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aa Orgo > 4093 3 > Flashcards

4093 3 Flashcards

1
Q

determine the HR using the ECG paper

A

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

Multiple by 10

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2
Q

Why is the T wave so important?

A

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

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3
Q

Is most prominent in the presence of hypokalemia

A

U wave

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4
Q

Represents the time required to completely depolar-

ize and repolarize the ventricles

A

QT interval

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5
Q

Cardiac tamponade results from

A

fluid accumulation in the pericardial sac

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6
Q

3 signs of Cardiac Tamponade

A

Hypotension
Parodoxical Pulse
JVD

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7
Q

first thing you do if there’s Cardiac Tamponade

A

escalate

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8
Q

Parodoxical Pulse

A

BP varies too much between breathing in and out

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9
Q

Cardiac Tamponade: Administer IV fluids to combat

A

hypotension

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10
Q

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

A

vasopressors such as dopamine

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11
Q

Sepsis: positioning

A

elevate the feet

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12
Q

Sepsis: give heparin if

A

they get DIC

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13
Q

Sepsis: during the late phase administer

A

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

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14
Q

Disaster: Triage: Goal:

A

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

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15
Q

What is the order in the triage color system

A

Red, Yellow, Green, Black

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16
Q

overweight BMI

A

25 to 29.9

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17
Q

obese BMI

A

30 +

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18
Q

morbidly obese BMI

A

40 +

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19
Q

___ ___ is a better predictor of CAD than BMI

A

waist circumference

20
Q

Waist Circumference that indicates obesity

A

+35 (women) +40 (men)

21
Q

Waist to hip ratio that indicates obesity

A

.80 (women) .95 (men)

22
Q

2 not so obvious complications of obesity

A

slower healing

prone to infection

23
Q

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

A

fat and cholesterol

24
Q

The 2 kinds of healthy fat are

A

mono and poly

25
Q

3 examples of drugs that can cause weight gain

A

NSAIDs
Female hormones
HTN drugs

26
Q

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

A

check under skin folds for breakdown

27
Q

obese MEN can get

A

ED

28
Q

obese WOMEN can get

A

problems with their cycle and with pregnancy

29
Q

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

A

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

30
Q

2 kinds of very-low-cal-diets

A

protein-sparing modified fast

liquid formula diet

31
Q

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

A

cardiac evaluation

32
Q

“Balanced diet”

A

1200 calories

33
Q

To lose 1 pound a week, you should subtract

A

500 cal per day

34
Q

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

A

30 (or 27 plus a comorbidity)

35
Q

___ is the drug of choice for obesity

A

Orlistat

36
Q

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

A

HTN
Heart Disease
Hyperthyroid
Psyc Meds

37
Q

____ is not a solution for people with morbid obesity

A

lipo

38
Q

Candidates for weight loss surgery have BMI of

A

40, or 35 plus other risk factors

39
Q

The only long term solution for Morbid obesity is

A

surgery

40
Q

The 3 broad classes of bariatric surgery are

A

Restrictive
Malabsorption
Both

41
Q

Restrictive surgery allows for

A

normal digestion without the risk for nutritional deficiency

42
Q

One way that malabsorption surgery is better than restrictive is

A

it’s better at keeping weight off LONG term

43
Q

An example of a surgery that combines restriction and malabsorption

A

Gastric Bypass

44
Q

After bariatric surgery the diet is liquid or puree for

A

6 weeks

45
Q

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

A

increasing pain
restlessness
tachycardia
oliguria

46
Q

After bariatric surgery, remove the catheter within

A

24 hours

47
Q

After bariatric surgery its common to have

A

constipation or other altered bowel habits

aa Orgo (196 decks)

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