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Exam (elaborations)

DAANCE: all modules

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DAANCE: all modules Pulmonary artery - ANSWER One of two arteries that carry venous (oxygen poor) blood from heart to lungs What type of intubation is preferred with emesis with aspiration? - ANSWER ETT. LMA or combitube acceptable. What emergency would a cricothyrotomy typically be performed? - ANSWER Airway obstruction Atropine would be given in which emergency? - ANSWER Symptomatic bradycardia Adenosine would be given in which emergency? - ANSWER SVT Amiodarone would be given in which emergency? - ANSWER V. Tach What medications can be given for a sever case of hyperventilation? - ANSWER Versed, Valium, or Propofol PVC's are treated with which medicine? - ANSWER Lidocaine Epi is given in which two emergencies? - ANSWER V. Fib and asystole Max dose of epi for cardiovascular disease pt - ANSWER .04mg A beta blocker would be given in which emergency? - ANSWER Hypertension A fluid bolus of NS and ephedrine can be given with what emergency? - ANSWER Hypotension What medications are used to treat malignant hypothermia? - ANSWER Dantrolene, IV cold saline (not Ringer's) Nasopharyngeal airway - ANSWER When tongue is obstructing airway. Tube is lubricated and passed through the nose into nasal cavity. Sits in oropharynx behind tongue. Well tolerated and can be used on awake pts. Oropharyngeal airway - ANSWER Also placed to position tongue in more anterior position. Often interfere with intra oral procedures. Not tolerated well with awake pts. Laryngeal mask airway (LMA) - ANSWER Device that sits over top of larynx. Can be placed blindly. Does not protect against aspiration. Inflated with 30cc to create seal. Endotracheal intubation - ANSWER End of tube passes through vocal cords and terminates half way between vocal cords and bifurcation of trachea. Important to listen to both lungs after placement. May or May not be cuffed. Combitube - ANSWER Generally used for specific emergencies. Both cuffs inflated. Pts predisposed to bronchospasm - ANSWER Allergies, asthma, copd, bronchitis Bronchospasm - ANSWER Generalized contraction of smooth muscles of small bronchi and bronchioles in lungs causing restriction of air flow of air to and from lungs. Maximum dose of epi for healthy pt - ANSWER .2mg Liver - ANSWER Protein and lipid synthesis, bio transformation, detoxification and storage of vitamin A, E, D, K, and B12. Causes of seizures - ANSWER Liver failure, renal failure, sickle cell disease, brain tumor, meningitis, previous stroke and hypo-hyperglycemia. Medications to treat seizures - ANSWER Tegretol, Klonopin, Neurontin, luminal, Dilantin, depacon Main function of kidneys - ANSWER Maintain volume and composition of body fluids. Body's main source of filtration and excrete metabolic end products and toxins. Islets of langerhans - ANSWER Located in pancreas. Secrete insulin and glucagon. Insulin helps the body store sugar to keep glucose levels in a steady state. Adrenal glands - ANSWER Secretes epinephrine and norepinephrine. Controls electrolyte balance and carb metabolism. Thyroid - ANSWER Regulates body's basal metabolic rate. Pterygoid plexus - ANSWER Network of veins corresponding to 2nd and 3rd parts of maxillary artery Olfactory nerve - ANSWER 1st cranial nerve that controls smell Optic nerve - ANSWER 2nd cranial nerve that controls sight Internal jugular vein - ANSWER Drains much of blood from head and neck Purkinje fiber system - ANSWER Causes muscles of heart to contract. Spreads impulse rapidly along heart muscle. Brachiocephalic artery - ANSWER Branches into right common carotid in neck and right subclavian artery in arm. Hematocrit - ANSWER % blood volume made up of red blood cells. Men: 42-52% women: 37-48%. Anything below 35% considered anemic. Mental artery - ANSWER Supplies blood to chin. Ischemia - ANSWER Reduced blood flow in coronary arteries. Lack of oxygen to heart cells weakens, but does not kill them. Maxillary artery - ANSWER Supplies blood to maxilla, teeth, sinuses, and portion of nose. Medulla oblongata - ANSWER Coordinating region for impulses. The seat of many autonomic centers

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