Term
| Compare the difference between an MI and a angina episode |
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Definition
Angina MI pain often related to stress or exertion, but can occur at rest rest doesn't relieve pain nitro pill might help but doesn't not for long pain is usually intense and long lasting BP is lowered pt can get comfortable
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Term
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Definition
Prevents infective endocarditis |
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Term
| What is infective endocarditis? |
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Definition
| infection of the heart caused by bacteria in either lining(endocarium) or valves. Bacteria from the mouth or intestinal often travel into the blood stream but heart defects could lead to serious problems |
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Term
| Who needs to still pre-med? |
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Definition
Patients with 1. artificial heart valves 2. a history of infective endocarditis 3. serious congenital heart conditions, including unrepaired or incompletely repaired heart disease six months after completely repaired congenital heart defect with prosthetic material repaired congenital heart defect with prosthetic patch 4.a cardiac transplant with problem in a heart valves
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Term
Why are there new rules for pre-meds? |
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Definition
| Pt's were developing drug-resistant bacteria |
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Term
| What are the pre-med guidelines? |
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Definition
Amox. 2g 1hr prior to dental appt Cephalexin 2g 1hr prior Clindamycin 600mg 1hr prior Azithromycin 500mg 1hr prior |
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Term
| How can you recognize a pt in heart failure? |
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Definition
elevated BP increased HR and respiration skin apprears ashen or grayish nails and lips blue jugular vein distention edema
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Term
Compare the difference between LVF and RVF? |
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Definition
LVF Symptoms associated with pulmonary congestion- Undue fatigue and weakness- Breathlessness-Dyspnea (difficulty breathing)- Cough and expectoration- Increased frequency of urination - Pale cool skin Increased BP and HR, narrowed Pulse pressure
RVF Symptoms associated with venous congestion- Undue fatigue and weakness- Usually develops after LVF Signs of peripheral edema Cyanosis Prominent jugular vein Management
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Term
| What are the four things that are important to survival of a cardiac arrest? |
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Definition
1. Early access to EMS 2. Early BLS 3. Early defibrillation 4. Early ACLS (Advanced Cardiac Life Support) |
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Term
Know how fast brain (cellular) death occurs in the cardiac arrest victim?
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Definition
| Cell death (brain death) occurs in 4-6 min after CA without BLS |
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Term
-Know what an AED is, when can you use it, and what rhythm’s respond to it.
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Definition
Automated External DefibrillationAED are limited to treat rhythms such as Ventricular fibrillation (v-Fib) Pulseless Ventricular tachycardia (V-Tach)
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Term
Be able to define which rhythm is associated with “quivering” of heart muscle
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Definition
Fibrillation is an uncontrolled twitching or quivering of muscle fibers (fibrils). When it occurs in the lower chambers of the heart, it is called ventricular fibrillation.
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Term
Why slow compressions are not effective?
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Definition
It doesn't produce enough internal pressure |
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Term
How many compressions are needed to maintain circulation in a rescue situation?
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Definition
| 100- 120 compressions per min |
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