CRITICAL CARE/FLIGHT PARAMEDIC EXAM

CRITICAL CARE/FLIGHT PARAMEDIC EXAM babinski reflex - answerextension and spreading of toes when bottom of foot is stroked. sign of nervous system lesion battles sign - answerbruise behind ear, basilar skull fracture becks triad - answerjvd, muffled heart tones, hypotension. from cardiac tamponade brudzinski sign - answerflexion of the neck results in flexion of the hip. meningitis coopernails sign - answerecchymosis on perineum, labia, scrotum. sign of pelvis fracture cullens sign - answerbruising around umbilicus. Sign of pancreatitis or ectopic pregnancy grey turners sign - answerdiscoloration of skin around flank. sign of pancreatitis hammans sign - answercrunching sound of heart with asynchronous heart beat. sign of mediastinal emphysema/tracheobronchial disruption kehrs sign - answerleft shoulder pain associated with splenic rupture kernigs sign - answerpain to knee extension when hip is at 90 degrees. sign of meningitis levines sign - answerpain with clutched fist over midline of chest. sign of cardiac chest pain mcburneys sign - answertenderness 2/3 the distance between umbilicus and ileum. sign of appendicitis muphys sign - answerpt unable to take deep breath on inspiration with deep palpation beneath right coastal margins. sign of gall bladder issues S2 "dub" heart tones - answeraortic and pulmonary valve closure s1 "lub" sound - answerbicuspic/tricuspid valve closure stroke volume is affected by - answerpreload, afterload, contractility s4 heart tone - answerindicative of stiff or noncompliant ventricle, like with an old MI s3 heart tone - answerventricle stretch due to fluid overload right coronary artery is typically repaired by using - answersaphenous vein dresslers sign - answerpericarditis from recent MI or cardiac surgery alpha 1 stimulation results in - answerincreased SVR/vasoconstriction beta 1 stimulation results in - answerincreased HR, contractility janeway lesions and osler nodes are indicative of - answerendocarditis elevated BNP signals - answerincreased stretching of ventricles. found in CHF where should a cardiac transducer be placed? - answerphlebostatic axis (4th intercostal space midaxillary) what does the dicrotic notch symbolize? - answeraortic valve closing saline from ART line should infuse at what rate - answer3ml/hr normal central venous pressure (CVP) - answer2-6 when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - answer1.5 coronary perfusion pressure calculation - answerPAWP-DBP (should be 50-60) PAWP range - answer8-12 PVR range - answer50-250 PA pressure - answer15-25 systolic, 8-15 diastolic SVR range - answer800-1200 what does PVR signify - answerright heart afterload, pulmonary vascular resistance what is PCWP - answersame as pAWP left heart preload is also called - answerleft ventricular end diastolic pressure LVEDP what is CI - answersame as CO what happens to pressures during cardiogenic shock - answerdecreased cardiac output (CO/CI), increased everything else what happens to pressures during hypovolemic shock - answerdecreased SVR, increased everything else