Fisdap cardiology stuvia Study guides, Class notes & Summaries

You respond to a residence for a 68-year-old male with nausea, vomiting, and blurred vision. As you are assessing him, he tells you that he has congestive heart failure and atrial fibrillation, and takes numerous medications. The cardiac monitor reveals atrial fibrillation with a ventricular rate of 50 beats/min. Which of the following medications is MOST likely responsible for this patient's clinical presentation? - Answer Digoxin. This patient has classic signs of digitalis toxicity. Digox...

Aspirin is administered to patients with chest pain because it? A) Eliminates the effects of nitroglycerin B) Relieves the patients chest pain C) Breaks up blood clots occluding the vessels D) Decreases the ability of platelets to form - Answer D) Decreases the ability of platelets to form A 48 year old patient complains of difficulty breathing. Patients history reveals an acute MI 8 months ago. Vital Signs are BP 144/88 P 110 R 24. Auscualtions reveal crackles in the lung bases. You s...

Cardiac cellular action potential - Answer The cardiac action potential is a short-lasting event in which the membrane potential (the difference of potential between the interior and the exterior) of a cardiac cell rises and falls following a consistent trajectory, similar to the action potential in other types of cells. Cardiac action potentials are generated by the movement of ions through the transmembrane ion channels in the cardiac cells. Phase 4 is the resting membrane potential, an...

When would do not start CPR - Answer 1. Rigor mortis 2. decapitation of the head 3. DNR How to treat hypotension - Answer Lay them down supine and elevate the legs, call for ALS, rapid transport Signs and symptoms of a cardiac dysrhythmia - Answer Dyspnea, SVT (heart rate above 150), irregular heartbeat and atrial fibrillation, too slow 15-20 minutes no pulse/CPR - Answer start CPR and call medical directors to see when to terminate How can EMS reduce cardiovascular deaths? - Answe...

Cardiac Arrest Treatment - Answer Rapid CPR and early application of an AED. Maintain open airway, apply high concentration of oxygen, non rebreather mask. Dyspnea - Answer Shortness of breath, labored or difficulty breathing. AED Indications - Answer Pulseless Not Breathing Unresponsive AED Use - Answer AED says "analyzing" do not touch patient. Chest Pain - Answer Administer Oxygen AED Shockable Rhythms - Answer V-Tach V-Fib Acute Myocardial Infarction - Answer Often...

when obtaining a 12 - lead ECG, lead V1 should be placed: A) upper right shoulder just above the clavicle B) approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) in the fourth intercostal space just to the right of the sternum - Answer D) in the fourth intercostal space just to the right of the sternum A patient experiencing a right ventricular infarction would be expected to present with: A) hypertension and tach...

when obtaining a 12 - lead ECG, lead V1 should be placed: A) upper right shoulder just above the clavicle B) approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) in the fourth intercostal space just to the right of the sternum - ANSWER D) in the fourth intercostal space just to the right of the sternum A patient experiencing a right ventricular infarction would be expected to present with: A) hypertension and tach...

when obtaining a 12 - lead ECG, lead V1 should be placed: A) upper right shoulder just above the clavicle B) approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) in the fourth intercostal space just to the right of the sternum - ANSWER D) in the fourth intercostal space just to the right of the sternum A patient experiencing a right ventricular infarction would be expected to present with: A) hypertension and tach...

Where are Beta 1 receptors found? - ANSWER Heart and Kidneys Stimulation of Beta 1 receptors result in an increase of what? - ANSWER Heart: Inotropy, Chronotropy, Dromotropy Kidneys: Renin-Angiotensin-Aldosterone System = Vasoconstriction = Increase blood pressure Which node is located at the junction of the superior vena cava and the right atrium, is typically supplied by the Right Coronary artery, and fires at a rate of 60-100 bpm. - ANSWER SA Node Atrial depolarization characteriz...

The AED gives "no shock" message to a patient who is in cardiac arrest. You should? - Answer resume chest compressions Which interventions would have the MOST positive impact on a cardiac arrest patient's outcome? - Answer Early CPR and defibrillation What is the max amount of time that should be spent checking for spontaneous breathing in an unresponsive child? - Answer 10 seconds When performing CPR on an adult, you should compress the chest to a depth of ____ at a rate of _____? -...