4093 3

Question 1

determine the HR using the ECG paper

Answer 1

Count the number of R to R intervals within the 30 large squares

Multiple by 10

Question 2

Why is the T wave so important?

Answer 2

It represents ventricular repolarization. It’s the time when the heart is reseting, so if this gets messed up you can have real problems

Question 3

Is most prominent in the presence of hypokalemia

Answer 3

U wave

Question 4

Represents the time required to completely depolar-

ize and repolarize the ventricles

Answer 4

QT interval

Question 5

Cardiac tamponade results from

Answer 5

fluid accumulation in the pericardial sac

Question 6

3 signs of Cardiac Tamponade

Answer 6

Hypotension
Parodoxical Pulse
JVD

Question 7

first thing you do if there’s Cardiac Tamponade

Answer 7

escalate

Question 8

Parodoxical Pulse

Answer 8

BP varies too much between breathing in and out

Question 9

Cardiac Tamponade: Administer IV fluids to combat

Answer 9

hypotension

Question 10

Sepsis: Administer _____, such as dopamine, to combat vasodilation in the late phase

Answer 10

vasopressors such as dopamine

Question 11

Sepsis: positioning

Answer 11

elevate the feet

Question 12

Sepsis: give heparin if

Answer 12

they get DIC

Question 13

Sepsis: during the late phase administer

Answer 13

clotting factors and blood products (clotting factors are depleted in the early stage).

Question 14

Disaster: Triage: Goal:

Answer 14

Maximize the number of survivors by sorting the injured according to treatable and untreatable victims

Question 15

What is the order in the triage color system

Answer 15

Red, Yellow, Green, Black

Question 16

overweight BMI

Answer 16

25 to 29.9

Question 17

obese BMI

Answer 17

30 +

Question 18

morbidly obese BMI

Answer 18

40 +

Question 19

___ ___ is a better predictor of CAD than BMI

Answer 19

waist circumference

Question 20

Waist Circumference that indicates obesity

Answer 20

+35 (women) +40 (men)

Question 21

Waist to hip ratio that indicates obesity

Answer 21

.80 (women) .95 (men)

Question 22

2 not so obvious complications of obesity

Answer 22

slower healing

prone to infection

Question 23

One of the most common causes of being overweight is eating too much __ and __

Answer 23

fat and cholesterol

Question 24

The 2 kinds of healthy fat are

Answer 24

mono and poly

Question 25

3 examples of drugs that can cause weight gain

Answer 25

NSAIDs Female hormones HTN drugs

Question 26

A special consider during a head to toe assessment of an obese person

Answer 26

check under skin folds for breakdown

Question 27

obese MEN can get

Answer 27

ED

Question 28

obese WOMEN can get

Answer 28

problems with their cycle and with pregnancy

Question 29

3 things that could be used as criteria for weight loss surgery

Answer 29

Non surgical efforts aren't working BMI over 40 IBW over 100%

Question 30

2 kinds of very-low-cal-diets

Answer 30

protein-sparing modified fast | liquid formula diet

Question 31

Before we start you on a very-low-cal-diet you need a

Answer 31

cardiac evaluation

Question 32

"Balanced diet"

Answer 32

1200 calories

Question 33

To lose 1 pound a week, you should subtract

Answer 33

500 cal per day

Question 34

You could be a candidate for drug therapy if you're BMI is

Answer 34

30 (or 27 plus a comorbidity)

Question 35

___ is the drug of choice for obesity

Answer 35

Orlistat

Question 36

Orlistat is contraindicated for pts with h___, ___ ___, hyper____, and ___ meds

Answer 36

HTN Heart Disease Hyperthyroid Psyc Meds

Question 37

____ is not a solution for people with morbid obesity

Answer 37

lipo

Question 38

Candidates for weight loss surgery have BMI of

Answer 38

40, or 35 plus other risk factors

Question 39

The only long term solution for Morbid obesity is

Answer 39

surgery

Question 40

The 3 broad classes of bariatric surgery are

Answer 40

Restrictive Malabsorption Both

Question 41

Restrictive surgery allows for

Answer 41

normal digestion without the risk for nutritional deficiency

Question 42

One way that malabsorption surgery is better than restrictive is

Answer 42

it's better at keeping weight off LONG term

Question 43

An example of a surgery that combines restriction and malabsorption

Answer 43

Gastric Bypass

Question 44

After bariatric surgery the diet is liquid or puree for

Answer 44

6 weeks

Question 45

A bariatric patient could be having a LIFE threatening leak if the develop i____ ___, r____, t____, o____

Answer 45

increasing pain restlessness tachycardia oliguria

Question 46

After bariatric surgery, remove the catheter within

Answer 46

24 hours

Question 47

After bariatric surgery its common to have

Answer 47

constipation or other altered bowel habits