulseless vtach - Answer after delivering two shocks push epi 1 mg 1:10000. after 2 minutes push 300 mg of amiodarone. push another round of epi after 2 more minutes. after 2 minutes push 150 more mg of amiodarone. sequence for asystole or PEA - Answer start cpr after 2 minutes push epi and with continuous cpr and epi 1 mg (1:10000) pt has clear lung sounds, severe pedal edema, and feeling ...

Cardiac Arrest Treatment - ANSWER Rapid CPR and early application of an AED. Maintain open airway, apply high concentration of oxygen, non rebreather mask. Dyspnea - ANSWER Shortness of breath, labored or difficulty breathing. AED Indications - ANSWER Pulseless Not Breathing Unresponsive AED Use - ANSWER AED says "analyzing" do not touch patient. Chest Pain - ANSWER Administer Oxygen AED Shockable Rhythms - ANSWER V-Tach V-Fib Acute Myocardial Infarction - ANSWER Often...