EMS 202 Final Review 2023 WITH VERIFIED SOLUTIONS

the three rhythms are 3rd degree HB, Torsade's de pointes, sinus rhythm know what the first thing you do on a call is BSI, Scene Safe, Use PPE Know what Afib RVR looks like know difference between alkalosis and acidosis A-fib: stable patient, treatment? BB, Ca-channel blockers (dilitiazem), digoxin; once you achieve rate control anticoagulate with warfarin to INR 2-3, mostly Cardizem-(designed to slow down conduction through the AV node. A-fib rvr-unstable patient treatment Synchronized cardiovert less that 90 systolic What kind of clot do you get with a-fib Emboli Clot you have a renal dialysis patient that missed his appointment, he is sick looking, hot to touch, weak. what do you look for? Peaked T-waves due to hyperkalemia, high potassium (septic) Can you become septic with renal failure Yes Hyperkalemia high potassium How to identify a 3rd degree Heart Block more P's than QRS's, doesnt have any regularity in the pr interval, qrs can be wide or narrow. 3rd degree AV block atria and ventricles beat independently of each other (P waves have no relation to QRS waves) Define Bigeminy every other beat is ectopic and/or premature Define Trigeminy Every third beat Define Quadrigeminy Every 4th beat Define Couplet PVC's 2 pvc's in a row Match Entrensic SA Node-60-100 AV Junction-40-60 Purkinjie FIbers-15-40