AMLS Day 1
Meniere's disease - ANS -Inner ear problem causing dizziness and vertigo
Chemoreceptors - ANS -
Primary Ventilation - ANS -Chemo receptors sense high c02 and causes body to breath
Hypoxia Drive - ANS -A "backup system" to control respiration; senses drops in the
oxygen level in the blood.
oxyhemoglobin dissociation curve - ANS -Relationship between available oxygen and
amount of oxygen carried by hemoglobin.
oxyhemoglobin dissociation curve Left Shift - ANS -Higher affinity for oxygen. Less
oxygen is bound and there is less unloading of oxygen to tissues. Increased pH,
decreased [H+], decreased PaCO2, increased 2, 3-BPG. Fetal hemoglobin is more shifted
this direction than adult hemoglobin.
Decreased Temp
Decreased 2-3 DPG (Less oxygen getting kicked out of blood)
Decreased H+ CO
oxyhemoglobin dissociation curve Right Shift - ANS -Lower affinity for oxygen. More
oxygen is bound and there is a greater oxygen unloading to the tissues. Increased
temperature, exercise, increased 2, 3-BPG, decrease pH meaning increased [H+].
Increased Temp
Increased 2-3 DPG (More oxygen getting kicked out of blood)
Increased H+
2-3 DPG - ANS -This enzyme stimulates oxygen release from hemoglobin when blood pH
is low (hypoxic/acidotic).
Hemoptysis - ANS -coughing up blood
, Purulent Sputum - ANS -yellowish or greenish sputum
Respiratory distress vs failure - ANS -Pa0₂ < 60mmhg, PaCO₂ > 50mmhg = Failure
Shark fin waveform - ANS -asthma or COPD air trapping
Bicarb - ANS -22-26 mEq/L
PaC0₂ - ANS -35-45
Ludwig's angina - ANS -Submandibular space infection
most serious complication is edema of the glottis
Essentially cellulitis in the glottis
Angioedema - ANS -Localized areas of swelling beneath the skin, often around the eyes
and lips, but it can also involve other body areas as well.
VQ Mismatch - ANS -Vent/Perfusion Imbalance
COPD, asthma, atelectasis, emphysema, hypoventilation, pulm edema, pulm embolism,
aspiration pna
Arteries and ST - ANS -
AvR (12Lead) - ANS -QRS should always be negative
Septal antererior V1, V2, V3, V4 - ANS -Depression in V1 - V2 or V3 - V4. Switch leads to
the back
Note: V1 should always be negative deflection, if it's a positive deflection, check the
back.
Posterior MI - ANS -
Right Coronary Artery - ANS -Goes from the front to the back
Posterior lead placement - ANS -
Visceral - ANS -[V]ague Pain
Organ Pain
Somatic - ANS -[S]pecific Pain
Localized
Meniere's disease - ANS -Inner ear problem causing dizziness and vertigo
Chemoreceptors - ANS -
Primary Ventilation - ANS -Chemo receptors sense high c02 and causes body to breath
Hypoxia Drive - ANS -A "backup system" to control respiration; senses drops in the
oxygen level in the blood.
oxyhemoglobin dissociation curve - ANS -Relationship between available oxygen and
amount of oxygen carried by hemoglobin.
oxyhemoglobin dissociation curve Left Shift - ANS -Higher affinity for oxygen. Less
oxygen is bound and there is less unloading of oxygen to tissues. Increased pH,
decreased [H+], decreased PaCO2, increased 2, 3-BPG. Fetal hemoglobin is more shifted
this direction than adult hemoglobin.
Decreased Temp
Decreased 2-3 DPG (Less oxygen getting kicked out of blood)
Decreased H+ CO
oxyhemoglobin dissociation curve Right Shift - ANS -Lower affinity for oxygen. More
oxygen is bound and there is a greater oxygen unloading to the tissues. Increased
temperature, exercise, increased 2, 3-BPG, decrease pH meaning increased [H+].
Increased Temp
Increased 2-3 DPG (More oxygen getting kicked out of blood)
Increased H+
2-3 DPG - ANS -This enzyme stimulates oxygen release from hemoglobin when blood pH
is low (hypoxic/acidotic).
Hemoptysis - ANS -coughing up blood
, Purulent Sputum - ANS -yellowish or greenish sputum
Respiratory distress vs failure - ANS -Pa0₂ < 60mmhg, PaCO₂ > 50mmhg = Failure
Shark fin waveform - ANS -asthma or COPD air trapping
Bicarb - ANS -22-26 mEq/L
PaC0₂ - ANS -35-45
Ludwig's angina - ANS -Submandibular space infection
most serious complication is edema of the glottis
Essentially cellulitis in the glottis
Angioedema - ANS -Localized areas of swelling beneath the skin, often around the eyes
and lips, but it can also involve other body areas as well.
VQ Mismatch - ANS -Vent/Perfusion Imbalance
COPD, asthma, atelectasis, emphysema, hypoventilation, pulm edema, pulm embolism,
aspiration pna
Arteries and ST - ANS -
AvR (12Lead) - ANS -QRS should always be negative
Septal antererior V1, V2, V3, V4 - ANS -Depression in V1 - V2 or V3 - V4. Switch leads to
the back
Note: V1 should always be negative deflection, if it's a positive deflection, check the
back.
Posterior MI - ANS -
Right Coronary Artery - ANS -Goes from the front to the back
Posterior lead placement - ANS -
Visceral - ANS -[V]ague Pain
Organ Pain
Somatic - ANS -[S]pecific Pain
Localized
