Medic Album Flashcards
What are the steps to cardiac pacing?
- Turn on monitor
- Pads
- Identify rhythm
- IV
- Consider sedation
- Press “Pace”
- Select rate (80 per AHA)
- Increase energy (mA) until electrical capture
- Increase mA by 5-10
- Verify mechanical capture (Check Pulse)
What are the steps to Sync. Cardiovert?
- Turn on monitor
- Pads
- Identify rhythm
- IV, vagal (if stable enough)
- Consider sedation
- Press “sync”
- Select energy
- Charge
- Clear patient
- Shock
What is the post-arrest (ROSC) care?
BLEACHO Blood pressure: >90 Labs (not us) - BGL ECG/12 lead Advanced airway Capnography: 35-45mmHg Hypothermia: 32-36 degrees Oxygen stats: > 92%
What makes a patient unstable?
- ALOC
- Hypotension <90
- Chest pain
- Signs of shock
- Signs of heart failure
What is the VOMIT mnemonic?
*ALWAYS BSI/SS FIRST* Vitals- have Oxygen- place or bvm Monitor- 12L or pads IV- large bore, fluids: TKO or 20cc/kg Treatment- based on rhythm TRANSPORT
What is the med math formula for “med pushes”?
volume (mL) x Desired Dose
over
Concentration of med
What is the med math formula for “piggybacks”?
IV bag volume (mL) x Desired Dose x gtt set
over
Concentration of med
What is the med math formula for “Simple IV flow rate”?
Volume x gtt set
over
Time (min)
What is Eupnea?
Normal breathing
What is Apnea?
No breathing
What is Agonal?
Gasping + ineffective
What is Cheyne-Stokes? What does it indicate?
Increasing rate and depth followed by a decrease and period of apnea
-Increased ICP, head trauma
What is Biots breathing? What does it indicate?
Irregular rate and depth with periods of apnea
-indicates increased ICP and brain stem injuries
What is central neurogenic (ataxic) breathing? What does it indicate?
Rapid and regular
-Brain stem injury
What is Kussmaul breathing? What does it indicate?
Rapid and deep
-Indicates DKA or acidosis
What are the two signs of internal bleeding?
Grey-turner
Cullens sign
What is Grey-Turner sign?
Brusing in flanks
What is Cullens sign?
Brusing periumbilical
What is McBurneys sign? What does it indicate?
Pain RLQ (between umbilical and top of hip) -Appendicitis
What is Becks triad? What does it indicate?
- JVD
- Muffled heart tones
- Hypotension (narrowing PP)
- Cardiac Tamponade
What is Cushing triad? What does it indicate?
- HTN
- Bradycardia
- Irregular respirations
- Increased ICP
What is Lloyds sign? What does it indicate?
Pain upon “pressure” tapping of the flanks
-Pylenephritis
What is Murphys sign? What does it indicate?
Pain right costal margin while holding breath
-Cholyestitis
What is Markle sign? What does it indicate?
Pain in RLQ upon heel drop or tapping foot
-Appendicitis
What is Kehr’s sign? What does it indicate?
Pain in shoulder
-Diaphragm irritation
What are the four quadrants for heart axis deviation?
Bottom left: Normal: btw 0 & 90
Bottom right: Right axis deviation: btw 90 & 180
Top left: Left axis deviation: btw 0 & -90
Top right: Extreme right “NML”: btw -90 & -180
What leads do you look at for axis deviation?
Lead I and Lead AVF
How should Lead I and AVF look for normal heart deviation?
Lead I: up
Lead AVF: up
How should Lead I and AVF look for right axis heart deviation?
Lead I: down
Lead AVF: up
How should Lead I and AVF look for left axis heart deviation?
Lead I: up
Lead AVF: down
How should Lead I and AVF look for extreme right heart deviation?
Lead I: down
Lead AVF: down
What are the cranial nerves?
- Olfactory
- Optic
- Oculomotor
- Trochlear
- Trigeminal
- Abducens
- Facial
- Vestibulocochlear/ Acoustic
- Glossopharyngeal
- Vagus
- Accessory (spinal)
- Hypoglossal
