Cardiac Flashcards by Ty Hobbs

RCA Supplies: (In Order)

SA Node

AV Node

Left Posterior Wall

Left Inferior Wall

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V1-V6 chest leads are categorized as:

Unipolar Leads

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ST Elevation= ST Depression= Q waves present that measurer >25% of the r wave=

Injury Ischemia Infarction (necrosis)

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_____ is characteristic of the 12-lead ECG for pt with history of WPW.

Delta Wave

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On 12 Leak EKG, posterior wall MI manifest as:

ST depression in V1-V4 with abnormally tall R waves

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Second Degree Type I Heart Block is also known as:

Wenckebach

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Diagnosis of right ventricular MI includes:

Right Sided 12 Lead ECG with ST elev in V4

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The IABP balloon has dislodged. What is the most common site that will be affected?

Left Radial

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The primary trigger used for most IABP operation is

EKG

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Which of the following is the most potentially harmful timing errors?

Late Deflation

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How many coronary arteries?

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Left Coronary Artery bifurcates into:

LAD and LCX

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LAD Supplies:

Left Anterior wall Left Anterior 2/3 of Septum

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LCX Supplies:

Left Lateral Wall

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RCA becomes:

The PDA

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The Major Intraaterial Pathway

Bachmanns Bundle

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What enzyme elevates first in MI

Myoglobin

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The enzyme that elevates last in MI is:

Troponin I

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Septal Wall MI Vessel Occlusion

LAD

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Anterior Wall MI Vessel Occlusion

LAD

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Lateral Wall MI Vessel Occlusion

LCX

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Inferior Wall MI Vessel Occlusion

RCA

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Posterior Wall MI Vessel Occlusion

RCA

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Which Ventricle is more prone to Blunt Force Trauma

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Define Transmural infarct

Extends through the full thickness of the myocardium including the endocardium and epicardium

Define Non-transmural/subendocardial Infarct

Damage is limited to the subendocardial region

Pt having a Left Anterior Septal MI and then experience acute pulmonary edema. What just happened

Papillary Muscle Rupture

ST Elevation = \_\_\_\_\_\_\_\_\_\_MI

Transmural MI

J-point notch is indicative of \_\_\_\_\_\_\_\_\_

Stable Angina

Unstable Angina

Stable Angina that has changed in frequency, quality, duration or intensity

Varient Angina

Spontaneous episodes of CP frequently noted at rest or upon rising.

Mixed Angina

Combanation of Stable and Unstable Angina

CorPP=

DBP-wedge

carvedilol=

Coreg

G-IIb/IIIa Inhibitors

Integrilin ReoPro Agg

Thrombolytics absolute contraindiction

1. Active Internal Bleeding 2. Suspected Aortic Dissection 3. Known Intracranial Neoplasm 4. Previous hemorrhagic stroke at anytime or any stroke within the last year.

Oversensing

Sensing things that are not there such as a t-wave Pacer will not fire or not fire enough

Failure to Sense

Pacer misses the R-wave More lethal Fires more often

With pacing what is the opitimal way to you have mechanical capture

Ausc of Heart Tones

With a venous pacer wire you always have to think of ________ as a risk

Cardiac Tamponade

Dilated Cardiomyopathies is secondary to _________ overload

Volume

Dilated Cardiomyopathies is _________ failure

Hypertrophic Cardiomyopathies is secondary to a ________ overload

Hypertrophic Cardiomyopathies is a __________ failure

Restrictive Cardiomyopathies is secondary to \_\_\_\_\_\_\_\_\_

Ischemic Tissue

Restrictive Cardiomyopathies is a ________ failure

Systolic Murmur \_\_\_\_\_

Diastolic Murmur

Lub Dub Murmur Lub Dub Murmur

Aortic Stenosis is a ______ murmur and is auscultated at the _____ intercostal space, _____ \_\_\_\_\_\_ margin

Systolic 2nd Right Sternal

Aortic Regurgitation is a ______ murmur.

Diastolic

Mitral Stenosis is a _____ murmur and ausciltated at the _____ intersostal space mid-\_\_\_\_\_\_\_ line

Diastolic 5th Clavicular

Mitral Regurgiation is a _______ murmur

Systolic

Pulmonic Stenosis is a ______ murmur and is ausculatated at the ____ intercostal, _______ margin

Systolic 2nd Left Sternal

Wide Mediastinum with Diffuse infiltrates =

Triple A

For HTN management you are trying to dial BP to their normal within the ____ to ____ min

30 to 60

CHF Goals:

* Decrease Preload * Decrease Afterload * Decrease Rate * Inhbit RAA System * Improve Contractilty

Normal CVP

2-6 mmHg

CVP is ______ to the ______ side of the heart

Positive Pressure ventilation always drops \_\_\_\_\_\_\_

RVP= \_\_\_\_\_\_

Normal Systolic 15-25 Normal Diastolic 0-5 \*\*\*\*\*Not normally monitored

PA Pressure=

PAS= 15-25 PAD= 8-15

Wedge Pressure reflects _____ on the _____ side of ther heart

Never inflate the swan balloon with more then _____ ml

Normal PCWP:

8-12 mmHg

PCWP approximates \_\_\_\_\_\_\_

LVEDP

You only inflate the balloon until you see \_\_\_\_\_\_\_

Two causes of inadvertent wedge:

1. Migration 2. Balloon Inflation

How to correct inadvertent wedge:

1. Deflate the balloon 2. Have the pt cough 3. Have pt roll to side and then back 4. Withdraw catheter till you get a PA waveform

Inadvertent RV waveform causes

Catheter whipping around in the RV ventricle

Inadvertent RV waveform correction

1. Balloon up look for waveform to go away 2. Deflate Waveform 3. Pull back to CVP waveform

Cardiac Output Calculation

HR x SV

Normal Cardiac Output

4-6 L/min

Cardiac Index Calc

CO/BSA

Normal Cardiac Index

2.5-4.2

Cardiac Flashcards

(76 cards)