fisdap cardiology Flashcards

1
Q

64 yo states “I am about to die” NTG/O2 did not decrease chest pain, BP 90/66, P60, R24

A

transport immediately

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2
Q

Largest artery?

A

Aorta

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3
Q

Struck by lightning >

A

irregular heartbeat

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4
Q

Oriented 78 yo, Female with pale, moist skin complaints of indigestion, BP 80/40, P116 irregular, R 24 regular

A

MI

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5
Q

73 yo Female, chest pain and shortness of breath , bilateral crackles, BP 80/40, P112 R 22

A

Cardiogenic shock

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6
Q

49 yo male, history of heart problems, has chest pressure, shortness of breath. Assist in taking prescribed NTG if he:

A

headache BP 132/90

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7
Q

Child in cardiac arrest with unknown downtime

A

CPR & AED

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8
Q

When do coronary arteries fill with blood?

A

diastole

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9
Q

Vessels that supply myocardium

A

coronary artery

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10
Q

Sudden onset of tearing chest pain, absent radial pulse on right arm, history of high blood pressure

A

aortic dissection

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11
Q

Heart lacks enough power to pump the proper volume of blood through circulatory system

A

cardiogenic shock

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12
Q

40 yo with history of coronary artery disease and recent mastectomy complains of chest discomfort, P 120, R 22, BP 80/54

A

septic shock

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13
Q

76 yo female, tripod position, complaints of abdominal
discomfort, nausea, dizziness, fatigue. Taken 2 NTG
without relief.

A

MI

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14
Q

78 yo diabetic with syncopal episodes complaints of

anxiety, shortness of breath, back pain

A

acute coronary syndrome

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15
Q

Cardiac arrest for 7 minutes after struck by lightning

A

CPR

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16
Q

Primary assessment, 57 yo female, has chest pain at

epigastric region. What should you do?

A

Administer 02

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17
Q

Aspirin’s effect on the body for AMI

A

prevent platelets from clotting

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18
Q

65 yo male, complains of weakness and indigestion, BP

150/90 P 116 R24

A

MI

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19
Q

A buildup of calcium and cholesterol form plaque inside

blood vessels most likely causes

A

Acute coronary syndrome (OR ATHEROSCLEROSIS)

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20
Q

Shocked patient back into normal rhythm with AED.

During transport, patient becomes cyanotic and pulseless

A

CPR and request ambulance to stop

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21
Q

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%

A

Administer 02 by NBR

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22
Q

Cause of heart failure

A

inadequate ejection of blood from ventricles

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23
Q

44 yo Female awakened with shortness of breath,

indigestion, epigastric pressure, and antacids do not help

A

MI

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24
Q

Within 2 minutes of assisting patient with 3rd NTG tablet,
complaints of dizziness and is sweaty. Radial pulse is
present, rapid and weak.

A

NTG causes vasodilation and decreased perfusion

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25
Q

60 yo complain of shortness of breath and is cyanotic. Has crackles and uses accessory muscles.

A

Left heart failure

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26
Q

Muscular middle layer of heart

A

Myocardium

27
Q

57 yo female has severe weakness with mild shortness of
breath while shoveling snow. Is diaphoretic and has nausea
and jaw pain.

A

MI

28
Q

Sudden, severe increase of blood pressure

A

hypertensive crisis

29
Q

Vessels that regulate regional blood flow to capillary beds

A

Arterioles

30
Q

Chronic hypertension in adults begin at pressure higher than

A

140/90

31
Q

54 yo male has chest tightness after raking leaves. Pain is gone after rest and 2 NTG tablets. He has had similar episodes in the past.

A

angina pectoris

32
Q

Primary action of NTG

A

dilates coronary artery

33
Q

Substernal chest pain with radiating pain to back and jaw. Pain not relieved with rest.

A

AMI

34
Q

54 yo female is suddenly pulseless and apneic

A

give chest compressions

35
Q

Aspirin is given to patients with chest pain because

A

decrease the ability of platelet clotting

36
Q

67 yo male complains of shortness of breath, chest pain,

nausea. He is ashen and clammy. BP 90/60, P 148, R 32

A

place in supine

37
Q

48 yo complain of difficult breathing, history reveals AMI

8 months ago. BP 144/88, P 110, R 24. Crackles in lungs

A

Pulmonary edema

38
Q

Signs and symptoms of cardiogenic shock

A

JVD

39
Q

62 yo male complains of chest pain and lightheadedness.

BP 88/56, P 126, R 18

A

Supine

40
Q

Asthmatic 50 yo female sitting at her desk, is anxious and

complains of tightness in chest

A

Call medical control

41
Q

68 yo female with cardiac history is complaining of

shortness of breath and crackles bilateral

A

CHF

42
Q

48 yo male is complaining of 8/10 crushing chest pain that
radiates to neck. BP 112/78, P 60, R18. Daily
medications= metoprolol, Cialis, aspirin

A

transport immediately

43
Q

46 yo male in cardiac arrest, had 1 shock, and at 2 minute

pulse check = carotid pulse is strong

A

assess for breathing and manage airway

44
Q

36 yo female with history of congenital heart defects is
slow to respond. Skin is pale, cool, and clammy. BP 68/30,
P 128, R 26

A

cardiogenic shock

45
Q

80 yo male has shortness of breath, fatigue, peripheral

edema and JVD. Has crackles and rhonchi.

A

CHF

46
Q

84 yo with history of heart problems complains of chest
pain that started 30 minutes ago while at rest. BP 110/70, R
20, sPO2 95%

A

administer NTG

47
Q

Adult pulse of 50

A

Bradycardic

48
Q

69 yo male is lying in bed and has chest pain. He becomes

unresponsive and pulseless.

A

Move to hard surface

49
Q

Systolic blood pressure measures pressure during

A

ventricular contraction

50
Q

Most likely to benefit from AED

A

54 yo choking patient who is unresponsive with no

carotid pulse

51
Q

NTG is typically administered

A

Sublingually

52
Q

Adult patient in cardiac arrest with bystander CPR in

progress

A

continue CPR while partner attaches AED

53
Q

Adult collapses. As you get the AED a bystander starts

CPR. You should deliver 1st shock if indicated,

A

ASAP on arrival at patient’s side

54
Q

Patient complains of chest pain radiating to both
shoulders. Is pale, diaphoretic, slight shortness of breath.
Pain worsens with deep breaths. BP 150/90, P 120
irregular, R 20

A

Costochondritis

55
Q

Pulmonary artery carries

A

Deoxygenated blood away from the heart

56
Q

EMR is doing CPR. Upon arrival AED indicates shock

advised

A

defibrillate patient

57
Q

Cardiac arrest patient is “down” for 6 minutes without

care

A

chest compression

58
Q

A just defibrillated patient who now has a pulse and

effective respirations

A

Recovery

59
Q

75 yo male has weakness and chest pain. He has not taken prescription medications (NTG, aspirin, atenolol)

A

medical control to assist with NTG

60
Q

66 yo female has chest pain. Took 3 doses of NTG with

no relief.

A

administer O2

61
Q

While performing chest compressions

A

shoulders should be over your hands

62
Q

Most important part in CPR

A

minimal interruptions to chest compressions

63
Q

Patient collapsed and is revived with 1 shock from the

AED. Now is moaning and breathing on her own.

A

turn on side and monitor airway

64
Q

CPR rate on a 17 yo female

A

120 compressions/min