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EMT Exam 2
Cardiology
183
Medical
Undergraduate 1
02/24/2013

Additional Medical Flashcards

 


 

Cards

Term
Hypothermic
Definition
Have bradycadic heart rate. Check central pulse for 45 seconds
Term
Acute coronary syndrome
Definition
A term used to describe a group of symptoms caused by myocardial ischemia; includes angina and myocardial infarction.
Term
Acute coronary syndrome Signs and Symptoms
Definition
Weakness nausea, sweating, pressure that is crushing or squeexing, pressure in lower jaw abdomnen arms and neck, irregular heart beat and fainting, dsypenia
Term
Acute myocardial infarction
Definition
A heart attack; death of heart muscle following obstruction of blood flow to it. Acute in the context means "new" or "happening right now"
Term
AED can shock
Definition
ventricular fibrillation and ventricular tachycardia
Term
Angina
Definition
Is temporary chest pain. Caused by the inside diameter of the coronary artery becomes smaller by plaque build up. No muscle death.
Term
Angina is relieved by
Definition
Rest, Oxygen and Nitroglycerin.
Term
Angina Signs symptoms
Definition
Chest pain, Sweat, Symphatic Response. Onset may be Physical exercise or emotional stress.
Term
Angina pectoris
Definition
Transient (short-lived) chest discomfort caused by partial or temporary blockage of blood flow to the heart muscle.
Term
Angina Treatment
Definition
Oxygen, aspirin, nitroglycerin.
Term
Aorta
Definition
The main artery, which receives blood from the left ventricle and delivers it to all the other arteries that carry blood to the tissues of the body
Term
Aortic Aneurysm
Definition
A weakness in the wall of the aorta that makes is susceptible to rupture.
Term
Aortic valve
Definition
The one-way valve that lies between the left ventricle and the aorta and keeps blood from flowing back into the left ventricle after the left ventricle ejects its blood into the aorta.
Term
Arrhythmia
Definition
An irregular or abnormal heart rhythm
Term
Aspirin
Definition
Anti-clotting, Pain killer, Anti- Inflammatory. And is commonly given to patients with MI (Heart Attack)
Term
Asystole
Definition
Absence of all electrical heart activity
Term
Atherosclerosis
Definition
A disorder in which cholesterol and calcium build up inside the walls of blood vessels, eventually leading to partial or complete blockage of blood flow.
Term
Atria
Definition
Are the two upper chambers of the heart.
Term
Atrium
Definition
One of two (right and left) upper chambers of the heart the right atrium receives blood from the vena cava and delivers it to the right ventricle. The left atrium receives blood from the pulmonary veins and delivers it to the left ventricle.
Term
Automaticity
Definition
This electoral signal is automatically generated.
Term
Autonomic nervous system
Definition
The part of the nervous system that controls the involuntary activities of the body such as the heart rate, blood pressure, and digestion of food.
Term
AV Node
Definition
Atrioventricular node slows the contraction of the ventricles by 2 tenths of a second to allow blood to flow in the ventricles
Term
Before you give Nitroglycerin
Definition
1. Medication must belong to the Patient
2. They cannot be allergic to nitro. ñMust ask the patient.î
3. Cannot have taken any ED medications within 40hrs.(Viagra Cialis or Levitra.)
4. Medication must be not expired.
5. BP must be higher than 90 Systolic
EMTÍs Assist at with Nitro.
Term
Blood and clots.
Definition
Blood is a fluid medium that is designed to be in motion. Begins to clot without movement. Clots come to Bifurcation and get stuck.
Term
Bradycardia
Definition
Heart rate under 60 beats per min
Term
Cardiac Arrest
Definition
A state in which the heart fails to generate effective and detectable blood flow; pulses are not palpable in cardiac arrest, even if muscular and electrical activity continues in the heart.
Term
Cardiac Output
Definition
The volume of blood that is pumped through the heart in 1 min. Cardiac Output = Heart Rate * Stroke Volume (SV) (Average 70ML)
Term
Cardiogenic shock
Definition
A state in which not enough oxygen is delivered to the tissues of the body, caused by low output of blood from the heart. It can be a severe complication of a large acute myocardial infarction, as well as other conditions
Term
Cardiogenic shock causes
Definition
Pump failure; Heat attack, trauma to heart, obstructive causes
Term
Central pulse
Definition
Femoral, Carotid on the central body
Term
Commotio Cordis
Definition
Interrupts the electrical system of the chest and causes MI
Term
Congestive Heart Failure
Definition
A disorder in which the heart loses part of its ability to effectively pump blood, usually as a result of damage to the heart muscle and usually resulting in a backup of fluid into the lungs.
Term
Congestive heart failure left side Signs and symptoms
Definition
Pulmonary Edema, Severe shortness of breath while sleeping, increased BP and Respirations, crackles.
Term
Coronary Arteries
Definition
The blood vessels that carry blood and nutrients to the heart muscle.
Term
Coumadin
Definition
Anticoagulant and can make a minor bleed a sever problem.
Term
Defibrillate
Definition
To shock a fibrillating (chaotically beating) heart with specialized electrical current in an attempt to restore a normal, rhythmic beat.
Term
Dependent Edema
Definition
Swelling in the part of the body closest to the ground, caused by collection of fluid in the tissues; a possible sign of congestive heart failure.
Term
Diaphoretic, Sudden onset of left jaw pain, vitals: BO118/80, P 70, R 18
Definition
Acute coronary syndrome.
Term
Diastolic pressure
Definition
Resting pressure
Term
Dilation
Definition
Widening of a tubular structure such as a coronary artery.
Term
Dissecting Aneurysm
Definition
A condition in which the inner layers of an artery, such as the aorta, become separated , allowing blood (at high pressures) to flow between the layers.
Term
Dyspnea
Definition
Shortness of breath
Term
Electrical conduction system of the heart.
Definition
is the normal pacemaker of the heart and automatically sends an electrical signal to make the heart constrict. First it contracts the atria. This impulse moves to the AV node. The AV node slows the signal to allow the ventricles to fill with blood and passes the signal to Purkinje fibers and contract the ventricular muscle cells.
Term
Embolus
Definition
is a moving clot inside the clot often a blood clot (Could be any foreign matter inside the body)
Term
Erythrocytes
Definition
Red Blood cells
Term
Flow of blood through the heart
Definition
Deoxygenated blood enters the through the Vena Cava to the Right Atrium to the Right Ventricle of the heart. Then pumps out of the heart through the Left Ventricle then to the aortic artery to the rest of the body. Left side of the heart is a high-pressure system because it has to pump blood to all the body. Pulmonary Artery to the Lungs This side is a low pressure system and pumps blood to the lungs, From the lungs it goes to the pulmonary veins then to the left atrium to the
Term
Hemorrhagic
Definition
Rupture of a blood vessel.
Term
Hypertensive emergency
Definition
An emergency situation created by excessively high blood pressure, which can lead to serious complications such as stroke or aneurysm.
Term
Hypofusion or shock
Definition
Inadequate perfusion or cellular gas exchange.
Term
Hypotensive
Definition
Blood pressure that is lower than normal
Term
Infarction
Definition
Death of a body tissue, usually caused by interruption of its blood supply.
Term
Ischemia
Definition
Is a lack of blood flow to a certain portion of the body.
Term
Ischemic Stroke
Definition
Blockage of a blood vessel.
Term
Left Heart Failure
Definition
Causes Pulmonary Edema.
Term
Left Ventricle
Definition
Pumps blood to the aorta to the body. Most muscular chamber.
Term
Lumen
Definition
The inside diameter of an artery or other hollow structure.
Term
Myocardial infarction Signs and symptoms
Definition
Sudden onset of weakness, nausea, sweating without obvious cause, Chest pain discomfort, pressure that is often crushing or squeezing that does not change with each breath, Pain, discomfort, or pressure in the lower jaw, arms, back abdomen or neck; Irrefular hearbeat and syncope; Dyspena, Spink frothy sputum, Sudden death.
Term
Myocardial Infarction
Definition
Blockage of an artery that deprives the heart oxygen and becomes ischemic. Without treatment heart tissue begins to die in 20 min.
Term
Myocardial Infraction Pain
Definition
May be caused my exersion, sometimes when siting quitly or sleeping, Does not resolve in a few minutes; it can last between 30mn to several hours. May or may not relieved by rest and nitroglycerin.
