Myocardial Infarction
Provide 2 signs of MI
Chest pain, cold clammy skin, Diaphoretic, nausea, tachycardia
What is the key intervention for patients with CHF?
Diuretics
Atropine
How do we monitor ventilation during a sleep study?
a nasal airflow detection device
What is the cost for the TMC and the CSE?
TMC $190
CSE $200
$40 discount for AARC members
What will you typically see on an EKG during an MI?
ST elevation
If a patient has pink frothy secretions, what FiO2 will you start them on?
Treat this is an emergency, 100%
What medication is given to treat PVC's?
Lidocaine or Oxygen
What does the ECG during a sleep study tell us?
stages of sleep and interruptions
How much time do you have to take each exam?
TMC: 3 hours
CSE: 4 hours
If you have a confirmed MI, what FiO2 will you start the patient on?
Treat as an emergency-100%
What hemodynamic values will be increased in a patient with CHF?
PCWP, PAP, CVP
How many joules to defibrillate ventricular fibrillation?
360 joules
What is inductive plethsymography?
bands around the chest to detect chest movement
How many clinical simulations are included in the CSE exam?
How many are graded?
22
20 are graded
name 2 cardiac enzymes that are elevated during an MI?
CPK, LDH, SGOT
Why might we give inotropic medications to a patient with a CHF exacerbation?
Helps to pump the blood out of the left ventricle into the body to clear out the backup
What do pronounced Q waves tell you on an EKG?
The cardiac tissue is dead and can no longer produce electrical signaling
What is a split study?
Patient is monitored for first half, is put on CPAP and titrated to appropriate level for 2nd half
How many questions are on the TMC exam?
How many are graded?
160
140 are scored
Define Myocardial Infarction
Ischemia of the heart causing muscle damage and potential failure
What is an example of a permanent treatment for CHF?
CABG, Ventricular assist device, heart transplant
What EKG finding might we see just prior to an MI?
Flipped T waves, shows cardiac tissue ischemia
Quantify the levels of AHI
Normal:
Mild:
Moderate:
Severe:
Normal: less than 5
Mild: 5-15
Moderate: 15-30
Severe: greater than 30
When does the new RT examination start?
January 2027
180 multiple choice questions
4 hours to complete
no CSE!