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4 Cards in this Set
- Front
- Back
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List the procedure for describing a CXR |
Name and age of person Date/Time when X-Ray taken AP or PA, lateral, etc film Assess quality of film: R - rotation I - inspiration P - penetrance A - airway deviated, branches at corona? B - breathing - bronchiole markings, masses C - cardiac and circ vessels D - diaphragm E - external lines/devices |
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List procedure for presenting an ECG |
Pt name, age, etc When ECG taken Rate Rhythm Axis Intervals - PR and QRS P waves - sinus rhythm? Heart block? QRS waves - BBB? ST segment - elevated? DDx |
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Describe the different heart blocks. |
First degree: PR interval elongated but one P to every QRS Second degree: Mobitz Type 1 (Wenckebach) - progressive increase in PR interval then drops a QRS. In a constant ratio - every 2nd or 3rd QRS dropped. Mobitz Type 2 - Some SA node impulses (P-waves) are conducted to ventricles, others are not. This can be in a fixed ratio (2:1, 3:1) or random. Third Degree: AV node dissociated from SA node = P waves totally random and not joined to QRS at all. HR will be v low as AV node runs at ~40bpm |
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How do you differentiate between an effusion and a collapse and a pneumothorax? |
Effusion = opacity over affected area with a meniscus line due to liquid and gravity Collapse - trachea deviated toward affected side. White opacity over affected lobe Pneumothorax - no lung markings = darker over affected area. TensionPneumothorax - trachea deviated AWAY from affected side. |
