Final part 1 Flashcards
How to calculate MAP
what do we need in order to perfuse organs?
SBP+2DBP/3
Above 60
What are the two heart dysrhythmias we need to call a code on
Ventricular tachy w/o pulse and ventricular fib
What are the complications of MI 7
DysR, cardiogenic shock- severe L vent fail, Papillary mm dysfunction, Ventricular aneurism, Acute pericarditis, dresslers- plural effussion with pericarditis
3 signs of sinus bradycardia
Confusion, disorientation, SOB
What do we do with vent tachy vs vent fib?
Vent tachy- unstable no pulse cpr defib
Vent fib -CPR and defib
What do we like to defib
VFib and V tachy
2 Thinks about defib
Within 2 mins
and start CPR right away
When do we use Sync? and one thing not to do
VT with a pulse or supraventricular tachy aka a fib with rapid vent response
Use on t wave
PR interval
time of spread of electrical impulse right before vent contraction
ST segment
Time from vent depolarization to repolarization
t wave
ventricular repolarization
What is a premature atrial contraction mean and one thing that shows up
Location other than SA node distorted p wave
Atrial flutter 2 things
saw tooth and cant measure PR interval
A fib
Disorganized electrical activity from multiple ectopicfoci
Chaotic waves replace p waves so no p wave
AV block
no atrial pulses to vents p wave and qrs have no relationship
cant measure pr
PVC
early QRS that are wide and bizzare no p wave with pvc
Vent tachy
3 or more PVC in a row
vent fib
Cant measure anything
What is ACS 2 and three groups
Ischemia that is prolonged and not immediately reversed. It is a coronary art that is part or all the way occluded with thrombus.
UA, STEMI and NSTEMI
One thing about chest pain with NSTEMI
20 mins or longer
s/s of NSTEMI
maybe s3 s4 heart fail issues valve dysfunction issues
order of management for ACD and what is gold star for diagnostic test
12 lead, semi fowler, 02, Nitro asa, morphine, troponin
Angiography
how much time on a small box EKG
0.20 seconds
a flutter vs a fib
a flut is saw tooth a fib is no p wave
Vent tachy
vent fib
3rd heart block
someone looks like they are drawing tall sqiggles
crazy cant make out anything-QRS not measurable
rate less than 40, p no connection to QRS PR not measurable qrs normal to wide