05-09-2022 Flashcards
(20 cards)
Myocardial Infarction
Definition
Blockage to a line.
Area of the heart that dies.
Myocardial Infarction
Signs
Chest pain.
Shortness of breath.
Nausea / Vomiting.
Radiating pain to the arm / face, jaw, left shoulder.
Sudden onset of weakness.
Levine sign - put fist in your chest and grab left shoulder.
Myocardial Infarction
Treatment
Nitro
Aspirin
Nitro
Vasodilator
Causes low blood pressure.
Has to have above 100 blood pressure.
Cannot give to someone with ED meds.
Cannot give to someone with a headache.
Aspirin
Antiplatelet med - makes blood vessels slippery so they don’t stick together.
Baby Aspirin - 81 mg
Bayer Aspirin - 325 mg
Baby Aspirin is better because it’s absorbed better.
Both are chewed, not swallowed. (Absorbed buccally).
Stroke
Types
Hemorrhage - bleeding in the brain.
Ischemic - clot in your brain (occlusive stroke).
TIA - Transient Ischemic Attack - temporary or mini stroke.
Stroke
Signs
Slurred Speech
Facial Droop
Hemispherical Paralysis
No Speaking
Gibberish
Unequal Pupils
Stroke
Assessment
Show your teeth.
Unequal pupils.
Unequal grip.
Hand drift.
LA and Cincinnati Stroke Scales.
Cincinnati Stroke Scale
Steps
Assess for facial droop.
Assess for speech difficulties.
Assess for Arm Drift.
Los Angeles Stroke Scale
Steps
Facial Droop - Absent / Present
Arm Drift - Absent / Drifts Down / Falls Rapidly
Grip Strength - Normal / Weak Grip / No Grip
Hypertension
Definition
High blood pressure.
Can cause chest pressure.
Gradual chest pressure.
Hypertension
Signs
Dizziness
Gradual chest pain.
Headache.
Tinnitus (ringing in the ears).
Blurred vision.
Nausea / vomiting.
140/90 or greater blood pressure.
Preeclampsia
Definition
Hypertension in Pregnancy.
Anaphylaxis
Definition
Causes the blood vessels to dilate and BP to drop.
Causes the tissues lining the respiratory system to swell.
Anaphylaxis
Signs
Shortness of Breath - Difficulty Breathing
Tachycardia
Hypotension
Wheezes
Swelling
Anaphylaxis
Treatment
EPI
Blood vessel constriction to raise BP.
Bronchodilation.
Stridor
Hi pitched, harsh, wheezing.
Upper airway.
Causes: Foreign body aspiration, Croup, Anaphylaxis.
Ronchi
Snoring, rattling, low pitched.
Larger passageways.
Causes: Asthma, COPD, Mucus.
Wheezes
High pitched, whistling, sibilant sounds.
Lower airway.
Asthma, bronchospasm, anaphylaxis.
Rales
Rattling, bubbling, popping, rice crispy sound.
Lower airway.
Fluid - filled airway, Pneumonia, CHF.
