FISDAP CARDIOLOGY FINAL PAPER UPDATED EXAM
QUESTIONS AND ANSWERS GRADED A+
✔✔Why do we give Nitro for chest pain?
Class
MOA
Indications - ✔✔Nitrate Vasodilator and Antianginal
Relaxes vascular smooth muscle = vasodilation and venous pooling which Reduces
Preload/Afterload and Dilates Coronary Arteries which increases myocardial perfusion.
Cardiac Chest Pain
Acute Pulmonary Edema
✔✔What is our dose for nitro, and what are the contraindications? - ✔✔0.4mg
sublingual
15mg/1inch paste
1g patch
Systolic <90mmHg
PDE5 inhibitors x 48hrs
Head Trauma/Hemorrhage signs
Poor Systemic Perfusion
✔✔Swelling of affected limb, pain and tenderness, inflammation/redness, warm to touch
on affected limb, pain on dorsiflexion (Homan Sign) are all signs of? - ✔✔DVT
✔✔Treatment of DVT - ✔✔Supportive Care, Position of Comfort, Establish IV, Cardiac
Monitor, Pulse Ox, O2, Monitor vitals for embolism.
Do not massage affected limb.
✔✔The pressure gradient that drives coronary blood pressure.
The difference between aortic diastolic pressure and left ventricular end diastolic
pressure that perfuses the coronary arteries. - ✔✔Coronary Perfusion
✔✔Tachycardia, Difficulty Breathing, Diminished Lung Sound, Pulse Quality Changes,
and unequal chest rise are early signs and symptoms of? - ✔✔Tension Pneumothorax
Air is entering the pleural space but cannot escape. Positive pressure ventilation can
make it worse.
✔✔Criteria for Unstable Dysrhythmia - ✔✔Ischemic Chest Pain
ALOC
, Hypotension/Hypovolemia
Signs of Shock
Acute Heart Failure
✔✔Restriction of of cardiac contraction, falling cardiac output, and shock as a result of
pericardial fluid accumulation are characteristics of? - ✔✔Cardiac Tamponade
✔✔Hypotension, SOB, Lightheadedness, Chest Pain, Syncope, Palpitations, Extremity
Swelling, and Muffled heart sounds are signs and symptoms of? - ✔✔Cardiac
Tamponade
✔✔Indications for Dopamine - ✔✔Cardiogenic Shock
Distributive Shock after fluids
Hemodynamically significant Hypotension
Symptomatic Brady (2nd Line drug)
✔✔AHA Guidlines for Terminating CPR efforts in field(4) - ✔✔Arrest was not witnessed
No bystander CPR was administered
ROSC was not achieved after complete
ALS care in the field
No shocks were administered
✔✔Time frame that starts at the patient contact by EMS and ends with definitive therapy
of catheter passing through lesion of coronary vessel. - ✔✔EMS-to-Balloon-Time
✔✔Time from patient entering ED to catheter passing through lesion of coronary vessel.
- ✔✔Door-to-balloon-time
✔✔Time from patient entering ED to fibrinolytic therapy administration. - ✔✔Door-to-
needle-time
✔✔Time frame for door-to-balloon - ✔✔<90mins
✔✔Time frame for door-to-needle - ✔✔<30mins
✔✔Principle symptom of Coronary Artery Disease or Acute Coronary Syndrome that
occurs when supply of O2 is to the myocardium is insufficient to meet demand and cells
become ischemic? - ✔✔Angina Pectoris
✔✔Chest pain that occurs at rest and is caused by coronary artery vasospasm? Risk for
Dysrhythmia, MI, Heart Block and Death - ✔✔Prinzmetal Angina (PA)
QUESTIONS AND ANSWERS GRADED A+
✔✔Why do we give Nitro for chest pain?
Class
MOA
Indications - ✔✔Nitrate Vasodilator and Antianginal
Relaxes vascular smooth muscle = vasodilation and venous pooling which Reduces
Preload/Afterload and Dilates Coronary Arteries which increases myocardial perfusion.
Cardiac Chest Pain
Acute Pulmonary Edema
✔✔What is our dose for nitro, and what are the contraindications? - ✔✔0.4mg
sublingual
15mg/1inch paste
1g patch
Systolic <90mmHg
PDE5 inhibitors x 48hrs
Head Trauma/Hemorrhage signs
Poor Systemic Perfusion
✔✔Swelling of affected limb, pain and tenderness, inflammation/redness, warm to touch
on affected limb, pain on dorsiflexion (Homan Sign) are all signs of? - ✔✔DVT
✔✔Treatment of DVT - ✔✔Supportive Care, Position of Comfort, Establish IV, Cardiac
Monitor, Pulse Ox, O2, Monitor vitals for embolism.
Do not massage affected limb.
✔✔The pressure gradient that drives coronary blood pressure.
The difference between aortic diastolic pressure and left ventricular end diastolic
pressure that perfuses the coronary arteries. - ✔✔Coronary Perfusion
✔✔Tachycardia, Difficulty Breathing, Diminished Lung Sound, Pulse Quality Changes,
and unequal chest rise are early signs and symptoms of? - ✔✔Tension Pneumothorax
Air is entering the pleural space but cannot escape. Positive pressure ventilation can
make it worse.
✔✔Criteria for Unstable Dysrhythmia - ✔✔Ischemic Chest Pain
ALOC
, Hypotension/Hypovolemia
Signs of Shock
Acute Heart Failure
✔✔Restriction of of cardiac contraction, falling cardiac output, and shock as a result of
pericardial fluid accumulation are characteristics of? - ✔✔Cardiac Tamponade
✔✔Hypotension, SOB, Lightheadedness, Chest Pain, Syncope, Palpitations, Extremity
Swelling, and Muffled heart sounds are signs and symptoms of? - ✔✔Cardiac
Tamponade
✔✔Indications for Dopamine - ✔✔Cardiogenic Shock
Distributive Shock after fluids
Hemodynamically significant Hypotension
Symptomatic Brady (2nd Line drug)
✔✔AHA Guidlines for Terminating CPR efforts in field(4) - ✔✔Arrest was not witnessed
No bystander CPR was administered
ROSC was not achieved after complete
ALS care in the field
No shocks were administered
✔✔Time frame that starts at the patient contact by EMS and ends with definitive therapy
of catheter passing through lesion of coronary vessel. - ✔✔EMS-to-Balloon-Time
✔✔Time from patient entering ED to catheter passing through lesion of coronary vessel.
- ✔✔Door-to-balloon-time
✔✔Time from patient entering ED to fibrinolytic therapy administration. - ✔✔Door-to-
needle-time
✔✔Time frame for door-to-balloon - ✔✔<90mins
✔✔Time frame for door-to-needle - ✔✔<30mins
✔✔Principle symptom of Coronary Artery Disease or Acute Coronary Syndrome that
occurs when supply of O2 is to the myocardium is insufficient to meet demand and cells
become ischemic? - ✔✔Angina Pectoris
✔✔Chest pain that occurs at rest and is caused by coronary artery vasospasm? Risk for
Dysrhythmia, MI, Heart Block and Death - ✔✔Prinzmetal Angina (PA)
