Shared Flashcard Set

Details

Paramedic Pearls Vol 9
Paramedic Training, Ohio
44
Medical
Professional
02/27/2013

Additional Medical Flashcards

 


 

Cards

Term
Cardiac Output
Definition
Stroke Volume x Heart Rate = _________?
Term
Starling's Law
Definition
What law states that the greater the volume of blood entering the heart during diastole, the greater the volume of blood ejected during systolic contraction?
Term
The greater the volume of blood ejected during systolic contraction.
Definition
Starling's Law states that the greater the volume of blood entering the heart during diastole, _________?
Term
CHF
Definition
What condition occurs as a result of losing the principles contained in Starling's Law?
Term
Cardiac Plexus
Definition
What is the "junction box" of the autonomic nervous system supplying the heart and the neighboring structures?
Term
Near the heart and the ascending arch of the aorta
Definition
Where is the cardiac plexus located?
Term
Cardiac Plexus
Definition
What structure supplies the heart with sympathetic nervous system connection?
Term
Norepinephrine
Definition
What is the neurotransmitter of the sympathetic nervous system?
Term
Isotonic
Definition
What term describes blood and IV fluid having the same osmolarity?
Term
V-Fib
Definition
What rhythm is chaotic and irregular accompanied by no pulse and apnea?
Term
1st Degree Heart Block
Definition
What rhythm exhibits a long PRI?
Term
2nd Degree Type 1 (Wenckebach)
Definition
What Rhythm exhibits a lengthening PRI with a dropped beat?
Term
2nd Degree Type 2 (classical block)
Definition
What rhythm exhibits a constant PRI with conducted beats / dropped beats present?
Term
3rd Degree complete block
Definition
What rhythm presents with no correlation between the P waves and the QRS complexes? (two separate regular rhythms that are unrelated)
Term
Junctional Rhythms
Definition
What rhythm presents without a P wave, or has an inverted P wave?
Term
V-Tach
Definition
What rhythm presents as fast and regular with a wide QRS Complex?
Term
Amiodarone 150mg IVP over 10 minutes, repeated as needed to a maximum dose of 2.2g in 24 hours.
Definition
What is the protocol drug therapy for Stable V-Tach?
Term

Synchronized Cardioversion

 

Defibrillate

Definition

What is the protocol treatment for Unstable V-Tach?

 

What if it is unstable and non-perfusing?

Term
Verify in a second lead
Definition
What is the first step in management of Asystole?
Term

CPR, Epinephrine 1mg IV/IO every 3-5 minutes

 

Does not get paced

Definition
What is the protocol drug and electrical management of Asystole?
Term
Check in a second lead
Definition
CPR is being performed on a nursing home patient. As you take over management of the patient, you stop to evaluate the monitor and discover the patient is in Asystole. What is your next move?
Term
Supraventricular Tachycardias
Definition
What rhythm is the only one that a Vasalva maneuver will affect?
Term
Listen for a Bruit
Definition
Should you find yourself in a situation where it is necessary to perform carotid massage, what precautionary measure should you take?
Term
Short PRI and Delta Wave
Definition
What is the tell tale sign of Wolf Parkinson White Syndrome as seen on the monitor?
Term
Over 160 bpm and regular
Definition
What rate and regularity generally tips you off to the presence of SVT?
Term
Vagal then administer Adenosine (6/12/12)
Definition
What is the initial treatment for stable SVT?
Term
2nd Degree Type 1 (Wenckebach)
Definition
What is the most common reperfusion dysrhythmia?
Term
Rhythm stops, heart is temporarily denied blood and then the rhythm starts back up.
Definition
What is meant by the term re-perfusion dysrhythmia?
Term
Pericarditis
Definition
You are presented with a patient who displays ST Elevation across all leads. What should you think?
Term
Pericarditis
Definition
If a patient presents with chest pain that is relieved when they lean forward, what condition should you suspect?
Term
IV, O2, Supportive Care, Transport
Definition
What is the prehospital care of a patient in atrial flutter without signs of shock?
Term
Absolute Refractory Period
Definition
What is the term for the short period immediately after depolarization in which myocytes are not yet repolarized and are unable to fire or conduct an impulse?
Term
Relative Refractory Period
Definition
What period is represented at the apex of the T wave?
Term
Narcan
Definition
You are working with a patient who is experiencing depression of their respiratory drive after administration of Morphine. You suspect OD. What is your treatment?
Term
Digitalis Toxicity
Definition
You encounter a patient who complains of "yellow vision" and who displays heartblocks on ECG. What do you suspect is the issue?
Term
Lidocaine Overdose
Definition
Your patient is complaining of numbness, tingling and begins to seize. What do you suspect could be the issue upon discovery of a medicine patch on their shoulder?
Term
IV at TKO, O2, transport
Definition
You are called to a patient who is experiencing blurred vision, bloody nose and tinnitus; all classic signs of hypertensive emergency. What is your prehospital treatment of this patient?
Term
Hypertensive Emergency
Definition
    1. You encounter a patient complaining of Headache, blurred vision, bloody nose (epistaxis), Tinnitus. What do you suspect?
Term
Claudication
Definition
What is the term for decreased arterial perfusion of the calf muscle with associated pain upon walking. Pain abates when walking stops?
Term
Cardiac Tamponade, Air Embolus, Pneumothorax
Definition
Name three complications that are associated with a Central Vein Access that prevent us from attempting it in the field.
Term
    1. subclavian arteries
Definition
    1. two major arteries of the upper thorax (chest), below the clavicle (collar bone). They receive blood from the top (arch) of the aorta. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplies blood to the right arm, with some branches supplying the head and thorax.
Term
Central Vein Access
Definition
used to administer medication or fluids, obtain blood tests (specifically the "mixed venous oxygen saturation"), and directly obtain cardiovascular measurements such as the central venous pressure.
Term
Pneumothorax and Pericardial Tamponade
Definition
What two concerns keep us from being able to perform Central Vein Access in the field?
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