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Absolute refractory - Answer -Is from the QRS to the top of the T
Action of an ace-inhibitor - Answer -Stops the conversion of angiotensin 1 into angiotensin 2 -
usually going to be found in CHF patients
Prescribed to treat B/P, Benazepril (Lotensin), Captopril, Enalapril (Vasotec), Fosinopril, Lisinopril (Prinivil,
Zestril), Moexipril, Perindopril (Aceon), Quinapril (Accupril), Ramipril (Altace), Trandolapril (Mavik)
Actual Damages - Answer -Must prove that he was actually harmed in a way that can be
compensated by the award of damage. The plaintiff must prove that he suffered compensable physical,
psychological, or financial damage, such as medical expenses, lost wages, lost future earnings, conscious
pain and suffering, or wrongful death.
Afferent (sensory) - Answer -Sensory - Fibers transmit impulses to the central nervous system form
the body. Input
Allergic Reaction - Answer -Hives are present (localized)
Treatment:
H1 Blocker (Systemic Histamine)-Benadryl 1mg/kg max 50mg
H2 (Gut Histamine)- Cimetidine 20mg
Inflammatory Part-Corticosteroids Solu-Medrol 125mg IV
Alpha - Glucagon - Answer -Produces the hormone glucagon. It is 25 percent of islet tissue. It
increases secretion of glucagon, raising the blood glucose level.
Amiodarone dose (know for a code and know for stable v-tach) - Answer -Cardiac Arrest: 300mg
max 450mg IV bolus, immediately follow with 10-20ml bolus of NS
Stable V-Tach: 150mg (mix in 100ml of D5W IV) over 10minutes , Repeat 150mg IV over 10 minutes
Anaphylactic Reaction - Answer -Hives are present, with Angio edema, stridor and wheezing
,Treatment: Albuterol (Conbivent) 2.5mg/3mL, Atrovent (Conbivent) 0.5mg/2.5mL, Epinephreine 1:1,000
0.3mg IM
Anaphylactic Shock - Answer -Allergic reaction to an antigen to which the body has become
hypersensitive. Physical findings such as....fainting, lightheadedness, low blood pressure, dizziness, or
flushing, difficulty breathing, rapid breathing, shortness of breath, or wheezing, hives, swelling under the
skin, blue skin from poor circulation, or rashes, nausea or vomiting, fast heart rate, feeling of impending
doom, itching, tongue swelling, difficulty swallowing, facial swelling, mental confusion, nasal congestion,
or impaired voice.
Treatment:
(Sympathetic Agonist) Epinephreine 1:1,000 0.3mg IM
(H1 &H2 Antihistamine) Benadryl (Diphenhydramine) 1mg/kg max 50mgIm/IV
(H2 blocker) Cimetidine (tagament) 300mg IV
(Corticosteroids) Solu-Medrol 125mg IV
(Vasopressors) Dopamine,Norepinephrine, Epinephrine I:10,000 0.3mg
(Beta-Agonist) Albuterol (Conbivent) 2.5mg/3mL and Atrovent (Conbivent) 0.5mg/2.5mL
Intubate if necessary
Anatomy of an artery - outer, inner, and middle layer - know the names of all three - Answer -
Adventitia, the outer layer, connective tissue anchoring arteries to nearby tissues.
Intima, the inner layer, lined by a smooth tissue called endothelium.
Endothelium, the media/middle layer, a layer of muscle that lets arteries handle the high pressures from
the heart.
Ascending and descending nerve tracks - afferent and efferent - Answer -The dorsal roots contain
afferent fibers, and the ventral roots contain efferent fibers.
Beta - Insulin - Answer -Produces the hormone insulin. It is 60 percent of islet tissue. Insulin lowers
the blood glucose level by increasing the uptake of glucose by body cells.
Beta 1 antagonist medication effects? - Answer -Increased heart rate
Blood flow through the heart? - Answer -Superior Vena Cava
Right Atrium
Tricuspid Valve
, Right Ventricle
Pulmonary Valve
Pulmonary Trunk
Left Pulmonary Artery
Lungs
Left Pulmonary Veins
Left Atrium
Mitral Valve
Left Ventricle
Aortic Valve
Blood gases - - Answer -Ph 7.35-7.45
CO2 35-45
H2CO3 (bicarb)
Breach of Duty - Answer -PM must exercise the degree of care, skill, and jjudgement that is
expected by trained PM's. Breach of duty may occur by:
Malfeasance- a performance of a wrongful or unlawful act by the PM
Misfeasance- a performance of a legal act in a manner that is harmful or injuries
Nonfeasance- is the failure to perform a required act or duty
Byproducts of anaerobic metabolism - Answer -Lactic acid followed by pyruvic acid
Cardiac stroke volume - Answer -Two thirds (2/3), about 70ml in a normal, healthy adult
Cause and signs and symptoms of urticarial, hives? - Answer -Batches of red or skin-colored welts
(wheals), which can appear anywhere on the body
Welts that vary in size, change shapes, and appear and fade repeatedly as the reaction runs its course
Itching,(which may be severe)
Raised itchy bumps, either red or skin-colored