Exam (elaborations)
FISDAP READINESS, FISDAP Readiness with complete solution
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FISDAP READINESS, FISDAP Readiness with complete solution
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F I S D A PR E A D I N E S S ,
F I S D A P
R e a d i n e s s
Where
are
Beta
1
receptors
found?
-
ANS-Heart
and
Kidneys
Stimulation
of
Beta
1
receptors
result
in
an
increase
of
what?
-
ANS-Heart:
Inotropy,
Chronotropy ,
Dromotropy
Kidneys:
Renin-Angiotensin-Aldosterone
System
=
Vasoconstriction
=
Increase
blood
pressure
Which
node
is
located
at
the
junction
of
the
superior
vena
cava
and
the
right
atrium,
is
typically
supplied
by
the
Right
Coronary
artery,
and
fires
at
a
rate
of
60-100
bpm.
-
ANS-SA
Node
Atrial
depolarization
characterized
by
smooth,
round,
upright
deflection
less
than
0.11
secs
long
and
less
than
2.5mm
tall
is
referred
to
as
what
on
the
ECG?
-
ANS-P
wave
Carvedilol
(Coreg)
Metropolol
(Lopressor)
Atenolol
(Tenormin)
Propranolol
(Inderal)
Bisoprolol
(Zebeta)
Acebutolol
(Sectral)
Comolol
(Brevibloc)
-
ANS-Beta
Blockers
-
used
for
blood
pressure
and
cardiac
problems
Epinephrine
Norepinephrine
Vasopressin
Dopamine
Phenylephrine
Dobutamine
-
ANS-Vasopressors
The
middle
of
phase
3
to
beginning
of
phase
4
in
the
cardiac
cycle
where
cardiac
cells
are
partially
refractory
and
partially
repolarized
and
certain
cells
can
be
depolarized
in
response
to
electrical
stimulus.
-
ANS-Relative
Refractory
Period
(Partial
flush
of
the
toilet) Treatment
for
Beta
Blocker
Overdose
-
ANS-Glucagon:
1-5mg
IV/IO
(1st
Line
Drug)
Calcium
Chloride:
500mg
-
1g
IV/IO
Swelling
of
affected
limb,
pain
and
tenderness,
inflammation/redness,
warm
to
touch
on
affected
limb,
pain
on
dorsiflexion
(Homan
Sign)
are
all
signs
of?
-
ANS-DVT
Treatment
of
DVT
-
ANS-Supportive
Care,
Position
of
Comfort,
Establish
IV,
Cardiac
Monitor,
Pulse
Ox,
O2,
Monitor
vitals
for
embolism.
Do
not
massage
affected
limb.
The
pressure
gradient
that
drives
coronary
blood
pressure.
The
difference
between
aortic
diastolic
pressure
and
left
ventricular
end
diastolic
pressure
that
perfuses
the
coronary
arteries.
-
ANS-Coronary
Perfusion
Tachycardia,
Difficulty
Breathing,
Diminished
Lung
Sound,
Pulse
Quality
Changes,
and
unequal
chest
rise
are
early
signs
and
symptoms
of?
-
ANS-Tension
Pneumothorax
Air
is
entering
the
pleural
space
but
cannot
escape.
Positive
pressure
ventilation
can
make
it
worse.
Criteria
for
Unstable
Dysrhythmia
-
ANS-Ischemic
Chest
Pain
ALOC
Hypotension/Hypovolemia
Signs
of
Shock
Acute
Heart
Failure
Restriction
of
of
cardiac
contraction,
falling
cardiac
output,
and
shock
as
a
result
of
pericardial
fluid
accumulation
are
characteristics
of?
-
ANS-Cardiac
Tamponade
Hypotension,
SOB,
Lightheadedness,
Chest
Pain,
Syncope,
Palpitations,
Extremity
Swelling,
and
Muffled
heart
sounds
are
signs
and
symptoms
of?
