fisdap cardiology Flashcards
64 yo states “I am about to die” NTG/O2 did not decrease chest pain, BP 90/66, P60, R24
transport immediately
Largest artery?
Aorta
Struck by lightning >
irregular heartbeat
Oriented 78 yo, Female with pale, moist skin complaints of indigestion, BP 80/40, P116 irregular, R 24 regular
MI
73 yo Female, chest pain and shortness of breath , bilateral crackles, BP 80/40, P112 R 22
Cardiogenic shock
49 yo male, history of heart problems, has chest pressure, shortness of breath. Assist in taking prescribed NTG if he:
headache BP 132/90
Child in cardiac arrest with unknown downtime
CPR & AED
When do coronary arteries fill with blood?
diastole
Vessels that supply myocardium
coronary artery
Sudden onset of tearing chest pain, absent radial pulse on right arm, history of high blood pressure
aortic dissection
Heart lacks enough power to pump the proper volume of blood through circulatory system
cardiogenic shock
40 yo with history of coronary artery disease and recent mastectomy complains of chest discomfort, P 120, R 22, BP 80/54
septic shock
76 yo female, tripod position, complaints of abdominal
discomfort, nausea, dizziness, fatigue. Taken 2 NTG
without relief.
MI
78 yo diabetic with syncopal episodes complaints of
anxiety, shortness of breath, back pain
acute coronary syndrome
Cardiac arrest for 7 minutes after struck by lightning
CPR
Primary assessment, 57 yo female, has chest pain at
epigastric region. What should you do?
Administer 02
Aspirin’s effect on the body for AMI
prevent platelets from clotting
65 yo male, complains of weakness and indigestion, BP
150/90 P 116 R24
MI
A buildup of calcium and cholesterol form plaque inside
blood vessels most likely causes
Acute coronary syndrome (OR ATHEROSCLEROSIS)
Shocked patient back into normal rhythm with AED.
During transport, patient becomes cyanotic and pulseless
CPR and request ambulance to stop
67 yo male, history of asthma, complains of chest
tightness and shortness of breath. Took 1 NTG without
relief. Skin is pale and sweaty. sPO2: 76%
Administer 02 by NBR
Cause of heart failure
inadequate ejection of blood from ventricles
44 yo Female awakened with shortness of breath,
indigestion, epigastric pressure, and antacids do not help
MI
Within 2 minutes of assisting patient with 3rd NTG tablet,
complaints of dizziness and is sweaty. Radial pulse is
present, rapid and weak.
NTG causes vasodilation and decreased perfusion
60 yo complain of shortness of breath and is cyanotic. Has crackles and uses accessory muscles.
Left heart failure