Term
Myocardial Infarction Common findings
Definition
Patient appears frightend, Nausea, vomiting, cold sweat. Skin is Pale or ashen gray
Term
Myocardium
Definition
The heart muscle
Term
Nitroglycerin
Definition
Headache is a normal side effect. Is a Vasodilator. May cause the brain to not receive enough oxygen or glucose and cause an altered metal state. Position patient in supine will help brain receive nutrients so the heart does not have to pump against gravity.
Term
Nocturnal Dyspnea
Definition
Shortness of breath that occurs at night
Term
Norepinephrine
Definition
Releases Beta 1, Beta 2, and Alpha 1
Term
Occlusion
Definition
A blockage, usually of a tubular structure such as a blood vessel.
Term
Onset
Definition
What were you doing when it started
Term
OPQRST
Definition
Onset, Provocation, Quality, Radiation, Serverity, Time. Measure Pain.
Term
Parasympathetic Nervous System
Definition
The part of the autonomic nervous system that controls vegetative functions such as digestion of food and relaxation. Rest and digestion/ Relax. (decrease pulse)
Term
Patient has taken a does of nitroglycerin with no relief.
Definition
Assist with administration of aspirin. MI is suspected.
Term
PEA
Definition
Pulseless Electrical Activity
Term
Perfusion
Definition
The flow of blood through body tissues and vessels.
Term
Peripheral pulse
Definition
On the limbs
Term
Plaque
Definition
Builds up inside arteries is made up of Fat and Cholesterol, and Red Blood cells.
Cocaine builds up plaque in arteries.
Term
Provocation
Definition
Does anything make it worse? If it hurts when I push on pain.
Term
Pulmonary artery
Definition
is the only artery that carries deoxygenated blood. Which is pumped to the lungs then returned via pulmonary veins.
Term
Pulmonary Edema
Definition
Fluid in the lungs.
Term
Pulse Oximetry
Definition
Measures the amount of oxygen in the capillaries. Normal Oxygenation of the blood is 95 and anything less than that is bad.
Term
Purkinje Fiber
Definition
s is where muscles take place.
Term
Quality
Definition
What does it feel like, one word to describe the pain. Sharp, tightening, stinging crushing
Term
Radiation
Definition
Does it move anywhere.
Term
Recovery Position
Definition
Recommended for patients that have pulse and adequate respiratory rate.
Term
Right Atrium
Definition
Receives blood from the body through the superior venae cavae.
Term
Right heart failure
Definition
Causes Jugular vein distension (JVD)
Term
Right Ventricle
Definition
Pumps blood to the lung
Term
SA Node
Definition
Sinoartial Node is the normal pacemaker of the heart and automatically sends an electrical signal to make the heart constrict.
Term
Scenario: 92 year old man. Headache, difficulty breathing, slurred speech, and loss of grip in left hand.
Definition
Signs of Stroke.
Term
Scenario: AED delivers a "no shock indicated" message for a patient with no palpable carotid pulse. What should you suspect?
Definition
AED can shock ventricular fibrillation and ventricular tachycardia. AED will not help PEA Pulseless Electrical Activity.
Term
Severity
Definition
On a scale of 1 to 10 how is your pain.
Term
Sickle cell Anemia
Definition
Inhibits red blood cells (erythrocytes) from delivering oxygen. Sickled shaped cells cause clotting in capillaries beds.
Term
Signs of Hypofusion
Definition
Altered mental status. Brain is not receiving enough nutrients.
Term
Skin Cool, clammy, ashen. Decreased level of consciousness, no longer palpate a radial pulse. What should you do?
Definition
Assess carotid pulse
Term
Stroke volume
Definition
The volume of blood ejected with each ventricular contraction
Term
Stroke Hemoragatic
Definition
Brain Bleeding
Term
Brain Bleeding
Definition
Blood pressure will increase then taper off and as the condtion worsens BP will drop.
Term
Sympathetic Nervous System
Definition
The part of the autonomic nervous system that controls active functions such as responding to fear (Fight or Flight And releases Norepinephrine and epinephrine.)
Term
Syncopal Episode
Definition
Brief loss of consciousness, body muscles lose tone because the brain is not being perfused adequately.
Term
Syncope
Definition
A fainting spell or transient loss of consciousness.
Term
Systolic Pressure
Definition
Is the pressure that forces blood into the arteries
Term
Tachycardia
Definition
Pulse over 100 Beats per min. referred to as Tachy.
Term
Thromboembolism
Definition
A blood clot that has formed within a blood vessel and is floating within the blood stream.
