Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Back to Basics - Critical Care Transport Review > Cardio/Medical > Flashcards

Cardio/Medical Flashcards

1
Q

Define Kehr’s Sign, caused by?

A

referred shoulder pain - possible splenic injury, gall bladder issue, or ectopic pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define Kernig’s Sign, caused by?

A

back, leg pain on knee extension - possible bacterial menengitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define Brudzinski’s Sign, caused by?

A

back, leg pain on neck flexion - possible bacterial menengitis or subarachnoid bleed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define Hamman’s Sign, caused by?

A

crunching sound heard with auscultation over the anterior chest synchronized with heartbeat - tracheobronchial injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define Steeple Sign (x-ray), caused by?

A

Trachea just below chords looks like church steeple on A/P neck view - croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define Thumbprint Sign (x-ray), caused by?

A

Epiglottis looks rounded like distal thumb on lateral neck view; Epiglottitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Drugs for AAA

A

nipride and beta-blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Abdominal assessment steps (in order)

A

inspect, auscultate, palpate, percuss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contraindications for thrombolytics

A
  • Hx of hemhorrhagic stroke
  • CVA in last 12 months
  • SBP > 180
  • Pregnant or 1 month post-partum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

First step to increase SpO2?

A

Increase (maximize) FiO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Electrical alternans may be seen when?

A

Cardiac tamponade (though only 10% of the time)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Coumadin reversal agent

A

Vitamin K, FFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define Beck’s Triad, caused by?

A

Hypotension, JVD, Muffled Heart Tones;

Cardiac Tamponade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatments for cardiac tamponade include

A

Force fluids, pericardiocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MAP =

A

DBP + 1/3 PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Normal coronary perfusion pressure (CoPP)

A

50-70mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define Trousseau’s Sign, caused by?

A

BP cuff inflated in arm >SBP and left for >3 min, causes contraction of muscles; hypocalcemia

18
Q

Signs of cardiac tamponade include

A

Pulsus parodoxus, Kussmaul Sign, Beck’s Triad, PEA

19
Q

B-type natriuetic peptide (BNP) evaluates

A

Fluid overload and heart failure

20
Q

Define Levine’s Sign, caused by?

A

Clenchedd fist held over chest; ACS

21
Q

Define Kussmaul’s Sign, caused by?

A

Rise in venous pressure with inspiration; Right heart failure or cardiac tamponade

22
Q

Drug of choice for esophageal varicies

A

Sandostatin (octreotide)

23
Q

Recommended urinary output for an adult

A

30-50 ml/hr

24
Q

Define Murphy’s Sign, caused by?

A

Palpation of RUQ, pain worse with inspiration than palpation alone; Gall Bladder

25
Q

Elevated ammonia levels are seen with

A

chronic hepatitis, hepatic encephalopathy

26
Q

Problem with HHNK, treatment

A

Severely elevated glucose, dehydration, high osmolality;

insulin, fluid, electrolyte correction

27
Q

Morphine is (historically) contraindicated for what abdominal problem

A

Pancreatitis

28
Q

Problem with diabetes insipidus, treatment

A

Underproduction of ADH, causing excessive and severely diluted urine output;
Aggressive fluid replacement and vasopressin

29
Q

Problem with SIADH, treatment

A

Overproduction of ADH, causing fluid retention and hemodilution;
Diuretics, hypertonic saline

30
Q

Problem with Graves Disease, treatment

A

Hyperthyroidism, causing weight loss, anxiety, buldging eyes, a-fib;
glucocorticoids

31
Q

Problem with Addison’s Disease, treatment

A

Acute renal insufficiency, causing hypotension, fatigue, weight loss;
general supportive care

32
Q

Problem with Myxedema coma, treatment

A

Hypothyroidism, causing weight gain, fatigue, coarse hair, deep voice, chills; women >60 in winter;
levothyroxine

33
Q

Problem with Cushing’s Disease, treatment

A

Hyperaldosteronism, causing hypertension, moon-face, fatigue, core obesity /c thin extremities;
Modify (start/change/stop) steroids

34
Q

Coronary perfusion pressure (CoPP) is calculated by

A

DBP - PCWP

diastolic - wedge

35
Q

Define Grey-Turner’s Sign, caused by?

A

Bruising in flanks; intraabdominal bleeding

36
Q

Define Cullen’s Sign, caused by?

A

Periumbilical bruising; intraabdominal bleeding

37
Q

Define Halstead’s Sign, caused by?

A

Marbled abdomen; intraabdominal bleeding

38
Q

Define Stable Angina

A
  • Occurs (usually) during physical exertion
  • Episodes of pain tend to be alike
  • Usually lasts a short time (5 minutes or less)
  • Is relieved by rest or nitro
39
Q

Define Unstable Angina

A
  • Occurs while you may be resting, sleeping, or with little physical exertion
  • Lasts longer (>10 min) or feels different than usual angina
  • Not relieved by rest or nitro
  • May get worse over time
40
Q

Define Prinzmetal’s Angina

A
  • Coronary artery spasm caused by: cold weather, stress, smoking, drug (cocaine) use
  • Occurs (usually) at rest or during the night or early morning hours
  • Pain usually severe
  • Usually relieved by nitro

Back to Basics - Critical Care Transport Review (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions