Shared Flashcard Set

Details

Terms, Misses and Misc. Pearls
Exam Questions missed / Weak Spots
73
Medical
Professional
02/05/2013

Additional Medical Flashcards

 


 

Cards

Term
Nonfeasance
Definition
To ignore / take no action as an EMT-P
Term
Misfeasance
Definition
To take inappropriate action or give intentionally inappropriate advice
Term
Malfeasance
Definition
Hostile, aggressive action taken to injure the client's interests.
Term
Duty to Act
Definition
Formal contractual or informal legal obligation to provide care.
Term
Negligence
Definition
Deviation from accepted standards of care recognized by law for the protection of others against the unreasonable risk of harm.
Term
Breach Of Duty
Definition
An action or inaction that violates the standard of care expected from a paramedic.
Term
Abandonment
Definition
Termination of paramedic / patient relationship without assurance that an equal or greater level of care is available to the patient.
Term
Inferior Wall M.I.
Definition
ST Elevation in II, III and aVF indicates what?
Term
Septal Wall M.I.
Definition
ST elevation in V1 and V2 indicates what?
Term
Right Side Failure
Definition
Pulmonary Embolism mimics what kind of heart failure? (hint: peripheral edema and JVD)
Term
Wolf Parkinson White Syndrome
Definition
What is the #1 cause of SVT?
Term
Chest Pain, Hypotension, Altered LOC, Pulmonary Edema
Definition
What does the acronym CHAP stand for?
Term
Right Side Failure is seen with any COPD patient
Definition
COPD Patients will show symptoms of what kind of heart failure?
Term
Beck's Triad
Definition
Narrowing pulse pressures (dropping arterial pressure), Muffled Heart Tones and JVD, when found together are known as what?
Term
cardiac tamponade
Definition
What condition does Beck's Triad indicate?
Term
Cushing's Triad
Definition
Hypertension (or less commonly a widening pulse pressure with elevated systolic and normal or low diastolic pressure), Bradycardia and Irregular Respirations when found together are known as what?
Term
Thrombus
Definition
Stationary Blood clot
Term
Severe pressure within the cranial vault
Definition
What is the presence of Cushing's Triad indicative of?
Term

Cushing reflex (also referred to as the vasopressor response, the Cushing effect, the Cushing reaction, the Cushing phenomenon, the Cushing response, or Cushing's Law)

 

Increased intracranial pressure (from head injury)

Definition

When present together, what term is given to the presence of Decreased heart rate, increased BP (elevated systolic and normal or low diastolic - widening pulse pressure), and irregular respirations?

 

What does this indicate?

Term
Cushing's Syndrome
Definition
What condition describes the signs and symptoms associated with prolonged exposure to inappropriately high levels of the hormone cortisol?
Term
cardiomegaly
Definition
Medical term for an enlarged heart?
Term
Cardiomyopathy
Definition

Medical term for "heart muscle disease" that describes measurable deterioration of the function of the myocardium (the heart muscle) for any reason, usually leading to heart failure?

 

Common symptoms are dyspnea (breathlessness) and peripheral edema (swelling of the legs)

Term
Internal Intercostal Muscles
Definition
What are the principle muscles of forced expiration?
Term
Diaphragm and External Intercostal Muscles
Definition
What are the principle muscles of inspiration?
Term
Renal Calyces
Definition

What are sectional, hollow cavities that act as reservoirs and help the kidneys perform their duty?


(branches of renal pelvis to renal papillae)

Term
Vestibule
Definition
What term is given to the space between the teeth, cheeks and lips?
Term
Cor Pulmonale
Definition
Right Side Hypertrophy (enlargement) secondary to Pulmonary Hypertension (caused by constriction of vasculature around the alveoli).
Term
Varicose Veins
Definition
Condition resulting from bad valves that carries with it a danger of blood clots. Main issue associated with this condition is burst veins.
Term
Embolism
Definition
A moving embolus. Anything moving through the vasculature, most commonly a portion of a blood clot that has broken off originating somewhere in the legs.
Term
Coronary Artery Disease (CAD)
Definition
Atherosclerosis of the coronary arteries.
Term
Endocarditis
Definition

Inflammation of the inside lining of the heart chambers and heart valves (endocardium).


Symptoms of this condition may develop slowly or suddenly. Fever, chills, and sweating are the classic symptoms.

Term
Myocarditis
Definition

Inflammation of the heart muscle.


It is an uncommon disorder that is usually caused by viral, bacterial, or fungal infections that reach the heart.

Term
Pericarditis
Definition

Inflammation of the sac around the heart.

 

Most commonly viral in nature. Classic presentation indicated by Beck's Triad. Classic sign is leaning forward makes the pain go away.

Term
Phlebitis
Definition
Inflammation of the inner layer of the vessels.
Term
Thrombophlebitis
Definition

Formation of a clot resulting from phlebitis.

 

Area will be hot, inflamed, taut, etc. Patient is in danger of a Pulmonary Embolism.

Term
Abdominal Varicose Veins
Definition
What Varicose Vein Condition originates with an issue of the liver (almost always cirrhosis)?
Term
Atherosclerosis
Definition
Soft plaque buildup in the vasculature leading to stenosis.
Term
Arteriosclerosis
Definition
Hardening of the arteries. Artery cannot expand and contract resulting in hypertension.
Term
Cardiac Output
Definition

Amount of blood the heart pumps in one minute.

