Exam 1 Review

Question 1

shift of bands greater than 6% indicates

Answer 1

infection

Question 2

What is the treatment for sinus tachycardia?

Answer 2

find underlying cause

Question 3

What’s the treatment for torsades?

Answer 3

magnesium

Question 4

What is the antagonist for Versed, Valium and Ativan?

Answer 4

flumazenil or rozimcon

Question 5

Most accurate O2 delivery?

Answer 5

venturi mask

Question 6

Highest delivery of O2 using low-flow oxygen (aka excluding CPAP/BIPAP, high flow cannula, vented trach and ET tube ventilation)

Answer 6

non rebreather

Question 7

how much can non rebreather give

Answer 7

10-15

Question 8

Proper inflation of ET cuff? What happens if overinflated?

Answer 8

20-25
necrosis

Question 9

What are some causes of metabolic alkalosis?

Answer 9

-Loss of gastric acid from vomiting
-Diuretics that lead to hypokalemia
-Burns that lead to volume depletion
-Antacid overdose
-Primary hyperaldosteronism

Question 10

Elevated leads in an anterior vs inferior MI

Answer 10

Inferior MI- shows in leads II, III and AVF
Anterior MI- shows in leads V2, V3, and V4 (sometimes V5 and V6 if severe)

Question 11

Geriatric population is prone to which acid-base disorder?

Answer 11

Metabolic acidosis and dehydration due to decreased function of renal tubules

Question 12

Why are geriatric patients more at risk for negative effects due to polypharmacy?

Answer 12

Decreased liver function

Question 13

main problem with a fib

Answer 13

problem with the atrias

Question 14

what are a fib at risk for

Answer 14

blood clots
mural thrombi

Question 15

treatment for 3rd degree

Answer 15

pacemaker

Question 16

sinus bradycardia is caused by

Answer 16

hypoxia

Question 17

afterload is

Answer 17

force the heart pumps against

Question 18

prelaod

Answer 18

degree of stretch

Question 19

anterior MI

Answer 19

V2, V3, V4

Question 20

inferior MI

Answer 20

2, 3, avf

Question 21

most accurate way to recieve oxygen

Answer 21

venturi

Question 22

most amount to recieve oxygen

Answer 22

non rebreather

Question 23

inflate ET to much

Answer 23

necrosis

Question 24

after putting an ET in what should we do

Answer 24

listen for breath sounds

Question 25

how to treat sinus tach

Answer 25

underlying cause - fever, meds, exercise, anxiety

Question 26

difference between sinus arrhythmia and sinus rhythm

Answer 26

arrhythmia is IRREGULAR

Question 27

what happens with the P and T wave in SVT

Answer 27

blend together

Question 28

what will you not see in junctional

Answer 28

P wave

Question 29

couplet

Answer 29

2 next to each other

Question 30

bigeminy

Answer 30

every second beat

Question 31

trigeminy

Answer 31

every third beat

Question 32

what is the first thing you do in Vtach

Answer 32

assess your patient for a pulse

Question 33

treatment for Vtach with a pulse

Answer 33

adenosine cardioversion valsalva mauver

Question 34

treatment for Vtach without. pulse

Answer 34

CPR and defibrillator

Question 35

treatment for torsades

Answer 35

cardioversion and mag

Question 36

cause of torsades

Answer 36

QT prolongation, meds, hypokalemia, subarachnoid bleed

Question 37

course v fib is called

Answer 37

undefinable

Question 38

what do we do if someone is in vfib

Answer 38

assess pulse * should be pulsless

Question 39

first degree AV block

Answer 39

long PR interval over 0.20

Question 40

second degree type 1

Answer 40

long PR and get longer and then drops QRS

Question 41

2nd degree type 2 how does the PR look

Answer 41

fixed but you just have random drops

Question 42

3rd degree how will it look

Answer 42

everything is there just random not in synch

Question 43

treatment for third degree

Answer 43

pacemaker

Question 44

only difference between BBB and idioventricular is the

Answer 44

P wave in BBB

Question 45

normal AV paced is called

Answer 45

DDD

Question 46

failure to sense undersensing

Answer 46

decrease MV which increases sensitivity

Question 47

failure to sense over sensing

Answer 47

increase MV which decreases sensivitvuty

Question 48

how will a failure to caputure look

Answer 48

spikes in correct spot but no following waves

Question 49

what to avoid with a pacemaker

Answer 49

large magnet fields

Question 50

V fib first thing

Answer 50

assess

Question 51

hold what meds with bradycardia

Answer 51

blood pressure meds

Question 52

mallampadi score

Answer 52

1 is easy 4 is hardest

Question 53

reversal agents

Answer 53

narcan: opoids flumazenil: benzo

Question 54

how to confirm Et

Answer 54

X ray and breathsoinds

Question 55

what if you have ET but don't hear breathsounds

Answer 55

in too deepo

Question 56

ET tube infation

Answer 56

20-25

Question 57

elderly decrease function of what organ due to what

Answer 57

kidney/ M. acidosis liver/polypharm

Question 58

hypoxia criteria

Answer 58

less than 80

Question 59

severe hypoxia criteria

Answer 59

less than 60

Question 60

how far above should the ET tube be

Answer 60

4cm above carina

Question 61

ASA sedation score

Answer 61

1: healthy 5: dying with out surgery

Question 62

how to find CO

Answer 62

HR X Stroke volumec

Question 63

categories for stroke volume

Answer 63

preload afterload contracility

Question 64

capture definition

Answer 64

hearts response to pacemaker stimuli

Question 65

sensing

Answer 65

detect electrical activity

Question 66

transcutaneous pacemaker

Answer 66

on the skin

Question 67

epicardial pacemaker

Answer 67

after heart surgery

Question 68

transvenous pacemaker

Answer 68

in surgery

Question 69

most physiologic pacing

Answer 69

DDD

Question 70

monitor after PTCA for

Answer 70

bleeding

Question 71

what can cause metabolic alkalosis

Answer 71

vomiting diuretics - hypokalemia burns antacids primary hyperaldosteronism