-
ANS-Cardiac
Tamponade
Indications
for
Dopamine
-
ANS-Cardiogenic
Shock
Distributive
Shock
after
fluids
Hemodynamically
significant
Hypotension Symptomatic
Brady
(2nd
Line
drug)
AHA
Guidlines
for
Terminating
CPR
efforts
in
field(4)
-
ANS-Arrest
was
not
witnessed
No
bystander
CPR
was
administered
ROSC
was
not
achieved
after
complete
ALS
care
in
the
field
No
shocks
were
administered
Time
frame
that
starts
at
the
patient
contact
by
EMS
and
ends
with
definitive
therapy
of
catheter
passing
through
lesion
of
coronary
vessel.
-
ANS-EMS-to-Balloon-T ime
Time
from
patient
entering
ED
to
catheter
passing
through
lesion
of
coronary
vessel.
-
ANS-Door-to-balloon-time
Time
from
patient
entering
ED
to
fibrinolytic
therapy
administration.
-
ANS-Door-to-needle-time
Time
frame
for
door-to-balloon
-
ANS-<90mins
Time
frame
for
door-to-needle
-
ANS-<30mins
Principle
symptom
of
Coronary
Artery
Disease
or
Acute
Coronary
Syndrome
that
occurs
when
supply
of
O2
is
to
the
myocardium
is
insufficient
to
meet
demand
and
cells
become
ischemic?
-
ANS-Angina
Pectoris
Chest
pain
that
occurs
at
rest
and
is
caused
by
coronary
artery
vasospasm?
Risk
for
Dysrhythmia,
MI,
Heart
Block
and
Death
-
ANS-Prinzmetal
Angina
(PA)
Which
electrolyte
flows
into
cardiac
cells
to
initiate
depolarization?
-
ANS-Sodium
(Na+)
Which
electrolyte
flows
out
of
cardiac
cells
to
to
initiate
repolarization?
-
ANS-Potassium
(K+)
Which
electrolyte
plays
a
major
role
in
depolarization
of
pacemaker
cells
to
maintain
depolarization
and
myocardial
contractility?
-
ANS-Calcium
(Ca++) Which
electrolyte
stabilizes
cell
membrane
and
acts
in
concert
with
K+
and
opposes
actions
of
Ca++?
-
ANS-Magnesium
(Mg++)
Hypokalemia
results
in?
-
ANS-increased
myocardial
irritability
Hyperkalemia
results
in?
-
ANS-decreased
automaticity/conduction
Hypocalcemia
results
in?
-
ANS-decreased
contractility
and
increased
irritability
Hypercalcemia
results
in?
-
ANS-Increased
contractility
Hypomagnesemia
results
in?
-
ANS-decreased
conduction
Hypermagnesemia
results
in?
-
ANS-increased
myocardial
irritability
Four
properties
of
the
Cardiac
Conduction
System
-
ANS-Excitability
-
cells
respond
to
electrical
impulse
Conductivity
-
cells
pass
impulse
to
one
another
Automaticity
-
hearts
ability
to
generate
its
own
electrical
impulse
Contractility
-
hearts
ability
to
contract
when
stimulated
Affects
of
RCA
occlusion
in
terms
of
the
SA
node
ischemia?
-
ANS-SA
node
becomes
ischemic
=
slower
firing
rate
(<60-100)
or
cease
fire
completely
causing
another
automaticity
foci
to
take
over
such
as
AV
(40-60)
or
Purkinje
(20-40).
Which
electrolytes
are
responsible
for
depolarization?
-
ANS-Sodium
and
Calcium
influx
Which
electrolyte
is
responsible
for
repolarization?
-
ANS-Potassium
outflow
Indications
for
CPAP
(5)
-
ANS-Alert
and
able
to
follow
commands
Moderate
to
Severe
Respiratory
Distress
Hyperventilation
SpO2
<90%
Systolic
>90mmHg
Contraindications
for
CPAP
(8)
-
ANS-Respiratory
Arrest
Hypoventilation
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