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Emergency Care 13th edition Chapter 18 Cardiac Emergencies Flashcards

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6782964286What is a general term for problems with the heart?acute coronary syndrome0
6782964287What is another name for acute coronary syndrome?cardiac compromise1
6782964288What is the best known symptom of a heart problem?chest pain2
6782964289How would a patient describe chest pain?crushing / dull / heavy / squeezing3
6782964290To what three areas does pain, pressure, and discomfort associated with cardiac compromise commonly radiate?1. along the arms 2. down to the upper abdomen 3. up to the jaw4
6782964291Although radiating pain is possible in both arms in cardiac compromise, which arm is most common?the left arm5
6782964292What is dyspnea?shortness of breath6
6782964293What is another frequent complaint (and sometimes the only complaint) in cardiac compromise?dyspnea7
6782964294What is bradycardia?slow heart rate8
6782964295How many beats per minute would be bradycardia?less than 60 beats a minute9
6782964296What is tachycardia?fast heart rate10
6782964297How many beats per minute would be tachycardia?more than 100 beats a minute11
6782964298What is asystole?a condition in which the heart has ceased generating electrical impulses.12
6782964299What is another name for an acute myocardial infarction?heart attack13
6782964300What is an acute myocardial infarction (AMI)?condition in which a portion of the mycardium dies as a result of oxygen starvation14
6782964301What is nitroglycerin?a medication that dilates the blood vessels15
6782964302In what three forms is nitroglycerin available?1. tablets 2. sprays 3. patches16
6782964303What is sudden death?a cardiac arrest that occurs within 2 hours of the onset of symptoms.17
6782964304What is the purpose of nitroglycerin?to dilate the blood vessels18
6782964305What are the three side effects of nitroglycerin?1. hypotension (lowers blood pressure) 2. headache 3. pulse rate change19
6782964306What is the maximum number of doses of nitroglycerin?320
6782964307To administer nitroglycerin, what does a patients systolic blood pressure need to be?greater than 90 systolic21
6782964308How many minutes between doses for nitroglycerin?5 minutes22
6782964309What are the 5 conditions that must be met to administer nitroglycerin?1. patient must complain of chest pain 2. patient must have a history of cardiac problems 3. patient must have a prescription of nitroglycerin 4. systolic blood pressure must be above 90 5. must be authorized by medical direction23
6782964310What are the 5 constraindications of nitroglycerin?1. patient has hypotension or systolic blood pressure below 90 2. patient has a head injury 3. patient is an infant or child 4. patient has already taken the maximum prescribed dose 5. patient has recently taken Viagra, Cialis or other ED medications24
6782964311What is the dosage for aspirin?162-324 mg (2-4 81 mg tablets of chewable baby aspirin)25
6782964312What are the 5 side effects of aspirin?1. nausea 2. vomiting 3. heartburn 4. if patient is allergic, bronchospasm, and wheezing 5. bleeding26
6782964313What are the 6 contraindications of aspirin?1. patient is unable to swallow w/o endangering the airway 2. patient is allergic or sensitive to aspirin 3. patient has a history of asthma 4. patient has gastrointestinal ulcer or recent bleeeding 5. patient has a known bleeding disorder 6. medical direction may decide to allow if: patient is already taking aspirin /27
6782964314What three reasons medical direction might not allow a patient to have aspirin?1. patient is already taking aspirin or clot prevention medication 2. pregnant 3. recent surgery28
6782964315What is an aneuysm?the dilation, or ballooning, or a weakened section of the wall of an artery29
6782964316What is coronary artery disease?diseases that affect the arteries of the heart30
6782964317What is a thrombus?a clot formed of blood and plaque attached to the inner wall of an artery or vein31
6782964318What is an occlusion?a blockage32
6782964319What is often the result of the buildup of fatty deposits on the inner walls of arteries?coronary artery disease (CAD)33
6782964320What is an embolism?a blockage of a vessel or artery due to the breaking lose of a thrombus34
6782964321What are two factors that cannot be changed for putting people at risk for CAD?1. heredity 2. age35
6782964322What are factors that can be changed for putting people at risk for CAD?1. hypertension (high blood pressure) 2. obesity 3. lack of exercise 4. elevated cholesterol and triglycerides 5. smoking36
6782964323Where are the two most common sites of aneurysms?1. aorta 2. brain37
6782964324What is dysrhythmia?a malfunction of the hearts electrical system -- an irregular, or absent, heart rhythm38
6782964325What is another name for a myocardial infarction?heart attack39
6782964326What is ventricular fibrillation?a condition in which the heart's electrical impulses are disorganized, preventing the heart muscle from contracting normally40
6782964327What is ventricular tachycardia?a condition in the which the heartbeat is so rapid it does not all the heart's chambers to fill with enough blood between beats to produce sufficient blood flow to the body41
6782964328What are the two shockable rhythms?1. ventricular fibrillation 2. ventricular tachycardia42
6782964329What are the two nonshockable rhythms?1. pulseless electrical activity (PEA) 2. asystole43
