Questions And Answers
kehrs sign left shoulder pain associated with splenic rupture
kernigs sign pain to knee extension when hip is at 90 degrees. sign of meningitis
levines sign pain with clutched fist over midline of chest. sign of cardiac chest pain
mcburneys sign tenderness 2/3 the distance between umbilicus and ileum. sign of
appendicitis
muphys sign pt unable to take deep breath on inspiration with deep palpation beneath
right coastal margins. sign of gall bladder issues
S2 "dub" heart tones aortic and pulmonary valve closure
s1 "lub" sound bicuspic/tricuspid valve closure
, Critical Care/Flight Paramedic Exam
Questions And Answers
stroke volume is affected by preload, afterload, contractility
s4 heart tone indicative of stiff or noncompliant ventricle, like with an old MI
s3 heart tone ventricle stretch due to fluid overload
right coronary artery is typically repaired by using saphenous vein
dresslers sign pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in increased SVR/vasoconstriction
beta 1 stimulation results in increased HR, contractility
janeway lesions and osler nodes are indicative of endocarditis
elevated BNP signals increased stretching of ventricles. found in CHF
, Critical Care/Flight Paramedic Exam
Questions And Answers
where should a cardiac transducer be placed? phlebostatic axis (4th intercostal space
midaxillary)
what does the dicrotic notch symbolize? aortic valve closing
saline from ART line should infuse at what rate 3ml/hr
normal central venous pressure (CVP) 2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon 1.5
coronary perfusion pressure calculation PAWP-DBP (should be 50-60)
PAWP range 8-12
PVR range 50-250
, Critical Care/Flight Paramedic Exam
Questions And Answers
PA pressure 15-25 systolic, 8-15 diastolic
SVR range 800-1200
what does PVR signify right heart afterload, pulmonary vascular resistance
what is PCWP same as pAWP
left heart preload is also called left ventricular end diastolic pressure LVEDP
what is CI same as CO
what happens to pressures during cardiogenic shock decreased cardiac output (CO/CI),
increased everything else