Chapter 40: ALS Assist Flashcards

1
Q

An ECG that uses 4 leads attached to the patient’s skin; these include the limb leads

A

4-lead ECG

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2
Q

An ECG that uses 12 leads attached to the patient’s skin; these include the limb leads and chest leads.

A

12-lead ECG

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3
Q

A sealed hub on an administration set designed for sterile access to the intravenous fluid

A

access port

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4
Q

An abnormal rhythm of the heart

A

arrhythmia

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5
Q

The complete absence of any electrical cardiac activity, appearing as a straight or almost straight line on an ECG strip

A

asystole

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6
Q

The act of viewing the electrical activity of the heart through the use of an ECG machine or cardiac monitor

A

cardiac monitoring

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7
Q

A flexible, hollow structure that drains or delivers fluids

A

catheter

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8
Q

The cutting of the catheter by the needle during improper rethreading of the catheter with the needle; the severed piece can then enter the circulatory system

A

catheter shear

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9
Q

The leads that are used only with a 12-lead ECG and must be placed exactly; includes leads V1-V6

A

chest leads

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10
Q

A multilumen airway device that consists of a single tube with two lumens, two balloons, and two ventilation ports; an alternative airway device if endotracheal intubation is not possible or has failed

A

Combitube

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11
Q

The area of the administration set where fluid accumulates so that the tubing remains filled with fluid

A

drip chamber

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12
Q

Another name for administration sets

A

drip sets

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13
Q

Electrocardiogram; an electronic tracing of the heart’s electrical activity through leads, which originate in the electrocardiograph machine and contain electrodes that attach to the patient’s chest and/or limbs

A

ECG

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14
Q

A network of special cells in the heart through which an electrical current flows, causing contractions of the heart that produce pumping of blood

A

electrical conduction system

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15
Q

Insertion of an endotracheal tube directly through the larynx between the vocal cords and into the trachea to maintain and protect an airway

A

endotracheal intubation

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16
Q

plastic, disposable indicators that signal by color change when an endotracheal tube is in the proper place

A

end-tidal carbon dioxide detectors

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17
Q

IV access established in the external jugular vein of the neck

A

external jugular IV

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18
Q

removal of a tube after it has been placed

A

extubation

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19
Q

An advanced airway adjunct that provides a channel directly into a patient’s stomach, allowing for removal of gas, blood, and toxins and for instilling medications and nutrition

A

gastric tube

20
Q

A measure of the interior diameter of the catheter. It is inversely proportional to the true diameter of the catheter

A

gauge

21
Q

The escape of fluid into the surrounding tissue when the IV catheter is not in the vein

A

infiltration

22
Q

Rigid, boring catheters placed into a bone to provide intravenous fluids

A

intraosseous (IO) needles

23
Q

Intravenous solutions that do not cause a fluid shift into or out of the cell; examples include normal saline and lactated Ringer’s solutions

A

isotonic crystalloids

24
Q

A disposal supraglottic airway used as an alternative to tracheal or mask ventilation

A

King LT

25
Q

An advanced airway device that is blindly inserted into the mouth to isolate the larynx for direct ventilation; consists of a tube and a mask or cuff that inflates to seal around the laryngeal opening

A

laryngeal mask airway

26
Q

An instrument used to give a direct view of the patient’s vocal cords during endotracheal intubation

A

laryngoscope

27
Q

The four leads used with a 4-lead ECG; placed on or close to the right arm, left arm, right leg, and left leg

A

limb leads

28
Q

An administration set named for the large orifice between the piercing spike and the drip chamber; allows for rapid fluid flow into the vascular system

A

macrodrip set

29
Q

An administration set named for the small orifice between the piercing spike and the drip chamber; allows for carefully controlled fluid flow and is ideally suited for medication administration

A

microdrip set

30
Q

Advanced airway devices, such as the esophageal tracheal Combitube and the pharyngeotracheal lumen airway, that have multiple tubes to aid in ventilation and will work whether placed in the trachea or esophagus

A

multilumen airways

31
Q

A rhythm that has consistent P waves, consistent P-R intervals, and a regular heart rate of between 60 and 100 beats/min.

A

normal sinus rhythm

32
Q

Blockage, usually of a tubular structure such as a blood vessel

A

occlusion

33
Q

Endotracheal intubation through the mouth

A

orotracheal intubation

34
Q

A multilumen airway that consists of two tubes, two masks, and a bite block

A

pharyngeotracheal lumen airway

35
Q

Inflammation of a vein; often associated with a clot in the vein

A

phlebitis

36
Q

The hard, sharpened plastic spike on the end of the administration set designed to pierce the sterile membrane of the intravenous bag

A

piercing spike

37
Q

Anatomic location for the intraosseous catheter insertion; the wide portion of the tibia located directly below the knee

A

proximal tibia

38
Q

Special types of intravenous apparatus, also called heparin caps and heparin locks

A

saline locks (buff caps)

39
Q

A rhythm that has consistent P waves, consistent P-R intervals, and a regular heart rate that is less than 60 beats/min

A

sinus bradycardia

40
Q

A rhythm in which the sinoatrial node acts as a pacemaker

A

sinus rhythm

41
Q

A rhythm that has consistent P waves, consistent P-R intervals, and a regular heart rate that is more than 100 beats/min

A

sinus tachycardia

42
Q

Elevation of the ST segment of the 12-lead EKG that is likely evidence that the patient is having a heart attack

A

STEMI (ST-segment elevation myocardial infarction)

43
Q

A plastic coated wire that gives added rigidity and shape to the endotracheal tube

A

stylet

44
Q

A moderate to severe complication affecting the systems of the body; after administration of medications, the reaction might be systemic

A

systemic complication

45
Q

A rapid, completely disorganized ventricular rhythm with chaotic characteristics, no specific pattern, and no discernible P, QRS, or T waves

A

ventricular fibrillation

46
Q

The presence of 3 or more abnormal ventricular complexes in a row with a rate of more than 100 beats/min

A

ventricular tachycardia