Pharmacology Flashcards

1
Q

Where is brachial pulse

A

Arm

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2
Q

Where is the carotid pulse

A

Neck

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3
Q

Where is the radial pulse

A

Wrist

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4
Q

What is the systolic bp measuring

A

Pressure when heart is beating

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5
Q

What is diastolic bp measuring

A

Pressure between beats. Pressure of the blood is sufficient to keep the arteries open even when ventricles relax

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6
Q

What is the idea systolic and diastolic bp

A

Males 120 and 80
Women 100 and 70
100+ age

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7
Q

What effect do stretch receptors have

A

Walls stretch during exercise so stretch receptors sense more blood return
Heart responds by beating faster and harder

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8
Q

What are the sizes of ECG squares

A

1 min= 60 secs = 1500 small squares
1 small square= 0.04 seconds
1 large square = 0.2 seconds

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9
Q

What heart rate is ideal

A

60-100 bpm

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10
Q

What must the RR interval differ by for an arrhythmia

A

At least 0.16 secs

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11
Q

How to work out heart rate from an ECG

A

15/no.of small squares in RR interval

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12
Q

Causes or arrhythmia

A
Coronary artery disease
Electrolyte imbalances in the blood 
Changes in heart muscle 
Injury from heart attack
Healing process after surgery 
Irregular heart rhythms can also occur in normal healthy hearts
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13
Q

What is sinus bradycardia

A

Heart rhythm that originates from the sinus node and has a rate fewer than 60 beats per minutes

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14
Q

Why can sporty people have bradycardia

A

Their trained hearts pump enough blood in each contraction to allow a low resting heart rate

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15
Q

Causes of bradycardia

A

Sleep
Hypothermia
Hypothyroidism
Drugs - digitalis, beta blockers, quinidine, adenosine, calcium channel blocker
Seizure
Secondary to infections - diphtheria, acute rheumatic fever, viral myocarditis
Increased intracranial pressure

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16
Q

Bradycardia ECG characteristics

A
Rate: <60 beats
Rhythm: regular 
P waves:upright
PR interval: 0.12-20 seconds 
QRS:<0.12 seconds
17
Q

Tachycardia causes

A
Physiological - exercise, anxiety, stress, fright, anger, pain
Pathological - fever, anaemia, hypovolaemia, hypoxia 
Endocrine - thyrotoxicosis
Pharmacological - adrenaline (phaeochromocytoma)
•	Dehydration 
•	Malignant hyperthermia 
•	Anaemia 
•	Heart failure 
•	Hyperthyroidism 
•	Mercury poisoning 
•	Pulmonary embolism 
•	Chronic pulmonary disease 
•	Electric shock 
•	Drug withdrawal
18
Q

What is compliance

A

Indication of ease of expansion of lungs and thorax

19
Q

Normal sinus rhythm ECG values

A

P proceeds every QRS
PR interval 0.12-0.2
QRS <0.12

20
Q

What is the normal heart rate of infants?

A

110-150bpm

21
Q

Short term breathlessness causes

A
Asthma
Pneumonia 
COPD
Heart Disease
Pulmonary Embolism
Anxiety
22
Q

Long term breathlessness causes

A
Obesity and lack of fitness
Asthma
COPD
Heart Failure
Heart Rhythm problems
Anaemia
23
Q

Spirometry abnormality indicators:

A

FEV1 <80%
FVC <80%
FEV1/FEV <0.7

24
Q

Obstructive disorder spirometry

A

FEV1 <80%
FVC reduced but less than FEV1
FEV1/FEV <0.7

25
Q

Restrictive disorder spirometry

A

FEV1 <80%
FVC <80%
FEV1/FEV <0.7

26
Q

Severity of obstructive disorder

A

Mild 50-80
Mod 30-49
Severe <30
Ratio <0.7

27
Q

Severity of restrictive disorder

A

Mild 65-80
Mod 50-65
Severe <50