6782964330What is another name for asystole?flatline44
6782964331What is a mechanical pump failure?a lack of oxygen causes the death of a portion of the myocardium. It can no longer contract and pump45
6782964332What is angina pectoris?a pain in the chest due to a narrowing of the arteries that supply the heart46
6782964333During what two events does angina pectoris commonly occur?1. exertion 2. stress47
6782964334What is the beneficial action of a beta blocker?it slows the heart and makes it beat less strongly -- results in a decrease in the work the heart has to do48
6782964335In what type of patients is a beta blocker prescribed?patients who suffer from acute myocardial infarction (AMI)49
6782964336What is pedal edema?accumulation of fluid in the feet or ankles50
6782964337What is edema?swelling resulting from the buildup of fluid in the tissues51
6782964338What is pulmonary edema?accumulation of fluid in the lungs52
6782964339What is acute myocardial infarction (AMI)?a condition in which a portion of the myocardium (heart muscle) dies as a result of oxygen starvation53
6782964340What are 11 signs/symptoms of congestive heart failure?1. tachycardia (rapid pulse, 100 beats/minute or more) 2. dyspnea (shortness of breath) 3. normal or elevated blood pressure 4. cyanosis 5. diaphoresis (profuse sweating) 6. cool/clammy skin 7. pulmonary edema -- coughing of frothy white or pink sputum 8. anxiety or confusion due to hypoxia 9. pedal edema 10. engorged, pulsating neck veins 11. enlarged liver and spleen w/ abdominal distention54
6782964341What is congestive heart failure (CHF)?a condition of excessive fluid buildup in the lungs and/or other organs and body parts due to the inadequate pumping of the heart55
6782964342What is the key to high-performance CPR?increasing cardiac output56
6782964343What are the 7 elements of high-performance CPR?1. compressing the chest at least 2 inches in adults 2. allowing for full relaxation on the upstroke of compressions 3. spending half of each compression on the downstroke and half on the upstroke 4. using correct hand position 5. compressing the chest at least 100 times per minute 6. spending no more than one second on each ventilation 7. minimizing interruptions of CPR to no more than 10 seconds each57
6782964344What two links in the chain of survival can an EMT provide?early CPR and rapid defibrilation58
6782964345What do you with AED and the patient loses pulse on way to hospital?pull over and let the AED analyze59
6782964346What is the cause and examples of cardiac arrest in infants?respiratory problems such as airway obstruction and drowning60
6782964347What is the best way to resuscitate infants?aggressive airway management and artificial ventilation w/ chest compressions61
6782964348What should you do if you see a nitroglycerin patch on a patient's chest before using the AED?remove it carefully62
6782964349Why do EMS agencies use a mechanical CPR device?it assist the EMTs with providing high-quality compressions63
6782964350What is the role of EMT in cardiac arrest?use the defibrillator and documents the call64
6782964351What condition could have a patient awake with a pulse?ventricular tachycardia65
6782964352What do you do if a bystander or others are doing CPR?jump in there with them and help.66
6782964353What is most always the reason as to why the AED delivers an inappropriate shock?human error67
6782964354What is the sequence for AED?1. verify arrest 2. start CPR 3. turn on AED 4. apply AED and clear patient 5. press analyze button68
6782964355When using the AED, after how many shocks do you prepare for transport?369
6782964356What is the shock sequece for an AED with a pulseless V-tac?1. deliver 1 shock 2. if patient does not wake up -- perform 2 minutes (5 cycles) of CPR 3. analyze 4. deliver 1 more shock is given the shock message 5. continue with CPR / analyze / shock for 3 shockes70
6782964357What do you say before pushing the shock button on the AED?CLEAR!!!!71
6782964358What are 3 contraindications to using a defibrillator?1. the defibrillator pads won't fit the patient without touching each other. 2. patient has serious trauma 3. patient has hypothermia (attempt once until core temp. is 86 F.)72
6782964359If a patient has chest pain, how should he be treated?as he is having a heart attack73
6782964360What shockable rhythm in cardiac arrest tends to quiver like a bag of worms?ventricular fibrillation74
6782964361What is another name for hypoperfusion?shock75
6782964362What are the 2 most common conditions that result in cardiac arrest?1. ventricular fibrillation 2. ventricular tachycardia76
6782964363What is important on a myocardial infarction?oxygen77
6782964364What is NOT a common condition that results in cardiac arrest?asystole78
6782964365What pain medication will help fix a complete occlusion of the coronary artery?nothing79
6782964366Of the four conditions that result in cardiac arrest, which one can you have a pulse?ventricular tachycardia80
6782964367In cardiac care, what is the best possibility?early defibrillation81
6782964368What does early defibrillation often results in what happening faster?ROSC -- return of spontaneous circulation82
6782964369Does defibrillation work everytime?no83
6782964370What should you do if a bystander is doing high quality CPR?jump in with them and help84
6782964371After an AED shocks, what is the next step?continue with CPR85
6782964372What are the signs and symptoms of an aneurysm?86

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