symptoms of an inferior wall MI? what can we do? - (correct Answer) - low bp, low
heart rate, heart block. anticipate giving a fluid bolus.
symptoms of an anterior wall MI - (correct Answer) - tachycardia dysrhythmias.
cardiogenic shock. give dopamine which increases contractility.
pt presents with rales, left sided heart failure, and low bp? what is causing this
and why? - (correct Answer) - Cardiogenic shock.
what does left sided heart failure cause? - (correct Answer) - cardiogenic shock
what is the number one cause of CHF? - (correct Answer) - Hypertension. give CPAP
and nitro
pt has clear lung sounds, severe pedal edema, and feeling tired? what is causing
this and why? - (correct Answer) - right sided heart failure. blood back up into
venous system
Pulmonary edema visually? why? - (correct Answer) - pink frothy sputum; blood in
the sputum.
What is a commonly used vasopressor in ems? - (correct Answer) - Dopamine
shock sequence medications for vfib/pulseless vtach - (correct Answer) - after
delivering two shocks push epi 1 mg 1:10000. after 2 minutes push 300 mg of
amiodarone. push another round of epi after 2 more minutes. after 2 minutes push
150 more mg of amiodarone.
sequence for asystole or PEA - (correct Answer) - start cpr after 2 minutes push
epi and with continuous cpr and epi 1 mg (1:10000)
CHF exacerbation? - (correct Answer) - heart failure progressing and getting worse
intrisinc heart rate - (correct Answer) - SA 60-100 beats, AV node 40-60
what is propanolol? - (correct Answer) - beta blocker
ventricular tachycardia, ALOC? what is the treatment? why? - (correct Answer) -
Cardiovert. symptomatic due to LOC
what makes a patient unstable? - (correct Answer) - unstable chest pain, SOB, ALOC,
hypotension
what is a chronotropic effect? - (correct Answer) - Increases heart rate
what is the diastolic pressure in a hypertensive crisis? - (correct Answer) -
diastolic pressure is above 130
patient presents with chest discomfort, high bp, clear lung sounds and a broken
leg. what is the reason? - (correct Answer) - fat embolism
intrinsic heart rate for vtach? - (correct Answer) - 100-250
patient presents with swollen left lower leg thats warm and dry. what is causing
this? - (correct Answer) - DVT
what is the importance of syncing for cardioversion? - (correct Answer) -
refractory period
most important aspect of stroke care? - (correct Answer) - time is the biggest
factor for treating a stroke
What does the patient urge to do during a abdominal aneurysm? - (correct Answer) -
defecate
what does the patient feel during a thoracic aneurysm? - (correct Answer) -
tearing/ripping back pain
what do you give when someone overdoses on beta blockers? why? - (correct Answer) -
1 mg of glucagon
Beta 1 receptor? - (correct Answer) - heart
beta 2 receptor? - (correct Answer) - lungs
alpha 2 receptor? - (correct Answer) - vasoconstriction
what do you do for ROSC? - (correct Answer) - induce theraptuic hypothermia unless
pt is responsive
initial treatment for asystole? - (correct Answer) - CPR
what is temporary slurred speech indicative of? - (correct Answer) - TIA
what is the number one cause of a CVA? - (correct Answer) - atrial fibrillation
What does tension pneumothorax do to the heart? - (correct Answer) - decreases