CRITICAL CARE/FLIGHT PARAMEDIC EXAM

CRITICAL CARE/FLIGHT PARAMEDIC EXAM babinski reflex - answer✔✔extension and spreading of toes when bottom of foot is stroked. sign of nervous system lesion battles sign - answer✔✔bruise behind ear, basilar skull fracture becks triad - answer✔✔jvd, muffled heart ton es, hypotension. from cardiac tamponade brudzinski sign - answer✔✔flexion of the neck results in flexion of the hip. meningitis coopernails sign - answer✔✔ecchymosis on perineum, labia, scrotum. sign of pelvis fracture cullens sign - answer✔✔bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy grey turners sign - answer✔✔discoloration of skin around flank. sign of pancreatitis hammans sign - answer✔✔crunching sound of heart with asynchronous heart beat. s ign of mediastinal emphysema/tracheobronchial disruption kehrs sign - answer✔✔left shoulder pain associated with splenic rupture kernigs sign - answer✔✔pain to knee extension when hip is at 90 degrees. sign of meningitis levines sign - answer✔✔pain with cl utched fist over midline of chest. sign of cardiac chest pain mcburneys sign - answer✔✔tenderness 2/3 the distance between umbilicus and ileum. sign of appendicitis muphys sign - answer✔✔pt unable to take deep breath on inspiration with deep palpation bene ath right coastal margins. sign of gall bladder issues S2 "dub" heart tones - answer✔✔aortic and pulmonary valve closure s1 "lub" sound - answer✔✔bicuspic/tricuspid valve closure stroke volume is affected by - answer✔✔preload, afterload, contractility s4 heart tone - answer✔✔indicative of stiff or noncompliant ventricle, like with an old MI s3 heart tone - answer✔✔ventricle stretch due to fluid overload right coronary artery is typically repaired by using - answer✔✔saphenous vein dresslers sign - answer✔✔pericarditis from recent MI or cardiac surgery alpha 1 stimulation results in - answer✔✔increased SVR/vasoconstriction beta 1 stimulation results in - answer✔✔increased HR, contractility janeway lesions and osler nodes are indicative of - answer✔✔endocarditi s elevated BNP signals - answer✔✔increased stretching of ventricles. found in CHF where should a cardiac transducer be placed? - answer✔✔phlebostatic axis (4th intercostal space midaxillary) what does the dicrotic notch symbolize? - answer✔✔aortic valve cl osing saline from ART line should infuse at what rate - answer✔✔3ml/hr normal central venous pressure (CVP) - answer✔✔2-6 when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - answer✔✔1.5 coronary perfusion pressure calculatio n - answer✔✔PAWP -DBP (should be 50 -60) PAWP range - answer✔✔8-12 PVR range - answer✔✔50-250 PA pressure - answer✔✔15-25 systolic, 8 -15 diastolic SVR range - answer✔✔800-1200 what does PVR signify - answer✔✔right heart afterload, pulmonary vascular resistance what is PCWP - answer✔✔same as pAWP left heart preload is also called - answer✔✔left ventricular end diastolic pressure LVEDP what is CI - answer✔✔same as CO what happens to pressures during cardiogenic shock - answer✔✔decreased cardiac output (CO/CI), increased everything else what happens to pressures during hypovolemic shock - answer✔✔decreased SVR, increased everything else