Heart Flashcards

1
Q

What part of heart do leads II,III and avf view?

A

Inferior wall

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2
Q

What part of heart do leads I, AvL, v5, and v6 view

A

Lateral wall of left ventricle

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3
Q

What part of the heart does avR, v1, and v2 view?

A

Right ventricle

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4
Q

What part of the heart does leads v1 through v4 view?

A

Anterior septal

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5
Q

The left anterior descending artery supplies what portion of the heart?

A

Anterior surface of the left ventricle, part of the lateral surface of the left ventricle. And a portion of the intraventricular septum

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6
Q

The circumflex artery supplies what part of heart?

A

Left atrium, part of the lateral surface of the left ventricle, ( the inferior surface of the left ventricle, the posterior surface of the left ventricle in about 15 percent of people ) the SA node in 40 percent of people and the AV bundle in about 10 to 15 percent of people.

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7
Q

What part of heart do branches of the right coronary artery supply blood to?

A

Walls of the right atrium and ventricle, a portion of the inferior part of the left ventricle, and portions of the conduction system ( the SA node in about 60% of people in the AV bundle in about 85% to 90% of people)

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8
Q

Pericarditis symptom

A

Flushed warm skin

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9
Q

Mi and cardiogenic shock signs

A

Cool sweaty skin

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10
Q

Anti arrhythmic drugs

A

digoxin (lanoxin), procainamide (procan, pronestyl) amiodarone (cordarone) and verapamil (calan, isoptin, verelan)

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11
Q

Anticoagulant drugs

A

Enoxaparin (lovenox) clopidogrel (plavix) and warfarin ( coumadin)

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12
Q

Angiodestin-converting enzyme inhibitors

A

Captopril (capoten) enalapril (vasotec) and lisinopril ( prinivil, zestril)

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13
Q

Beta blocker drugs

A

Atenolol (tenormin), metoprolol (lopressor) and propranolol ( inderal)

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14
Q

Lipid lowering agent drugs

A

Gemfibrosin (lopid) , atorvastatin (lipitor) , fluvastatin (lescol) , lovastatin (mevacor) , pravastatin ( Pravachol) , rosuvastatin calcium (crestor) and simvastatin (zocor)

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15
Q

Diuretic drug

A

Furosemide (Lasix)

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16
Q

Vasodialator drugs

A

Nitroglycerin (nitrostat) and isosorbide (isordril)

17
Q

What is pulsus paradoxis and what causes it

A

Pulsus paridoxis is a fall in systolic blood pressure upon inspiration the systolic blood pressure falls more than 10 mm Hg causes of this are AMI, cardiogenic shock, cardiac tamponade, and constructive pericarditis

18
Q

What is pulsus alternans and what causes it

A

This a beat to beat difference in the strength of a pulse and could be a sign of severe ventricular failure

19
Q

What is the s3 sound and what is it associated with

A

S3 is a vibration of the ventricular walls during rapid filling and is often associated with heart failure

20
Q

What is s4 heart sound and what causes it

A

S4 is a rare heart sound caused by turbulent filling of a stiff ventricular and is heard in hypertrophy and possible MI

21
Q

What is toprol (metaprolol) and what is it used for?

A

It is a beta blocker used to treat various cardiovascular conditions including hypertension and tachydysrhythmias

22
Q

When do you use magnesium sulfate and how much ?

A

1 to 2g use with torsade de pointes

23
Q

What does st depression and or T wave inversion mean?

A

Myocardial ischemia

24
Q

What does st elevation greater than or equal to 1 mm in two or more continuous leads mean?

A

Myocardial injury

25
Q

What is amiodarone used for and dosage?

A

Used for v-fib or pulseless v-tach (second line agent for A-fib and A-flutter) dosage is 300mg second does can be given of 150mg in 3-5 min

26
Q

Defibrillator energy settings

A

Typically 120 joules (rectilinear) or 150 joules (truncated) if unknown defibrillate with 200 joules