Ecco Final Exam
Study online at https://quizlet.com/_hfzt70
1. What is the ini- MONA
tial treatment for -Morphine
chest pain? -Oxygen
-Nitroglycerin
-Aspirin
2. For an acute ST elevation
MI/chest pain,
what changes
are we looking
for on the EKG?
3. Cardiac enzymes MI, cardiac tamponade, cardiac surgery, acute injury - trauma to chest/chest
are elevated in injury, pericarditis
what conditions?
4. In what condition Congestive heart failure
do we NOT see
an elevation of
troponin in?
5. Why do we hear we hear heart murmurs because of the thickening of a valve like aortic stenosis or
heart murmurs? d/t mechanical dysfunction of the valve
6. Stenosis of the systolic murmur, as blood is ejected through the narrowed valve
aortic or pul-
monic valves will
result in a
7. Regurgitation of diastolic murmur, as blood flows backward into the diseased valve when ventric-
the aortic or pul- ular pressures drop during relaxation
monic valves will
result in a
, Ecco Final Exam
Study online at https://quizlet.com/_hfzt70
8. Where can you 2nd intercostal space, R sternal boarder
hear the aortic -rough and high pitched murmur
stenosis?
9. What do we look The dicrotic notch
for in an atri- -it indicates closure of the AV (aortic valve)
al waveform? (on
an a-line)
10. How long do you 8-10 minutes
hold pressure for
when you pull an
art line?
11. What are we Brain bleeds
looking out
for when us-
ing thrombolyt-
ics (rTPA)?
12. What are signs 1. decreased LOC/neuro changes
of herniation 2. increased ICP
(bleeding) from 3. severe headaches
rTPA?
13. What conditions Symptomatic bradycardia, 3rd degree heart block, recurrent tachy-brady syn-
warrant for an dromes,
external pace-
maker?
14. Can we use at- No.
ropine for a
, Ecco Final Exam
Study online at https://quizlet.com/_hfzt70
3rd degree heart
block?
15. What are the Narrow pulse pressure, pulses paradox (BP drops 15 mg when pt takes breath
signs and symp- in), increased JVD, low BP, muffled heart tones (late sign), HR initially will speed
toms of cardiac up (won't be bradycardic)
tamponade?
16. What is cardiac compression of the heart by an accumulation of fluid in the pericardial sac which
tamponade? over time decreases the cardiac output b/c the heart can't squeeze
17. Why do we care Because of the R on T phenomenon. When a PVC lands on a T wave, it can
about frequent potentially put a patient into v-tach
PVCs?
18. What do we Magnesium and potassium (more so magnesium)
check for when
we notice more
frequent PVCs?
19. When starting to Set pacer at 80 and 80 and increase the mA (miliamps) until you see pacer spikes
pace a patient, on every single QRS
what should you
do?
20. Question 34 on 150 jules
exam, what V-fib
energy settings
do you put in for
a biphasic defib?
21. What is the less than 100 ml/hr
normal drainage
Study online at https://quizlet.com/_hfzt70
1. What is the ini- MONA
tial treatment for -Morphine
chest pain? -Oxygen
-Nitroglycerin
-Aspirin
2. For an acute ST elevation
MI/chest pain,
what changes
are we looking
for on the EKG?
3. Cardiac enzymes MI, cardiac tamponade, cardiac surgery, acute injury - trauma to chest/chest
are elevated in injury, pericarditis
what conditions?
4. In what condition Congestive heart failure
do we NOT see
an elevation of
troponin in?
5. Why do we hear we hear heart murmurs because of the thickening of a valve like aortic stenosis or
heart murmurs? d/t mechanical dysfunction of the valve
6. Stenosis of the systolic murmur, as blood is ejected through the narrowed valve
aortic or pul-
monic valves will
result in a
7. Regurgitation of diastolic murmur, as blood flows backward into the diseased valve when ventric-
the aortic or pul- ular pressures drop during relaxation
monic valves will
result in a
, Ecco Final Exam
Study online at https://quizlet.com/_hfzt70
8. Where can you 2nd intercostal space, R sternal boarder
hear the aortic -rough and high pitched murmur
stenosis?
9. What do we look The dicrotic notch
for in an atri- -it indicates closure of the AV (aortic valve)
al waveform? (on
an a-line)
10. How long do you 8-10 minutes
hold pressure for
when you pull an
art line?
11. What are we Brain bleeds
looking out
for when us-
ing thrombolyt-
ics (rTPA)?
12. What are signs 1. decreased LOC/neuro changes
of herniation 2. increased ICP
(bleeding) from 3. severe headaches
rTPA?
13. What conditions Symptomatic bradycardia, 3rd degree heart block, recurrent tachy-brady syn-
warrant for an dromes,
external pace-
maker?
14. Can we use at- No.
ropine for a
, Ecco Final Exam
Study online at https://quizlet.com/_hfzt70
3rd degree heart
block?
15. What are the Narrow pulse pressure, pulses paradox (BP drops 15 mg when pt takes breath
signs and symp- in), increased JVD, low BP, muffled heart tones (late sign), HR initially will speed
toms of cardiac up (won't be bradycardic)
tamponade?
16. What is cardiac compression of the heart by an accumulation of fluid in the pericardial sac which
tamponade? over time decreases the cardiac output b/c the heart can't squeeze
17. Why do we care Because of the R on T phenomenon. When a PVC lands on a T wave, it can
about frequent potentially put a patient into v-tach
PVCs?
18. What do we Magnesium and potassium (more so magnesium)
check for when
we notice more
frequent PVCs?
19. When starting to Set pacer at 80 and 80 and increase the mA (miliamps) until you see pacer spikes
pace a patient, on every single QRS
what should you
do?
20. Question 34 on 150 jules
exam, what V-fib
energy settings
do you put in for
a biphasic defib?
21. What is the less than 100 ml/hr
normal drainage
