"QTs and Cuties" (cardio)
Normal Sinus Rhythm has a rate of ___
What is 60-100bpm? (pg. 1191)
The Autonomic Nervous System (ANS) is primarily responsible for this response mechanism ___
What is fight-or-flight? (pg. 341)
This is the formula for converting pounds to kilograms ___
What is weight (in kgs)/2.2? (pg. 837-838)
Naloxone is the generic name for this reversal agent ___
What is Narcan? (pg. 1504)
These are the 4 main types of pain management we (EMS) can offer
What are NSAIDs, Dissociative anesthetics, opioids, and antispasmodic agents? (pg. 2135-2136)
Upright P waves are to sinus rhythms, as inverted p waves are to __
What are Junctional Rhythms? (pg. 1207)
The ANS can be further broken down into these 2 categories ___
What is sympathetic and parasympathetic? (pg. 341)
These are 6 out of the 12 possible routes of administration ___
What is: IV, IO, IM, IN, SQ, SL, PO, TD, Inhaled/Nebulized, Endotracheal, Rectal, and Ophthalmic (pg. 747-751)
*all 12 listed above*
Your patient overdosed on their benzodiazepine. You should give this reversal agent ___
What is flumazenil? (pg. 1051)
This class of medication produces analgesia through activation of the μ (mu) receptor.
What are opioid analgesics? (pg. 780-781)
For a rhythm to be considered "sinus," it must have these 4 properties ___
What is:
- A regular rhythm
- An upright P wave before each QRS complex.
- A PR interval between 0.12 to 0.20 seconds.
- A QRS complex measuring 0.11 seconds or less
(pg. 1191)
These 2 classes of drugs (given by EMS) affect the ANS directly ___
What are:
- Parasympatholytics/Anticholinergics/cholinergic antagonists
- Sympathomimetics/Adrenergic agonists (pg. 760, 920)
Not giving nitroglycerin to a hypotensive chest pain patient is an example of __
What is a contraindication? (pg. 731)
This medication that is given primarily during prolonged down time cardiac arrests and suspected hyperkalemia can also be given to reverse a TCA overdose __
What is Sodium Bicarb? (pg. 943)
This schedule II narcotic is the preferred pain medicine in patients with STEMIs as it reduces preload and can provide relief if nitro does not.
What is morphine? (pg. 1261)
Your patient's 12 lead has these findings: Absent P wave, Normal QRS complex, a regular rhythm, and a rate of 74. The rhythm above is identified as ___
What is Accelerated Junctional Rhythm? (pg. 1207-1208)
When stimulated, baroreceptors in the internal carotid arteries and aortic arch generate compensatory responses that facilitate BP regulation by the ___ division of the autonomic nervous system
What is sympathetic? (pg. 1285)
These 2 routes of administration have an onset of action between 30-60 seconds ___
What is IV and IO? (pg. 879)
This kind of overdose will cause hypoventilation, hypercapnia, and respiratory acidosis.
What is opioid overdose? (pg. 1685-1686)
Your patient is complaining of 8/10 abdominal pain and dizziness. They state that their feces has been having some dark-ish red blood in it and that their vomit looks like coffee grounds. This pain med is ABSOLUTELY contraindicated for this patient ___
What is toradol/ketorolac? (pg. 922)
If an electrical impulse originating in the AV junction begins moving upward through the atria before it enters the ventricles, the P wave will have this presentation and location ___
What is inverted and BEFORE the QRS complex? (pg. 1207)
Explain the relationship between neurogenic shock and the ANS
What is:
The effects of neurogenic shock include loss of normal sympathetic nervous system tone, which causes vasodilation. The muscles in the walls of the blood vessels are cut off from the nerve impulses that cause them to contract. Consequently, all vessels below the level of the spinal injury dilate widely, increasing the size and capacity of the vascular system and causing blood to pool instead of circulating. This causes hypoperfusion and hypotension, leading to shock. (pg. 2308)
You have a patient that has received 3L of NS in the past hour. The patient starts complaining of shortness of breath and presents with new onset edema and crackles. The patient has no pertinent medical history. These are signs of this condition ___
What is fluid backup/fluid overload/overhydration? (pg. 803)
You're treating an unconscious 64 year old male. On scene, the patient is found to be holding an empty prescription bottle for Amlodipine with a quantity of 30 that was filled yesterday. You note no loose pills on scene, but do find a pill inside the patient's mouth. VS are: HR 48 BP 75/32 RR 14 BGL 163. You should suspect this condition and treat with this drug ____
What is calcium channel blocker OD and Calcium Chloride? (pg. 906)
*can also treat with glucagon, but calcium is preferred*
Your patient is complaining of back pain. You want to treat with fentanyl, but your patient states "I'm a recovering opioid addict, so no narcotics please. I'm also allergic to NSAIDs." You should give one of these 2 pain medications instead ___
What is Ketamine or Nitrous Oxide? (pg. 931, 921)