DAANCE Mod 5 Exam Study Guide Questions And Answers Verified 100% Correct

DAANCE Mod 5 Exam Study Guide Questions And Answers Verified 100% Correct HEART ATTACK ACRONYM - ANSWER MONA Oxygen Nitrogen Aspirin Morphine Most serious heart dysrhythmia - ANSWER V-Fib Ventricular dysrhythmias - ANSWER normal rhythm is interrupted by one or more irritable foci in ventricles. May lead to more serious dysrhythmias V-tach - ANSWER Evidensed by a wide, blunt, rapid waveform with no p waves and the QRS and T waves cannot be discerned. TX: a. 100% O2 b. Amiodarone c. prep for synchronous cardioversion V- fib - ANSWER Rapidly vacilating baseline with no P, QRS, or T's noted. There is no pumping of blood, and V. fib often precedes asystole TX: a. check lead placment, if V. fib is confirmed call 911 b. begin cpr/AED c. admin epi/cpr/aed d. admin amiodoarone/cpr/aed e. admin epi/cpr/aed Asystole/PEA - ANSWER No waveform of any type Cardiac standstill with no pulse, but a normal appearing rhythm such as sinus bradycardia is displayed on the cardiac monitor. Neither asystole nor PEA can be successfully treated with defibrulation BP - ANSWER Systolic- contraction of the ventricles Diastolic- relaxation of the ventricles Hypertension - ANSWER Causes: anxiety, medications, noncomplaince with bp meds, pain, pregnancy, and hypoxia 200/100 = problematic Symptoms: headache, dizziness, tinnitus, chest pain, shortness of breath, stroke TX: removal of stressor (easiest) a. terminate procedure b. check monitor/cuff for malfunctions c. attempt to determine cause d. record vitals e. IV f. Beta-blockers 1. labatelol 2. esmolol 3. atenolol Hypotension - ANSWER Causes: medications, syncope, shock, blood loss, drug overdose, dehydration, allergy, infection, arrhythmias, and postural changes Symptoms: weakness, nausea, impending loss of consciousness, tachycardia or possibly bradycardia TX: a. trendelenburg position b. support airway, 100% O2 c. EMS activation if condition deteriorates d. IV TX: a. CPR b. epinephrine e. Normal saline fluid bolus f. ephederine or phenylephrine Venipuncture complications - ANSWER infiltration, hematoma, phlebitis Infiltration - ANSWER leakage of fluid into surrounding tissues. Stop IV and restart in another location. Hematoma - ANSWER blood leaking into surrounding tissue results in firm tender swelling. Firm pressure, moist heat Phlebitis - ANSWER irritation/inflammation of the vein resulting in pain, erythema (redness), edema, warmth and cord-like feeling to vein. Treat with elevation, moist heat and NSAIDS Intra-arterial injection - ANSWER May result in severe consequences. Injected with Brev, Valiumm or some antibiotics have resulted in amputation. Signs: severe pain in the affected limb during admin. TX: a. activate EMS b. Secure catheter- DO NOT REMOVE c. 10cc 1% lidocaine w/out epi into catheter d. ice pack to limb Hypoglycemia and insulin shock - ANSWER Glucose falls below 60-65 mg/dL Mild symptoms: nausea, hunger, and tachycardia Moderate symptoms: 50mg/dL- irratibility, lack of energy, anxiety, restlessness Severe symptoms: 30mg/dL- loss of consciousness, seizures, coma and hypothermia TX: Mild- oral glucose or juice (sugar foods, regular pop, fruit