Mod 4 Cardiac Emergencies Flashcards

1
Q

Acute Coronary Syndrome

A

-Sometimes known as cardiac compromise.
-A blanket term
that refers to anytime the heart is not getting enough oxygen.

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2
Q

Tachycardia

A

-A pulse rate faster than 100 beats per minute.

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3
Q

Bradycardia

A

-A pulse rate slower than 60 beats per minute.

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4
Q

Hypotensive

A

-Systolic blood pressure less than 90

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5
Q

Hypertensive

A

-Systolic blood pressure greater than 140 or diastolic blood pressure greater than 90.

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6
Q

Acute coronary syndrome signs and symptoms

A
  • Pain, Pressure, or discomfort in the chest or upper abdomen (Epigastrium)
  • Difficulty breathing
  • Palpitations
  • Onset of nausea, vomiting, or sweating
  • Anxiety (feeling of impending doom)
  • Weakness
  • Abnormal pulse
  • Abnormal blood pressure
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7
Q

When to give a repeat dose of nitroglycerin

A
  • Patient experiences no or partial relief
  • Systolic pressure remains greater than 90 to 100.
  • Medical direction requires additional dosage.
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8
Q

When to give a patient asprin

A
  • Has no history of asthma
  • Not already taking medications that prevent clotting of the blood.
  • No contraindications to asprin.
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9
Q

Coronary Artery Disease (CAD)

A
  • When coronary arteries become narrowed or blocked.
  • Build up of fatty on artery inner walls.
  • There are things that can be done to prevent CAD.
  • Change in diet, stop smoking, weight loss to lower blood pressure.
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10
Q

Myocardiam

A

Heart muscles

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11
Q

Aneurysm

A
  • The dilation, or ballooning, of a weakened section of the wall of an artery
  • Artery can burst causing rapid life threatening internal bleeding.
  • Common sites are in the aorta and brain.
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12
Q

Occlusion

A

-Blockage, as an artery, by fatty deposits.

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13
Q

Thrombus

A

-A clot formed of blood and plaque attached to inner artery or vein wall.

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14
Q

Embolism

A

-Blockage of a vessel by a clot or foreign material brought by blood current.

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15
Q

Dysrhythmia

A
  • A disturbance in the heart rate and rhythm.

- An electrical malfunction of the heart can result in dysrhythmia.

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16
Q

Angina Pectoris

A
  • Pain in chest when blood to heart is reduced and portion of heart muscle is not receiving enough oxygen.
  • Advised to take Nitroglycerin.
17
Q

Acute mycardial infarction (AMI)

A
  • The myocardium dies as a result of oxygen starvation.

- Often called a heart attack.

18
Q

Sudden death

A
  • A cardiac arrest that occurs within 2 hours of onset of symptoms.
  • May have no prior symptoms.
19
Q

Congestive heart failure (CHF)

A
  • Failure of heart to pump efficiently leading to build up of fluids or blood in the lungs, body, or both.
  • Causes edema (swelling)
  • Caused by diseased heart valves, hypertension.
20
Q

Pedal Edema

A

-Accumulation of fluid in the feet or ankles.

21
Q

Chain of survival

A
  • Immediate recognition
  • Early CPR
  • Rapid defibrillation
  • Effective advanced life support
  • Integrated post cardiac arrest care
22
Q

Types of AED

A
  • Semi automatic. The more common type. Prompts user to press a button to administer a shock through pads.
  • Fully automatic. Does not advise a shock and sends a shock automatically once enough energy has been accumulated.
23
Q

Ventricular fibrillation (VF)

A
  • Hearts electrical impulses disorganized preventing heart muscles from contracting normally.
  • Shockable rhythm
24
Q

Ventricular tachycardia (V-tach)

A
  • Heart beat is rapid. Does not allow hearts chambers to refill with enough blood between beats.
  • Shockable rhythm.
25
Q

Pulseless electrical activity (PEA)

A
  • Electrical rhythm is normal but yet mechanical pumping activity fails to follow electrical activity.
  • Non-Shockable rhythm
26
Q

Asystole

A
  • A condition in which the heart has ceased generating electrical impulses.
  • Commonly known as flatline
  • Non-shockable rhythm
27
Q

AED cardiac arrest treatment sequence for shock indicated (SI)

A
  • Deliver 1 shock if indicated
  • If patient does not wake up do 2 mins or 5 cycles of CPR.
  • Press analyze button
  • Deliver shock if indicated
  • After 3 shocks prepare for transport.
28
Q

AED cardiac arrest treatment sequence for no shock indicated (NSI)

A
  • Do 2 mins or 5 cycles of CPR
  • Press analyze button
  • No shock indicated
  • Perform 2 mins or 5 cycles of CPR
29
Q

When to transport patient

A
  • You have administered three shocks
  • You have received 3 consecutive NSI messages separated by 2 mins of CPR
  • Patient regains pulse
30
Q

Do not defibrillate

A
  • If anyone is touching patient
  • If patient is wearing nitro patch
  • If patient is lying under water (Dry patient)
  • If patient is touching metal
31
Q

The only contraindication to using defib pads

A

-If pads wont fit on patient without touching each other.

32
Q

Implants and surgeries

A
  • Cardiac pacemaker
  • Implanted defibrillator
  • Ventricular assist device
  • Cardiac bypass surgery