OEC LATEST UPDATED END OF COURSE QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔hypertension - ✔✔blood pressure 140/90
headache, flushing, nose bleeds
✔✔Right Side Congestive Heart Failure - ✔✔back up into systemic circulation
edema in the ankles and feet
✔✔Left Side Congestive Heart Failure - ✔✔back up into the lungs
pulmonary edema -- shortness of breath
✔✔Pulmonary edema - ✔✔fluid buildup in the lungs
wheezing and crackles
monitor spO2
treat with high flow O2
✔✔Angina - ✔✔chest pain that occurs from lack of O2 in the heart
eased by relaxation
Nitroglycerin
Administer O2
✔✔Myocardial Infarction - ✔✔caused by blood clots that block coronary arteries
arrhythmia, congestive heart failure, cardiac arrest
aspirin
AED
O2 if needed
✔✔Sudden Cardiac Arrest - ✔✔caused by ventricular fibrillation, pulseless ventricular
tachycardia, asystole
✔✔tachycardia - ✔✔high heart rate
✔✔bradycardia - ✔✔low heart rate
✔✔Thromboembolism - ✔✔Stationary blood clot that travels to the lungs, heart, or brain
Signs: sharp chest pain, shortness of breath, tachycardia, cyanosis
Ask about recent surgeries
Deep Venous Thrombus (DVT) → look for signs and symptoms in one leg -- severe
pain, tenderness to touch, calf edema
Pulmonary Embolus- clot travels to lungs and you diiiie
✔✔Pericardial Tamponade - ✔✔pericarditis- inflammation of the pericardial sac
tamponade- inflammation/ excess fluid build up in the pericardial sac
BECK's Triad
, ✔✔Beck's Triad - ✔✔1.Muffled Heart Sounds
2. Distended Neck Veins
3.Narrowing Pulse Pressure
--> sign for pericardial tamponade
✔✔Aortic Aneurysm and Aortic Dissection - ✔✔Ballooning out of aorta -- or tears
aortic rupture- aorta pops and u diiiie
SIGNS:
Thoracic: tearing, ripping, stabbing chest pain
Radiates to the back
Abdominal: tender abdomen, pulsatile mass
Radiates to the groin/back, dizziness
✔✔Heart Valve Disorders - ✔✔not pumping blood effectively
✔✔Cardiogenic shock - ✔✔Deathly ill and shock, diaphoresis, anxiety, respiratory
distress
If caused by AMI → tachycardic and hypotensive
If caused by abnormal heart rhythm --- bradycardic or tachycardic and hypotensive
✔✔Steps for O2 Admin - ✔✔@all times protect cylinder from falling or damage
Verify its O2 → green, labelled O2, three rings
Crack open top to let dust out
CHECK FOR O ring and place delivery device / tighten
Open again and check for 2000 PSI
Set liter flow to correct rate
1-6 Nasal cannula
15 Non Rebreather mask
15 BVM
Connect tube
If Non-rebreather mask, make sure to fill the bag up to ⅔ of the way full before attaching
to patient
When taking off regulator make sure to BLEED so that the pressure goes down to 0
✔✔Inhaler Admin - ✔✔Right patient, right medication, right dose, right route, right time
Shake/ remove cap
First exhale as much as possible
Use inhaler and breathe in as slow as possible
Spray -- hold breath for 10s
Repeat once after 30-60 s
✔✔Nitroglycerin Admin - ✔✔Used for angina -- heart pain after exercise due to lack of
O2
Verify that it is their prescription and not expired
SOLUTIONS GUARANTEE A+
✔✔hypertension - ✔✔blood pressure 140/90
headache, flushing, nose bleeds
✔✔Right Side Congestive Heart Failure - ✔✔back up into systemic circulation
edema in the ankles and feet
✔✔Left Side Congestive Heart Failure - ✔✔back up into the lungs
pulmonary edema -- shortness of breath
✔✔Pulmonary edema - ✔✔fluid buildup in the lungs
wheezing and crackles
monitor spO2
treat with high flow O2
✔✔Angina - ✔✔chest pain that occurs from lack of O2 in the heart
eased by relaxation
Nitroglycerin
Administer O2
✔✔Myocardial Infarction - ✔✔caused by blood clots that block coronary arteries
arrhythmia, congestive heart failure, cardiac arrest
aspirin
AED
O2 if needed
✔✔Sudden Cardiac Arrest - ✔✔caused by ventricular fibrillation, pulseless ventricular
tachycardia, asystole
✔✔tachycardia - ✔✔high heart rate
✔✔bradycardia - ✔✔low heart rate
✔✔Thromboembolism - ✔✔Stationary blood clot that travels to the lungs, heart, or brain
Signs: sharp chest pain, shortness of breath, tachycardia, cyanosis
Ask about recent surgeries
Deep Venous Thrombus (DVT) → look for signs and symptoms in one leg -- severe
pain, tenderness to touch, calf edema
Pulmonary Embolus- clot travels to lungs and you diiiie
✔✔Pericardial Tamponade - ✔✔pericarditis- inflammation of the pericardial sac
tamponade- inflammation/ excess fluid build up in the pericardial sac
BECK's Triad
, ✔✔Beck's Triad - ✔✔1.Muffled Heart Sounds
2. Distended Neck Veins
3.Narrowing Pulse Pressure
--> sign for pericardial tamponade
✔✔Aortic Aneurysm and Aortic Dissection - ✔✔Ballooning out of aorta -- or tears
aortic rupture- aorta pops and u diiiie
SIGNS:
Thoracic: tearing, ripping, stabbing chest pain
Radiates to the back
Abdominal: tender abdomen, pulsatile mass
Radiates to the groin/back, dizziness
✔✔Heart Valve Disorders - ✔✔not pumping blood effectively
✔✔Cardiogenic shock - ✔✔Deathly ill and shock, diaphoresis, anxiety, respiratory
distress
If caused by AMI → tachycardic and hypotensive
If caused by abnormal heart rhythm --- bradycardic or tachycardic and hypotensive
✔✔Steps for O2 Admin - ✔✔@all times protect cylinder from falling or damage
Verify its O2 → green, labelled O2, three rings
Crack open top to let dust out
CHECK FOR O ring and place delivery device / tighten
Open again and check for 2000 PSI
Set liter flow to correct rate
1-6 Nasal cannula
15 Non Rebreather mask
15 BVM
Connect tube
If Non-rebreather mask, make sure to fill the bag up to ⅔ of the way full before attaching
to patient
When taking off regulator make sure to BLEED so that the pressure goes down to 0
✔✔Inhaler Admin - ✔✔Right patient, right medication, right dose, right route, right time
Shake/ remove cap
First exhale as much as possible
Use inhaler and breathe in as slow as possible
Spray -- hold breath for 10s
Repeat once after 30-60 s
✔✔Nitroglycerin Admin - ✔✔Used for angina -- heart pain after exercise due to lack of
O2
Verify that it is their prescription and not expired
