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Flight Paramedic > Cardiac > Flashcards

Cardiac Flashcards

1
Q

RCA Supplies: (In Order)

A

SA Node

RV

AV Node

Left Posterior Wall

Left Inferior Wall

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2
Q

V1-V6 chest leads are categorized as:

A

Unipolar Leads

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3
Q

ST Elevation= ST Depression= Q waves present that measurer >25% of the r wave=

A

Injury Ischemia Infarction (necrosis)

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4
Q

_____ is characteristic of the 12-lead ECG for pt with history of WPW.

A

Delta Wave

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5
Q

On 12 Leak EKG, posterior wall MI manifest as:

A

ST depression in V1-V4 with abnormally tall R waves

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6
Q

Second Degree Type I Heart Block is also known as:

A

Wenckebach

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7
Q

Diagnosis of right ventricular MI includes:

A

Right Sided 12 Lead ECG with ST elev in V4

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8
Q

The IABP balloon has dislodged. What is the most common site that will be affected?

A

Left Radial

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9
Q

The primary trigger used for most IABP operation is

A

EKG

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10
Q

Which of the following is the most potentially harmful timing errors?

A

Late Deflation

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11
Q

How many coronary arteries?

A

2

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12
Q

Left Coronary Artery bifurcates into:

A

LAD and LCX

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13
Q

LAD Supplies:

A

Left Anterior wall Left Anterior 2/3 of Septum

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14
Q

LCX Supplies:

A

Left Lateral Wall

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15
Q

RCA becomes:

A

The PDA

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16
Q

The Major Intraaterial Pathway

A

Bachmanns Bundle

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17
Q

What enzyme elevates first in MI

A

Myoglobin

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18
Q

The enzyme that elevates last in MI is:

A

Troponin I

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19
Q

Septal Wall MI Vessel Occlusion

A

LAD

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20
Q

Anterior Wall MI Vessel Occlusion

A

LAD

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21
Q

Lateral Wall MI Vessel Occlusion

A

LCX

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22
Q

Inferior Wall MI Vessel Occlusion

A

RCA

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23
Q

Posterior Wall MI Vessel Occlusion

A

RCA

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24
Q

Which Ventricle is more prone to Blunt Force Trauma

A
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25
Q

Define Transmural infarct

A

Extends through the full thickness of the myocardium including the endocardium and epicardium

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26
Q

Define Non-transmural/subendocardial Infarct

A

Damage is limited to the subendocardial region

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27
Q

Pt having a Left Anterior Septal MI and then experience acute pulmonary edema. What just happened

A

Papillary Muscle Rupture

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28
Q

ST Elevation = __________MI

A

Transmural MI

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29
Q

J-point notch is indicative of _________

A
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30
Q

Stable Angina

A
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31
Q

Unstable Angina

A

Stable Angina that has changed in frequency, quality, duration or intensity

32
Q

Varient Angina

A

Spontaneous episodes of CP frequently noted at rest or upon rising.

33
Q

Mixed Angina

A

Combanation of Stable and Unstable Angina

34
Q

CorPP=

A

DBP-wedge

35
Q

carvedilol=

A

Coreg

36
Q

G-IIb/IIIa Inhibitors

A

Integrilin

ReoPro

Agg

37
Q

Thrombolytics absolute contraindiction

A
  1. Active Internal Bleeding
  2. Suspected Aortic Dissection
  3. Known Intracranial Neoplasm
  4. Previous hemorrhagic stroke at anytime or any stroke within the last year.
38
Q

Oversensing

A

Sensing things that are not there such as a t-wave

Pacer will not fire or not fire enough

39
Q

Failure to Sense

A

Pacer misses the R-wave

More lethal

Fires more often

40
Q

With pacing what is the opitimal way to you have mechanical capture

A

Ausc of Heart Tones

41
Q

With a venous pacer wire you always have to think of ________ as a risk

A

Cardiac Tamponade

42
Q

Dilated Cardiomyopathies is secondary to _________ overload

A

Volume

43
Q

Dilated Cardiomyopathies is _________ failure

A
44
Q

Hypertrophic Cardiomyopathies is secondary to a ________ overload

A
45
Q

Hypertrophic Cardiomyopathies is a __________ failure

A
46
Q

Restrictive Cardiomyopathies is secondary to _________

A

Ischemic Tissue

47
Q

Restrictive Cardiomyopathies is a ________ failure

A
48
Q

Systolic Murmur _____

A
49
Q

Diastolic Murmur

A

Lub Dub Murmur Lub Dub Murmur

50
Q

Aortic Stenosis is a ______ murmur and is auscultated at the _____ intercostal space, _____ ______ margin

A

Systolic

2nd

Right Sternal

51
Q

Aortic Regurgitation is a ______ murmur.

A

Diastolic

52
Q

Mitral Stenosis is a _____ murmur and ausciltated at the _____ intersostal space mid-_______ line

A

Diastolic

5th

Clavicular

53
Q

Mitral Regurgiation is a _______ murmur

A

Systolic

54
Q

Pulmonic Stenosis is a ______ murmur and is ausculatated at the ____ intercostal, _______ margin

A

Systolic

2nd

Left Sternal

55
Q

Wide Mediastinum with Diffuse infiltrates =

A

Triple A

56
Q

For HTN management you are trying to dial BP to their normal within the ____ to ____ min

A

30 to 60

57
Q

CHF Goals:

A
  • Decrease Preload
  • Decrease Afterload
  • Decrease Rate
  • Inhbit RAA System
  • Improve Contractilty
58
Q

Normal CVP

A

2-6 mmHg

59
Q

CVP is ______ to the ______ side of the heart

A
60
Q

Positive Pressure ventilation always drops _______

A
61
Q

RVP= ______

A

Normal Systolic 15-25

Normal Diastolic 0-5

*****Not normally monitored

62
Q

PA Pressure=

A

PAS= 15-25

PAD= 8-15

63
Q

Wedge Pressure reflects _____ on the _____ side of ther heart

A
64
Q

Never inflate the swan balloon with more then _____ ml

A
65
Q

Normal PCWP:

A

8-12 mmHg

66
Q

PCWP approximates _______

A

LVEDP

67
Q

You only inflate the balloon until you see _______

A
68
Q

Two causes of inadvertent wedge:

A
  1. Migration
  2. Balloon Inflation
69
Q

How to correct inadvertent wedge:

A
  1. Deflate the balloon
  2. Have the pt cough
  3. Have pt roll to side and then back
  4. Withdraw catheter till you get a PA waveform
70
Q

Inadvertent RV waveform causes

A

Catheter whipping around in the RV ventricle

71
Q

Inadvertent RV waveform correction

A
  1. Balloon up look for waveform to go away
  2. Deflate Waveform
  3. Pull back to CVP waveform
72
Q

Cardiac Output Calculation

A

HR x SV

73
Q

Normal Cardiac Output

A

4-6 L/min

74
Q

Cardiac Index Calc

A

CO/BSA

75
Q

Normal Cardiac Index

A

2.5-4.2

76
Q
A

Flight Paramedic (14 decks)

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