Mark Klimek Flashcards
Chaotic QRS Complexes = ?
Ventricular Fibrillation (V-Fib)
Lack of QRS Complexes = ?
Asystole
Bizzare QRS Complexes = ?
What does bizzare mean?
Ventricular Tachycardia (V-tach)
Bizzare is used to describe tachycardia
Chaotic P wave patterns = ?
Atrial fibrilation (A-fib)
P waves in the form of saw tooth wave = ?
Atrial flutter
P Waves = ? (A or V)
Atrial
QRS = ? (A or V)
Ventricular
Periodic wide bizarre QRS complexes = ?
PVCs
(A short run of v-tach)
What rhythm is this? Treatment?
Ventricular Fibrilation
No pattern
Defib for V-fib
No cardiac output/very low
What rhythm is this? Treatment?
Ventricular Tachycardia
Sharp peaks with a pattern
Amiodarone is the txt
What rhythm is this? Treatment?
Normal Sinus Rhythm
This is a P wave, followed by QRS, followed by T wave
What rhythm is this? Treatment?
Asystole
Flat line
Txt is epinephrine
Supraventricular Arrhythmias Treatment (Atrial)
ABCDs
Adenosine
Beta-Blockers
CCB’s
Digitalis
Supra = atrial
Normal results for water seal chest tube assessments?
Intermittent bubbling in water seal is GOOD
Continuous bubbling in water seal is BAD
Opposite for suction chamber
Calcium Channel Blockers (CCBs)
Common suffix ? Others? S/x?
End in “-dipine”
+ Cardizem (can be IV), Verapimil
Like Valium for the heart. Relaxes/slows down
A AA AAA
Antihypertensive
AntiAnginal Drugs
AntiAtrialArythmia
S/x: Headaches, Hypotension
Hold: If systolic BP less than 100
Five Upper Medications
Caffeine
Cocaine
PCP/LSD (psychedelics/hallucinogens)
Methamphetamines
Adderall
Everything goes UP!
(Euphoria, Seizures, Restlessness, Hyperreflexia, Tachycardia)
Disulfiram
Alcohol deterrent
AKA (Antabuse & Revia)
Red wine vinaigrettes do not have alcohol in them
AVOID ALL FORMS OF ALCOHOL, N/V
Dependecy
When the abuser gets the significant other to do things or make decisons for them
The abuser is dependent
Confront abusers
Co-dependency
When the significant other derives self-esteem for doing things or making decisons for the abuser
The S/O is the co-dependent
Teach them to say no
TRouBLe
Tetralogy of Fallot
Truncus Arteriosus
Transposition of the Great Arteries
Tricupsid Atresia
Tetralogy of Fallot defects
“PROVe”
Pulmonary Artery Stenosis
Right ventricular hypertrophy
Overriding aorta
Ventricular Septal Defect
Doff PPE
Gloves, Goggle, Gown, Mask (alphabetical order)
Don PPE
Gown, Mask, Goggle, Gloves (reverse alphabetical order) except Mask comes 2nd
Diabetes Inspidus
Not a type of DM
Insidious, diabetes w/o glucose
Polyuria, Polydipsia, Polyphagia
Can lead to dehydration, d/t low ADH
SIADH
Syndrome of inappropriate ADH
Opposite of DI:
Oliguria & no thirst
Decreased serum specific gravity (water retention), increased urine specific gravity (d/t decreased urine volume)
Lots of urine retained, specific gravity is low?
DM, DI, SIADH?
SIADH
Fluid Volume Deficit
DM, DI, SIADH?
DM, DI
Fluid Volume Excess
DM, DI, SIADH?
SIADH
DM Type 1 Txt
DIE
Diet (calories from carbs)
Insulin (most important)
Exercise
DM II Txt
DOA
Diet (most important)
Oral hypoglycemic
Activity
Txt for hypoglycemia
Sugars + Starch
Apple juice + turkey
BAD: Candy + Soda (2 sugars)
HHNK
Dehydration! Fluid volume deficit
High blood sugar in a type 2
DKA Symptoms
DKA
Dehydration
Ketones in serum, Kussmauls, High K+
Acidosis, Acetone Breath, Anorexia due to nausea
Ketones in urine does NOT always equal DKA
Regular Insulin
Clear solution, can be IV drip
Onsent: 1 hour
Peaks: 2 hours
N-NPH
Intermediate Insulin
Onset: 1 hour
Peak: 8-10 hours
Clear = solution
Cloudy = suspension - will precipitate (Not given over IV drip or put in IV bag)
**Not So Clear, Fast **
Lispro
Fast-acting
Do not give it before meal, with meal
Onset: 15 min
Peak: 30 min
Glargine
Long-acting insulin
No Peak
Little to no risk for hypoglycemia
Insulin sick day rules
Serum glucose levels go up
2 problems with these pt
Dehydrated & Hyperglycemic
Take insulin
Aminophylline
Muscle Relaxer for the airway
Toxic Level > 20
Phenytoin
Seizure Medication
Toxic Level > 20
Billirubin
Normal level in adults 0.2-1.2
> 20 toxic in newborns
If you have a ____ touchie…you got more
Cushy
Oversecretion of adrenal cortex (steroids)
Laminectomy
Done to relieve nerve root compression, remorval of the vertebral spinous process
Nerve Root Compression
3 P’s
Pain
Paresthesia (tingly)
Paresis (muscle weakness)
Cervical Laminectomy Considerations
Done at the diaphragm and arms
Assess breathing
Check arm and hand functon
**Neck and arm evaulation **
Thoracic Laminectomy Considerations
Upper back
Assess cough and bowels (Lungs and GI)
Post-op complications: Pneumonia and paralytic ileus
Lumbar Laminectomy Considerations
Lower back
Assess urinary retention or last time patient voided or is the bladder empty
Evaluate leg function
Post op complication:
Urinary retention & leg problems
How to turn a spinal cord patient
Log Roll
Post-op considerations for spinal cord
Sitting is bad
Walk, lie, stand is fine
Do not sit for more than 30 min
Antipsychotic S/x
ABCDEFG
Anticholinergic (dry mouth, urinary retention)
Blurred vision
Constipation
Drowsiness
EPS (Tremors, Parkinson)
Foto Sensitivity
aGranulocytosis (low WBC, immunosuppressed)
Tricycline Antidepressants
Grandfathered into NSSRI
Mood elevators (Happy pills)
ABCDE
Anticholingeric
Blurred Vision
Constipation
Drowsiness
Euphoria (happy)
Must take meds for 2 to 4 weeks for beneficial effects
___ for the Zany
Zines (major Antipsychotics)
____ for the minor antipsychotics
Zeps
Benzodiazepines