 

Calculated as Stroke Volume x Heart Rate = _______?

Term
Apoptosis
Definition

aka: Programmed Cell Death or Cell Suicide

 

A form of cell death in which a programmed sequence of events leads to the elimination of cells without releasing harmful substances into the surrounding area.

Term
Cardiogenic Shock
Definition

High pulse / low BP. Heart is no longer keeping up with demands of the body. Left Ventricle failure is the main issue. Key finding: Pulmonary Edema.

 

3 basic causes: rate too fast, too slow or inefficient pump (lack of cardiac output)

 

#1 drug to treat = Dopamine

Term
Compliance
Definition

Expandability of the chest wall and lungs.

 

lowered means greater force required to fill or empty lungs.

 

increased means too easy to ventilate.

Term
Encephalopathy
Definition
This term means disorder or disease of the brain. In modern usage, this term does not refer to a single disease, but rather to a syndrome of global brain dysfunction; this syndrome can have many different organic and inorganic causes. What is it?
Term
Anastomosis
Definition
communication between vessels by collateral channels. (collateral circulation)
Term
Sympathomimetics
Definition

 Mimic the effects of transmitter substances of the sympathetic nervous system such as catecholaminesepinephrine (adrenaline), norepinephrine (noradrenaline), dopamine, etc.


Such drugs are used to treat cardiac arrest and low blood pressure, or even delay premature labor, among other things.

Term
Cachexia
Definition

This term, also known as wasting syndrome, is loss of weight, muscle atrophy, fatigue, weakness, and significant loss of appetite in someone who is not actively trying to lose weight.

 

The formal definition is the loss of body mass that cannot be reversed nutritionally: Even if the affected patient eats more calories, lean body mass will be lost, indicating a primary pathology is in place.

Term
Erythemia
Definition
This term means simply "redness of the skin"?
Term
Hemiplegia
Definition
total paralysis of the arm, leg, and trunk on the same side of the body.
Term
Hemiparesis
Definition
 weakness on one side of the body
Term
Dysphasia
Definition
Impairment of speech and verbal comprehension, especially when associated with brain injury
Term
Aphasia
Definition
the disturbance in formulation and comprehension of language. This class of language disorder ranges from having difficulty remembering words to being completely unable to speak, read, or write. Usually linked to brain damage, most commonly by stroke.
Term
Myalgia
Definition
Muscle Pain
Term
Hemoptysis
Definition
 the expectoration (coughing up) of blood or of blood-stained sputum from the bronchi, larynx,trachea, or lungs (e.g., in tuberculosis or other respiratory infections or cardiovascular pathologies).
Term
Pousielle's Law
Definition
This is a physical law that gives the pressure drop in a fluid flowing through a long cylindrical pipe. It can be successfully applied to blood flow in capillaries and veins, to air flow in lung alveoli, for the flow through a drinking straw or through a hypodermic needle. Assumes that the fluid is viscous and incompressible; the flow is laminar through a pipe of constant circular cross-section that is substantially longer than its diameter; and there is no acceleration of fluid in the pipe.
Term
Afterload
Definition
Resistance against which the heart pumps?
Term
Preload
Definition
End Diastolic Pressure is another name for what?
Term
Cardiac Output
Definition
Stroke Volume x Heart Rate gives you what?
Term
Increase in Contractile Force
Definition
What is the goal of increasing the preload of the heart?
Term
Tunica Media (lies between the Tunica Intima and the Tunica Externa)
Definition
Which layer of the vasculature is the muscle layer?
Term

Inotropic Drug

 

Negatively, they weaken the force of muscular contractions; while positively they can increase the strength of muscular contraction?

Definition
What is the term for a drug that alters the force or energy of muscular contractions?
Term
Intercalated Discs
Definition
What are the mechanisms that support synchronised contraction of cardiac tissue?
Term
Muscarinic Receptors
Definition
The Vagus nerve acts on what to slow the heart rate?
Term
Preload, Afterload, Contractility
Definition
What three factors affect Stroke Volume?
Term
Preload
Definition
The Ventricular volume at the end of diastole?
Term

Starling's Law Of The Heart

 

(Greater stretch nets greater contraction)

Definition
The relationship between ventricular end-diastolic volume and stroke volume is described by this law, which states that "The energy of contraction of the muscle is related/proportional to the initial length of the muscle fibre"?
Term

Afterload

 

Systemic Vascular Resistance

Definition
What is the term for the resistance to ventricular ejection? What is another (synonymous) term for this?
Term
Sympathetic System
Definition
The level of systemic vascular resistance is controlled by the __________?
Term
Pathological Q Wave
Definition
What wave, when seen on the monitor, is a definitive sign of Myocardial Infarction?
Term

II, III, aVF

 

1/3 are also having MI in the Right Ventricle

Definition
Most correct answer for determining an inferior wall MI is ischemia showing in what leads?
Term
Parietal Portion
Definition
What portion of the serous membrane lines the walls of the thoracic cavity?
Term
Squamous
Definition
___________ epithelium is characterised by its most superficial layer consisting of flat, scale-like cells?
Term
Mitochondria
Definition
Small, rod like organelle that produces ATP?
Term

O2 - 20.95%

 

Nitrogen - 78.1%

 

Carbon Dioxide - .038%

 

Argon - 1%

Definition
What is the composition of ambient air?
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