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Su: Sim Lab 2 > Vascular/Pericardial > Flashcards

Vascular/Pericardial Flashcards

1
Q

most common abnormality for MI

A

ST segment

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2
Q

2/3/aVF coronary artery

A

R CA

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3
Q

1/avL coronary artery

A

circumflex

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4
Q

1/avL heart

A

lateral LV

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5
Q

V3-5 coronary artery

A

LAD

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6
Q

V3-5 heart

A

anterolateral LV

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7
Q

high risk surgeries (4)

A

AAA
peripheral vascular
thoracotomy
major abdominal

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8
Q

Ischemic heart disease indicators (5)

A

hx of MI
current angina
positive exercise test
taking nitrates
Q wave

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9
Q

CHF indicators (5)

A

pulm edema
paroxysmal nocturnal dyspnea
Rales
S3 gallop
pulm vascular redistribution

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10
Q

cerebrovascular inidcators (2)

A

CVA
TIA

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11
Q

renal indicators

A

Cr > 2mg/dL

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12
Q

diabetic indicators

A

IDDM

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13
Q

avoid decreaing O2 delivery (7)

A

tachycardia
hypotension
hypocapnia
decr FiO2
anemia
arterial hypoxemia
L shift O2 Hb curve

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14
Q

avoid increasing O2 demand (6)

A

sympathetics
tachycardia
HTN
incr inotropy
incr SVR
incr prelaod

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15
Q

PMI S+S

A

1mm change in ST segment

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16
Q

PMI w/elevated SVR

A

give NTG

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17
Q

PMI w/elevated HR

A

give esmolol

18
Q

PMI w/hypotension

A

give inotropes

19
Q

avoid (6) in PMI

A

shivering
pain
hypoxemia
hypercarbia
sepsis
hemorrhage

20
Q

when are aortic aneurysms operated on

21
Q

debakey 1

A

60%
complete dissection

22
Q

debakey 2

A

10-15%
ascending

23
Q

debakey 3

A

25-30% descending

24
Q

stanford A

25
Q

stanford B

A

descending

26
Q

which dissections are surgically treated?

A

ascending aorta
aortic arch

27
Q

AAA S+S

A

hypotension
severe back pain
pulsatile abdominal mass

28
Q

cause of anterior spinal artery syndrome

A

aortic cross clamp

29
Q

anterior spinal artery S+S

A

flaccid paralysis
motor dysfunction
acute back pain
autonomic dysfunction

30
Q

goal MAP above cross clamp

31
Q

goal MAP below cross clamp

32
Q

clamping causes

A

vasoconstriction
incr venous return
HTN

33
Q

unclamping causes

A

blood pooling
decr venous return
hTN

34
Q

how can you differentiate MI and pericarditis?

A

pericarditis does not impoved with NTG

35
Q

cardiac tamponade S+S (8)

A

incr CVP
hypotension
decr ECG voltage
sympathetic activation
cardiac filling equalization
pulsus paradoxus
kussmaul’s sign
beck’s triad

35
Q

what determines physiologic manifestations of tamponade

A

timeframe of fluid accumulation

36
Q

kussmaul’s sign

A

jugular distension on inspiration

37
Q

Beck’s triad

A

muffled heart sounds
incr jugular venous pressure
hypotension

38
Q

pulsus paradoxus

A

SBP decr 10 mmHg during inspiration

39
Q

cardiac tamponade managemetn

A

needle decompression before GETA
use ketamine
avoid PPV

Su: Sim Lab 2 (18 decks)

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