EVERYTHING Flashcards

(28 cards)

1
Q

This type of pain originates when hollow organs are obstructed producing cramps and diffuse, side spread pain.

A

Visceral

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2
Q

__________ is a progressive, degenerative disease of medium and large arteries.

A

Atherosclerosis

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3
Q

What is the difference between stable and unstable angina?

A

Stable angina occurs after a predictable amount of exertion and is similar to other attacks, unstable angina is characterized by noticeable changes in frequency severity and duration of pain.

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4
Q

A run of Ventricular Tachycardia occurs if at least __________ Premature Ventricular Contractions occur in a row.

A

3

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5
Q

What is Status Asthmatics?

A

Prolomged Asthma attack that does not respond to drug therapy.

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6
Q

Numbness and tingling in hands and feet cause by hyperventilation is due to?

A

Respiratory Alkalosis, decrease in CO2 levels

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7
Q

What is the primary antibody involved in an anaphylactic reaction?

A

IgE, Immunoglobulin E mediates allergic reactions.

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8
Q

What is digital clubbing MOST indicative of?

A

Chronic Hypoxia, and is thickening of finger tips.

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9
Q

Normal range of EtCO2?

A

35-45 mmHg

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10
Q

What is Dysphagia?

A

Difficulty speaking

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11
Q

Formula for IV flow rate

A

Volume (ml)
—————– × Drip Set (gtt/ml) = Flow
Minutes

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12
Q

Medication formula

A

Wanted dose
——————– × Volume = Dose
Dose on hand

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13
Q

What is Orthostatic Tilt Testing?

A

Taking blood pressure while laying down, sitting and standing.

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14
Q

What should you do with a prolasped cord?

A

Transport quickly, gently pushed baby off chord if needed, have mom pant through contractions to avoid pushing.

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15
Q

Meconium staining indicates?

A

Fetal distress in utero

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16
Q

At what point do you begin breathing for your patient?

A
  • Absent breathing: Ventilate twice, check pulse.
  • Less than 8 resp/min: Ventilate at 8-10/min or every 5-6 seconds.
  • Low Tidal Volume: Ventilate at 8-10/min or every 5-6 seconds.
17
Q

Formula for MAP?

A

(2×DBP)+SBP
—————– = Mean Arterial Pressure
3

18
Q

Indications for BVM

A
  • Apneic patients
  • Patients whose respiratory rate is too slow or too fast to provide adequate tidal volume.
19
Q

Indication and Contraindications of CPAP.

A

Indications:
- Hypoxia secondary to CHF
- Acute cardiogenic shock
- Pulmonary Edema
- Asthma / COPD
- Respiratory rate under 25, SPO2 less that 92% and accesory muscle usage.
Contraindications:
- Pneumothorax / chest trauma
- Tracheotomy
- Hemodynamically unstable
- Altered LOC
- Actively vomiting
- Upper GI bleed
- Respiratory rate under 12
- Unable to fit mask

20
Q

Signs of compensated shock

A
  • Weakness / light headedness (decreased blood volume)
  • Pallor / Pale (vasocontriction)
  • Tachycardia / Tachypnea (release of catecholamines)
  • Diaphoresis (release of catecholamines)
  • Weakened peripheral pulses (shunting)
  • thirst (hypovolemia)
21
Q

What is Shunting?

A

The passage of blood from one area to another.

22
Q

What are catecholamines?

A

A neurohormones that are important in stress response. They include Dopamine, Norepinephrine and Epinephrine. They increase HR, BP, RR, muscle strength and mental alertness.

23
Q

Signs of Decompensated Shock?

A
  • Hypotension (diminished cardiac output)
  • Altered LOC (decreased cerebral perfusion)
  • Cardiac Arrest
24
Q

What is Becks Triad?

A

Indicated Cardiac Tamponade.
- Low BP
- Muffled Heart Sounds
- JVD

25
What is Cushing's Triad?
Indicates increased ICP. - Widened Pulse Pressue (increasing difference between DBP and SBP) - Bradycardia - Irregular Respirations
26
What happens when ICP becomes greater than MAP?
The brain can no longer receive enough O2.
27
Why is it important to have an IV started before relief of a crush patient?
The buildup of toxins due to lack of blood flow will all rush back into the circulation and can cause major issues.
28
What is the Parkland Burn Formula?
4ml × % BSA × pt weight in Kg = Vol - Half is given in the first 8 hours and the remander in given over subsequent 16 hours - Ringers preferred as NaCl can cause hyperchloremic acidosis is such a large quantity.