random bits sheet 2 Flashcards
arthrokin of thumb CMC
MCP and trapezium:
cave on vex flex/ext (frontal plane movement)
vex on cave ab/add (saggital plane mvmt)
arthrokin of talus
talocrural: DF/PF, opposite (vex talus on cave tib/fib)
subtalar: same, cave talus moves on fixed vex calc (pro/sup)
arthro AC joint
convex clavicle, concave acromion
SC joint arthro
elevation/depression: vex clavice on cave sternum
pro/retraction: cave clavicle, vex sternum
distal RU
vex ulna, cave radius
capsular patterns of hip
flexor ext , abduction, and IR
ankle pronator
fibularis longus
ankle supinator
posterior tib
R heart blood flow
from body to vena cava, RA, tricuspid, RV, pulm valve (semilunar) to pulm arteries to lungs
L heart BF
from lungs to pulm veins to LA through bicuspid V to LV through aotric valve to aorta and to body
S3 sound
turbulence, early diastole
S4 sound
turbulence, late diastole
Restrictive lung diseases
problems with inhaling bc of stiff lungs, cant expand -pulmonary fibrosis -ARDS -atelectysis -pulmonary edema -pneumonia -pneumo/hemothorax -pleural effusion/fibrosis
FVC decreased, normal FEV1/FVC ratio
restrictive
FEV1/FCV <70%
obstructive
obstructive lung diseases
difficulty exhaling/getting air out
- COPD
- emphysema
- asthma
- chronic bronchitis
- bronchiectasis
- CF
normal paO2, paCO2
80-100. 35-45
normal HCO3
22-26
normal hematocrit
% of RBCs in total blood volume
male: 38.8-46.4%
female: 35.4-44.4%
normal hemoglobin
oxygen carrying component of RBC
male: 13.3-16.2
female: 12-15.8
normal platelets
165,000-415,000
normal PPT
26.3-39.4 seconds
normal RBC
male 4.3-5.6 x10^6
female 4.0-5.2 x10^6
normal WBC
3500-9000
normal LDL, HDL, triglycerides
LDL <100
HDL >40
triglycerides <150
normal INR
1.1 or below
2-3 for people on blood thinners
cholinergic response
inc in Ach, increased parasympathetic response
anticholinergic response
dec in Ach, increase sympathetic response, bronchodilators
alpha adrenergic antagonist agents
dilates arterioles and BV’s, decreased BP
SE: dizziness, OH, palpitations, drowsiness
-zosins
ACE inhibitors
decrease BP and afterload, for HTN, CHF
SE: hypotension, dizziness, dry cough, hyperkalemia, hyponatremia
-a/i/oprils
Angiotensin II receptor agonist
blocks AII receptors, decreases vasoconstriction and stimulation of vascular tissue
SE: dizziness, back and leg pain, chest pain
-sartans
Antiarrhythmics Class 1
Na channel blockers, control heart excitation and conduction
-quinidine, lidocaine,
Antiarrhythmics Class 2
beta blockers: inhibit sympathetic activity
-olols
Antiarrhythmics class 3
Prolong repolarization: inhibits K and Na channels, most effective, amiodarone
Antiarrhythmics Class 4
Ca channel blockers: decrease depolarization, slow conduction thru AV node
dilatizem
anticoagulants
heparin, coumadin, warfarin, lovenox
antihyperlipidemic agents
statins: inhibit enzyme action in CHO synthesis, lowers LDL, increases HDL, lowers triglycerides
SE: rash, HA, GI upset, myalgia
beta blockers
dec HR and contractility, will diminish HR response to ex
-olols
Ca channel blockers:
decrease entry of calcium into mm, dec contraction, vasodilation, decd o2 demand of heart
SE: dizziness, hypotension, HA, peripheral edema
-norvasc, procardia, calan, cardizem
diuretics
inc excretion of NA and urine, dec plasma vol and BP
SE: dehydration, electrolyte imbalance, hypotension, inc LDL, polyuria, arrhythmias
-thiazide: diuril
-loop: lasix
-K sparing: dyrenium
Nitrates
smooth mm relaxation, dilation of peripheral vessels
SE: HA, dizziness, OH, reflex tachy, nausea, vomiting
nitroglycerine
+ inotropic agents
increased F and velocity of heart contraction, decreased HR, decreased HR and conduction velocity through AV node, decreased degree of activation of sympathetic N’s
SE: arrhythmias, GI distress, dizziness, blurred vision
*dont want HR below 60
*prolongs PR interval
-digoxin, digitalis
thrombolytics
convert plasminogen to plasmin, busts clots
SE: hemmorhage, allergic rxn, arrhythmias
-urokinase, activase
normal ABI
1-1.3
normal BMI
18.5-24.9
1st degree AV block
PR interval >.2 s, constant, benign
2nd degree AV block
impulses btw atria and V’s fail intermittently
mobitz I: progressive prolongation of PR interval till 1 pulse not conducted
mobitz II: more serious, consecutive PR’s are same followed by nonconduction of >1 impulse
3rd degree AV block
all AV node impulses blocked, none get to ventricles, A&V’s paced independently
-medical emergency, requires pacemaker
Vtach
3 or more PVC’s
pre HTN
120-139 / 80-89
stage I HTN
140-159 / 90-99
stage II HTN
> 160 / >100
1+ pitting edema
barely there
2+ pitting edema
slight indent, normal in 15s
3+ pitting edema
deep indent, returns <30s
4+ pitting edema
> 30 s indentation
adrenergic response
increase in sympathetic response