Term
Thrombus
Definition
is a stationary clot somewhere inside the body.
Term
Time
Definition
When did it start?
Term
Ventricle
Definition
One of the (right and left) lower chamber heart of the heart. The left ventricle receives blood from the left atrium(upper chamber) and delivers blood to the aorta. The right ventricle receives blood from the right atrium. And pumps it into the pulmonary artery.
Term
Ventricular fibrillation
Definition
Disorganized quivering of the ventricles and no blood is pumped through the body. Most common way people die of heart attack. Cardiac arrest.
Term
Ventricular tachycardia
Definition
Rapid heart rhythm is which the electrical impulse begins in the ventricle (instead of the atrium), which may result in inadequate blood flow and eventually deteriorate into cardiac arrest. Rate of 150 - 200
Term
When checking a patients pulse during cpr what artery should you palpate?
Definition
Carotid on the neck
Term
White blood cells
Definition
Kill germs and produce anti bodies.
Term
Pharmacology
Definition
the study of properties and effects of medication
Term
absorption
Definition
the process by which medications travel through body tissues until they reach the blood stream
Term
absorption
Definition
the process by which medications travel through body tissue until they reach the blood stream
Term
action
Definition
the therapeutic effect of medication on the body
Term
activated charcoal
Definition
an oral medication that binds and absorbs ingested toxins in the gastrointestinal tract for treatment of some poisonings and medication overdoses. Charcoal is ground into very fine powder that provides the greatest possible surface area for binding medications that have been taken by mouth it is carried on the ems unit
Term
agonist
Definition
a medication that causes stimulation of receptors
Term
antagonists
Definition
a medication that binds to a receptor and blocks other medications
Term
aspirin
Definition
a medication that is an antipyretic (reduce fever), analgesic (reduce pain), anti - inflammatory (reduce inflammation), and potent inhibitor of platelet aggregation (clumping)
Term
contraindication
Definition
conditions that make particular medication or treatment inappropriate; for example a condition in which a medication should not be given because it would not help or may actually harm the patient
Term
dose
Definition
the amount of medication given on the basis of the patients size and age
Term
EMT-Administrered Medication
Definition
When the emt directly administers the medication to the patient
Term
enteral medication
Definition
medications that enter the body through the digestive system
Term
epinephrine
Definition
a substance produced by the body (commonly called adrenaline), and a drug produced by pharmaceutical companies that increases pulse rate and blood pressure; the drug of choice for an anaphylactic reaction
Term
gel
Definition
a semiliquid substance that is administered orally in capsule form or through plastic tubes
Term
generic name
Definition
the original chemical name of a medication (in contrast with one of its trade names) the name is not capitalized
Term
hypoglycemia
Definition
an abnormally high glucose level in the blood
Term
indications
Definition
the therapeutic use for a specific medication
Term
inhalation
Definition
breathing into the lungs; a medication delivery route
Term
intended effect
Definition
the effect that medication is expected to have on the body
Term
Intramuscular IM injection
Definition
an injection into the muscle a medication delivery route
Term
intranasal IN
Definition
a delivery routine in which medication is pushed through a specialized atomized device called a mucosal atomized device (MAD) into the naris
Term
intraosseous IO injection
Definition
rigid boring catheters placed into a bone to provide intravenous fluid
Term
Intravenous IV injection
Definition
a medication injected directly into the vein; a medication delivery routine
Term
Medication
Definition
a chemical substance that is used to treat or prevent disease or relieve pain
Term
metered dose inhaler MDI
Definition
a miniature spray canister used to direct medications through the mouth and into the lungs
Term
mucosal atomizer device MAD
Definition
a device that is used to change a liquid medication into a spray and push it into a nostril
Term
nitroglycerin
Definition
a medication that increases cardiac perfusion by causing arteries to dilate you may be allowed to help the patient self administer the medication
Term
oral
Definition
by mouth; a medication delivery route
Term
oral glucose
Definition
a simple sugar that is readily absorbed by the bloodstream it is carried on the ems unit
Term
over the counter (OCT) Medication
Definition
Medication that may be purchased directly by a patient without prescription
Term
oxygen
Definition
a gas that cells need for metabolism the heart and brain especially cannot function without oxygen
Term
parental medication
Definition
medications that enter the body by a route other than the digestive tract, skin, or mucous membranes
Term
patient assisted medication
Definition
when the EMT assists the patient with the administration of his or her own medication
