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25 Cards in this Set
- Front
- Back
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Wolff-Parkison-White is what kind of syndrome?
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Preexcitation and occurs in 3 of 1000 people.
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WPW is charterized by what ekg changes?
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Short PR interval less then .12 and a long QRS duration(more then .12) Upstroke of the QRS often has a slur, called the Delta Wave.
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An accessory AV conduction pathway that is thought to be resposible for the ECG findings of preexcitation syndrome
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Bundle of Kent
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WPW pts are usually asymptomatic of symptomatic?
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Asymptomatic however it is associated with a high incidence of tachydysrhythmias usually through a reentry mechanism
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WPW is also frequently associated with what defects?
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Organic heart disease such as atrial septal defects or mitral valve prolapse. Base treatment on underlying rhythm.
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Hyperkalemia is?
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Excessive potassium in the blood
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Hypokalemia is\?
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Deficient pottasium levels in the blood. Very low levels can widen the QRS complex
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Hypothermia can make what wave apparent
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J Wave, it is a slow positive deflection at the end of the QRS complex. J wave is also known as the Osborn wave.
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When assessing your cardiac pt, first note what?
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The most important things first, Airway, breathing, circulatory problems and shock are always the most important during the first minute of pt care.
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When checking the skin for perfusion, what do you look for?
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Color, Temperature, Moisture, Turgor, Mobility and Edema
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Cardiac disease can radiate pain to these locations?
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Shoulder, Neck, Jaw or Back
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Focused history will include OPQRST, what does that stand for?
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Onset
Provocation/Palliation Quality Region/Radiation Severity Timing |
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With dyspnea during your assessment, what you are looking for?
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Duration
Onset Provocation Orthopnea- Does sitting up give relief? |
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If in doubt about a medication allergy do what?
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Withold and contact medical control.
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T or F, Try to bring all medications with you to the hospital?
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T
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What angle is best to check for JVD?
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45 Degree
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S3 heart sound has a cadence like "Kentucky" S4 sound is like what?
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Tennessee
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What is the primary skill for managing serious cardiovascular problems
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BLS
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Precordial thump is done from how high?
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10 to 12 inches and done early
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Process of passing electricity through the heart to reorganize rhythm?
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Defibrillation
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Antidysrhythmics drugs are as listed
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Atropine sulfate
Lidocaine Procainimide Bretylium Adenosine Amiodarone(Cordarone) Verapamil Magnesium Sulfate |
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Sympathomimetic agents as listed
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Epinephrine
Norepinephrine Isproterenol Dopamine Dobutamine Vasopressin |
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Drugs used for Myocardial Ischemia
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Oxygen
Nitrous Oxide Nitroglycerin Morphine Sulfate Fentanyl Nalbuphine |
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Fibrinolytic agents act to break up clots blocking a vessel. (See List)
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Asa
Alteplase (Activase) Reteplase (Retavase) Tenecteplase (TNKase) |
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Other Prehospital drugs that may be ordered by med control
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Furosemide (lasik)
Diazepam Promethazine (Phenergan) Sodium Nitroprusside (Nipride) |
