Cardio_Fisdap

Chronic hypertension in adults typically begins at a pressure of higher than?

140/90

A build up of calcium and cholesterol form plaque inside a blood vessel which would most likely be the cause?

ACS

Which of the following is the largest artery in the body?

Aorta

Chest pain prior to calling, she took 3 doses of her prescribed sublingual nitro with no relief. What should you do?

Assess her vital signs

Asthmatic 50 year old female patient is sitting at her desk. She is anxious and complaining of tightness in her chest. You should?

assist with prescribed inhaler

During adult CPR you should compress the chest

at least 2 inches

you are in an airport and see an adult collapse. As you get the AED from the wall, a bystander starts CPR. If indicated, you should deliver your first shock:

as soon as possible on arrival at the patients side

The pulmonary artery carries?

deoxygenated blood (away from heart)

At what rate should single rescuer CPR be performed for a 17th year old female?

120 per min

Which patient is most likely to benefit from an AED?

54 year old choking patient who becomes unresponsive with no carotid pulse

A 78 year old diabetic patient with syncopal episode has anxiety, shortness of breath and back pain. You should suspect?

Acs

A 57 year old female developed severe weakness and mild shortness of breath while shoveling snow. She is diaphoretic and complaining of nausea and jaw pain. You should suspect

Acute MI

A patient complains of substernal chest pain with radiating pain to his back and jaw, the pain is not relieved with rest, you should suspect?

Acute Myocardial Infarction (AMI)

A 78 year old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect?

Acute coronary syndrome

During CPR why is the upstroke of the compression critical?

Allows blood to fill the heart chamber

A patient was struck by lightening. You should suspect?

An irregular heart beat

A 54 year old complains of chest tightness after raking leaves for an hour. The pain subsided after rest and two nitroglycerin. He has had very similar episodes in the past. He is most likely experiencing?

Angina Pectoris

A patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood pressure.

Aortic Dissection

Which vessels regulate regional blood flow to the capillary bodies?

Arterioles

An 84 year old male with a history of "heart problems" complains of chest pain. The chest pain started 30 minutes ago while at rest. Vital signs are 110/70, 92, 20, Sp02 95%. What should you do?

Assist patient with prescribed nitro

An adult with a heart rate of 50 is considered?

Bradycardia

A 36 year old female with history of congenital heart defects is slow to respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R 26. What should you suspect?

Cardiogenic Shock

A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vitals are P 120, R 22, and BP 80/54. You should suspect?

Cardiogenic Shock

A 73 year old female has chest pain and shortness of breath with bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely cause?

Cardiogenic Shock

If heart lacks the power to pump blood through the circulatory system, it is known as?

Cardiogenic Shock

A 49 year old man with a history of heart problems complains of chest pressure and shortness of breath. You should assist him in taking his nitroglycerin if he?

Complains of a headache and has a bp of 132/90

An 80 year old male presents with shortness of breath, fatigue, peripheral edema, and jugular vein distention. Breath sounds reveal crackles and rhonchi. The most likely cause is

Congestive Heart Failure

You just arrived at scene of a 75 year old male with weakness and chest pain. He has not taken his prescribed medications of Nitro, aspirin, and atenolol. You should?

Contact medical control to assist the patient with nitro

An adult patient is in cardiac arrest with bystander CPR in progress. What should you do?

Continue CPR while partners does AED

The vessels that supply the myocardium are called the:

Coronary arteries

Aspirin is administered to patients with chest pain because it?

Decreases ability of platelets to form clots

EMRs have been performing effective CPR on a patient in cardiac arrest. Upon arrival the AED indicates "shock advised." What should you do?

Defibrillate the patient

What is the primary action of Nitroglycerin?

Dilates Coronary Arteries

What is the cause of heart failure?

Inadequate ejection of blood from the ventricles

A 44 year old awakened with shortness of breath complaining of indigestion, nausea, and epigastric pressure. Antacids didn't help. You should suspect?

MI

A 65 year old male complains of weakness and indigestion that began in the morning. Vitals are 150/90, P 116, and R 24. You should suspect?

