ch 20 cardiac emergencies Flashcards

(39 cards)

1
Q

Where do the coronary arteries supply oxygen to?

A

The heart.

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2
Q

What is acute coronary syndrome (cardiac compromise)?

A

Blood supply to the cells of the heart is blocked/disrupted, and heart muscles die due to lack of oxygen.

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3
Q

What is ischemia?

A

Insufficient blood flow to a tissue.

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4
Q

What is syncope?

A

Fainting/loss of consciousness.

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5
Q

What can you do for a patient with acute coronary syndrome?

A

Administer 324 mg of Asprin (4 baby Asprin).

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6
Q

What is the dosage of baby Asprin?

A

324mg, 4 baby asprin.

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7
Q

Name 5 contraindications for administering Asprin.

A

1- Risk of aspiration
2- Already consumed a full dose
3- Asprin allergy
4- Recent GI bleed
5- On blood thinners

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8
Q

What are 3 signs you should administer nitroglycerin?

A

1- Chest pain
2- History of cardiac issues
3- Nitroglycerin is prescribed

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9
Q

What is the dosage for Nitroglycerin?

A

0.4 mg repeated 5 minutes later.

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10
Q

What are 2 contraindications for administering nitroglycerin?

A

1- Low systolic BP
2- Patient is taking erectile dysfunction medications (within 48-72 hours)

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11
Q

What is coronary artery disease?

A

Arteries of the heart are narrowed/blocked.

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12
Q

What is angina pectoris?

A

Chest pain that is caused by insufficient blood flow to the heart muscles.

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13
Q

What is the difference between stable and unstable angina?

A

Stable angina typically results from exertion, while unstable angina can come about spontaneously.

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14
Q

How does nitroglycerin work?

A

It dialates the blood vessels so the heard has less blood to pump.

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15
Q

What is a myocardial infarction?

A

A heart attack :(. Blood flow to the heart is blocked by a clot.

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16
Q

How should you treat angina pectoris?

A

Assume its a myocardial infarction until proven otherwise. Administer nitroglycerin and Asprin and transport.

17
Q

What is an acute myocardial infarction?

A

Part of the heart muscles dies due to a lack of blood flow.

18
Q

What is an aneurysm?

A

A rupture of a blood vessel.

19
Q

What are 2 possible causes of an acute myocardial infarction?

A

Aneurysm or narrowing of a blood vessel causes a blockage.

20
Q

What is thrombus?

A

The blockage of blood flow caused by the formation of a clot on the inner surface of a diseased artery, which can then break loose and form an embolism.

21
Q

What is an embolism?

A

The blockage of a blood vessel caused by an embolus (often a blood clot).

22
Q

The blockage of a coronary artery by a thrombus or embolism is a _____ ______ ______.

A

Acute myocardial infarction.

23
Q

What are 4 things an acute myocardial infarction can cause?

A

1-Ischemia
2- Dysrhythmias
3- Cardiogenic Shock
4- Sudden death

24
Q

What is Ischemia?

A

Lack of blood flow to a certain part of the body.

25
How does Ischemia affect the heart?
Leads to cell death and disturbs electrical functions of the heart.
26
What are Dysrhythmias?
Harmful changes to the rate/rhythm of the hearts pumping.
27
What is Cardiogenic shock?
The heart suddenly cannot pump enough blood to meet the body's needs.
28
What is the treatment for an acute myocardial infarction upon discharge from the hospital?
Asprin every day and beta blockers.
29
What are the effects of beta blockers?
Lower heart rate and lower blood pressure.
30
How do beta blockers work?
Reduce the effects of stress hormones by blocking receptors.
31
What are 5 symptoms of AMI?
1- Chest discomfort 2- Dyspnea 3- Nausea 4- Syncope 5- Sweating
32
How should you treat a myocardial infarction?
Transport, 12-lead, contact ALS, Asprin and niroglycerin.
33
What is Congestive heart failure?
The heart is unable to pump blood efficiently and fluid buildup is likely.
34
What is right sides heart failure?
Pressure builds up in the right atrium and the vena cava. JVD, swelling and fluid buildup in abdomen, pedal edema.
35
What is left dsided heart failure?
Pressure builds up in the left atrium and the pulmonary vein. Fluid leaks into the alveoli, pulmonary edema.
36
What are swelling in the abdomen and buttock indicative of?
Heart failure.
37
Signs of heart failure
Pulmonary edema difficulty breathing crackles coughing pink frothy sputum
38
Treatment of heart failure
Treat symptoms contact ALS consider CPAP administer nitro
39
aneurysm how it happens
weakened arterial walls dilate and burst leading to internal bleeding