Cardio final Flashcards
Signs of right sided heart failure
backs up to the rest of the body peripheral edema, left heart failure backs up to the lungs
Signs of PVD
Bruits, murmurs
Pulsus alternans
weakening and stregthening of pulse reflecting as taller or shorter QRS
Leading cause of right sided heart failure
left sided heart failure
Most common cause ofdeath in AMI
Ventricular arrhythmias
Signs of thoracic aneurysm
chest pain and difference in BP
V1 and V2 assess the septum
infarcts in this area likely to go into complete heart block
Signs of inferior and RVMI along with treatment
brady, hypotension, nausea, vomiting, changes in lead 2,3,and aVF
Seniors are at greater risk for morality associated with AMI
ventricles pump from
the apex upwards to push open the semi-lunar valves
Drug best suited for A-Fib/Flutter with RVR
Diltiazem .25mg/kg
Leading cause of death in US for all ages
AMI
Palliation
make better/comfortable
PND and LFH
common presentation of someone in left sided heart failure
When high BP due to vasoconstriction use______?
alpha blocker or ACE inhibitor
PR interval
.12-.20
Once pacing is begun, avoid ______?
discontinuing even if painful
Define different types of angina
stable, unstable, prinsmetal angina
ACE inhibitors have ______?
little or no effect on heart rate
Recognize a STEMI
Elevation greater than 2mm in 2 or more contiguous leads
Difference between cardioversion and defib
Cardiovert the living, defib the dead
After ROSC initiate a drip of ______?
the drug that converted them
Breath sounds change with pulmonary edema
Crackles, Rhales, Rhonchi
LAD covers ______?
all bundle branches
New onset of irregular rhythm in presence of AMI
increases the risk of arrest and the need for cpr
Define cardiogenic shock and how it relates to metabolic demand and supply
looks like left heart failure but blood pressure is bad. increases oxygen demand and body is unable to keep up, often leads to acidosis
Coronary artery supply and AMI location on 12-lead
2, 3, aVF
Method to count HR when irregular
6 Second
Signs and symptoms of tamponade
Beck’s triade, pulsus paradoxus
When hypoxemia during AMI give oxygen
4 lpm
AMI location on EKG
2 ,3, aVF ST elevation
When performing TCP in unconscious patient verify mechanical capture and
electrical capture
Signs and symptoms of cardiogenic shock
pink frothy sputum, PND
what is needed to truly analyze the ST segment?
12-lead
Long term hypertension leads to
Stroke and heart attack
MONA is used for
MI’s
Patients with possible DVT
Monitor for increased respiratory difficulty
What interferes with compensatory dilation and constriction of arteries
Atherosclerosis
Aortic aneurysms are potentially
Lethal
Treatment for PEA
CPR
Review GCS, indications for fibrinolytic, and need to go directly to MRI
Less than 8 intubate
Major LAD AMI’sare at risk for heart failure and pulmonary edema
high risk of going in failure and pulmonary edema
voltage is measured in what when pacing
Milliamps
Order of bradycardia algorithm
Atropine while preparing to pace, Epi, Dopamine
______ are most likely to be under assessed
Atypical AMI patients
During a hypertensive event pulse will be _______?
Bounding
Cor pulmonale
right sided heart failure secondary to lung disease
Properties of cardiac cells
Automaticity, excitablity, contractility