MI

Patient complains of chest pain radiating to both sides of his shoulders after dinner. He is pale, diapheretic, and slightly short of breath. Pain worsens with a deep breath. Vitals are 150/90, 120 and irregular, and 20. You should suspect?

MI

During CPR which of the following is most important?

Minimal interruptions during compression

What valve controls blood flow between the left atrium and left ventricle?

Mitral Valve

A patient complains of chest pain radiating to both of his shoulders after dinner. He is pale, diaphoretic and slightly short of breath. The pain worsens with a deep breath. Vital signs are BP 150/90, P 120 and irregular, R 20. You should suspect:

Myocardial Infarction

An oriented 78 year old female with pale, moist skin is complaining of indigestion. Vital signs are BP 180/90, P 116, and irregular, R 24 and regular. What should you suspect?

Myocardial Infarction

A 36 year old with chest pain is conscious and alert Sp02 93%, you should?

Nasal Cannula 4 lpm

2 minutes after assisting with 3rd nitro. Complains of dizziness and sweaty. Radial pulse is present but rapid and weak. You should suspect?

Nitro caused vasodilation and decreased perfusion

During the Primary Assessment a 57 year old female says she has chest pain and points to her epigastric area. What should you do?

Obtain Vital signs

What best describes PEA?

Organized electrical activity without a pulse

A child is in cardiac arrest with unknown down time. What should you do?

Perform CPR while attaching AED

A 67 year old male has significant shortness of breath, chest pain, and nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, and R 34. You should?

Place supine position

A 48 year old patient complains of difficulty breathing, patients history reveals an acute myocardial infarction 8 months ago, vital signs are 144/86, 110, and 24, auscultation reveals crackles in the lung bases. You should suspect?

Pulmonary Edema

After delivering one shock with an AED your patient now has a pulse and effective respirations. Which position should you put them in?

Recovery

You shocked a patient back into normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do?

Start CPR, and request the EMS unit to stop

You observe an older male slumped on the floor. He is pulseless. What should you do?

Start compressions

A 62 year old patient complains of chest pain and light headedness. Vitals are 88/56, 126, and 18. What is the best position for this patient?

Supine

A 64 year old patient tells you I feel like I'm about to die. You administer Nitro and oxygen and there is no relief of chest pain. Vitals are BP 90/66, P 60, R 24. You should?

Transport immediately

Systolic blood pressure measures which of the following?

Ventricular contraction

After an AED has analyzed a patient, the machine states "shock advised." The most likely cause is:

Ventricular tachycardia

When do coronary arteries fill with blood?

diastole

What causes heart failure?

inadequate ejection of blood from ventricles

What is the muscular middle layer of the heart?

myocardium

While performing chest compressions, you should?

position your shoulders over your hands

Which of the following is a sign of cardiogenic shock?

progressive hypotension

A Patient who collapsed has been revived following one shock with an AED. She is now moaning and breathing on her own. What should you do?

put the patient on their side and monitor their airway

CPR has been on going for 10 minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. You should?

stop CPR and clear the patient

Nitroglycerin is a medication that is typically administered?

sublingually

A 48 year old male complains of an 8/10 crushing chest pain that radiates to his neck. Vital signs are 112/78, 60, and 18. Patients daily medications include metoprolol, Cialis, and aspirin. What should you do?

transport rapidly in a position of comfort to closest facility

A 67 year old male with a history of asthma complains of chest tightness, shortness of breath. Took 1 Nitro but no relief. He is pale and sweaty. Oxygen saturation of 76%. What should you do?

Given oxygen via nonrebreather

A 60 year old with short of breath, cyanotic, lung sounds crackles and accessory muscle use. You should suspect?

Left Heart Failure

After blood has been oxygenated it returns to the heart by entering the

Left atrium

69 year old male lying in bed complains of chest pain during your primary assessment he becomes unresponsive and pulseless. What should you do?

Move Him To A Hard Surface

What action does Aspirin have in the body that makes it beneficial for patients experiencing an AMI?

Prevents platelets from clotting

A cardiac arrest patient has been down for 6 minutes without care. What should you do?

Start Compressions

Which electrical cardiac disturbance will an AED shock?

V-fib

Sudden severe increase of blood pressure is called?

hypertensive crisis

Blood enters the right atrium from the:

vena cava