Term
peer-assisted medication
Definition
When the EMT administers medication to him or herself or to a patient
Term
per os (PO)
Definition
Through the mouth; a medication delivery route; same as oral
Term
per rectum (PR)
Definition
Through the rectum; a medication delivery route
Term
Pharmacodynamics
Definition
the process by which medication works on the body
Term
polypharmacy
Definition
the use of multiple medications on a regular basis
Term
prescription medication
Definition
medications that are distributed to patients only by pharmacists according to physicians orders
Term
prescription medication
Definition
medication that are distributed to patients only by pharmacists according to a physician's order
Term
side effects
Definition
any effects of medication other than the desired ones
Term
solution
Definition
a liquid mixture that cannot be separated by filtering or allowing the mixture to stand
Term
Subcutaneous SC injection
Definition
an injection into the tissue between the skin and muscle; a medication delivery route
Term
Sublingual
Definition
under the tongue, a medication delivery route
Term
suspension
Definition
a mixture of ground particles that a distributed equally throughout a liquid but not dissolve
Term
topical medication
Definition
lotions, cream, and ointments that are applied to the surface of the skin and affect only that area; a medication delivery route
Term
trade name
Definition
the brand name that manufacture gives a medication; the name it capitalized
Term
transcutaneous Transdermal
Definition
through the skin a medication delivery route
Term
unintended effects
Definition
actions that are undesirable but pose little risk to the patient
Term
untoward effects
Definition
action that can be harmful to the patient
Term
afterload
Definition
the force or resistance against which the heart pumps
Term
anaphylactic shock
Definition
an extreme, life-threatening systemic allergic reaction that may include shock and respitory failure
Term
aneurysm
Definition
a swelling or enlargment of part of a blood vessel, resulting from weakening of the vessel wall
Term
autonomic nervous system
Definition
the part of the nervous system hat regulates involuntary functions, such asheart rate, blood pressure, digestion, and sweating
Term
cardiogenic shock
Definition
a stae in which not enough oxygen is delivered to the tissue of the body, caused by low output of blood from the heart. It can be severe complication of a large acute myocardial infracion, as well as other condition
Term
compensated shock
Definition
the early stage of shock, in which the body can still compensate for blood loss
Term
cyanosis
Definition
a blusih skin color that is caused by a reduced level of oxygen in the blood
Term
decompensated shock
Definition
the later stage of shock in which blood pressure is falling
Term
dehydration
Definition
loss of water from the tissueof the body
Term
distributive shock
Definition
a condition that occurs when there is wide spread dialation of small arterioles, small venules, or both
Term
edema
Definition
the presence of abnormally large amount of fluid between cells in the body tissue, causing swelling of the affected area
Term
homeostasis
Definition
a balance of all systyems of the body
Term
hypothermia
Definition
a condition characterized by a low blood glucose level
Term
hypovolemic shock
Definition
a condition in which low blood volume, due to massive internal or external bleeding or extensive loss of body water, results in inadequate perfusion.
Term
irreversible shock
Definition
the final stage in shock, resulting in death
Term
myocardial contractility
Definition
The ability of the heart muscle to contract.
Term
neurogenic shock
Definition
circulatory failure caused by paralysis of the verves that control the size of the blood vessels, leading to widespread dialation; seen in patients with spinal cord injuries
Term
obstructive shock
Definition
shock that occurs when there is a block to blood flow in the heart or great vessels, causing an insufficient blood supply
Term
perfusion
Definition
circulation of blood within an organ in adequate amounts to meet the certain needs
Term
preload
Definition
The precontraction pressure in the heart as the colume of blood builds up
Term
psychologenic shock
Definition
shock caused by a sudden temporary reduction in blood supply to the brain that causes fainting
Term
sensitization
Definition
developing a sensitivity toa substance that initially caused no allergic reaction
Term
septic shock
Definition
shock caused by severe infection, usually a bacterial infection
Term
shock
Definition
a conditin in which the cirulatory system fails to provide sufficient circulation to enable every body part to perform its function, also called hypoperfusion
Term
sphincters
Definition
muscles aranged in circles that are able to decrease the diameter of tubes. Examples are found within the rectum, bladder, and blood vessels
Term
syncope
Definition
a fainting spell or transient loss of consciousness, often caused by an interruption of blood flow to the brain
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