FISDAP CARDIO

transport immediately

64 yo states "I am about to die" NTG/O2 did not decreasechest pain, BP 90/66, P60, R24

Aorta

Largest artery

irregular heartbeat

Struck by lightning

MI

Oriented 78 yo, Female with pale, moist skin complaints ofindigestion, BP 80/40, P116 irregular, R 24 regular

Cardiogenic shock

73 yo Female, chest pain and shortness of breath , bilateralcrackles, BP 80/40, P112 R 22

headache BP 132/90

49 yo male, history of heart problems, has chest pressure,shortness of breath. Assist in taking prescribed NTG if he:

CPR & AED

Child in cardiac arrest with unknown downtime

diastole

When do coronary arteries fill with blood?

coronary artery

Vessels that supply myocardium

aortic dissection

Sudden onset of tearing chest pain, absent radial pulse onright arm, history of high blood pressure

cardiogenic shock

Heart lacks enough power to pump the proper volume ofblood through circulatory system

septic shock

40 yo with history of coronary artery disease and recentmastectomy complains of chest discomfort, P 120, R 22,BP 80/54

MI

76 yo female, tripod position, complaints of abdominaldiscomfort, nausea, dizziness, fatigue. Taken 2 NTGwithout relief.

acute coronary syndrome

78 yo diabetic with syncopal episodes complaints ofanxiety, shortness of breath, back pain

CPR

Cardiac arrest for 7 minutes after struck by lightning

Administer 02

Primary assessment, 57 yo female, has chest pain atepigastric region. What should you do?

prevent platelets from clotting pain

Aspirin's effect on the body for AMI

MI

65 yo male, complains of weakness and indigestion, BP150/90 P 116 R24

Acute coronary syndrome (OR ATHEROSCLEROSIS)

A buildup of calcium and cholesterol form plaque insideblood vessels most likely causes

CPR and request ambulance to stop

Shocked patient back into normal rhythm with AED.During transport, patient becomes cyanotic and pulseless

Administer 02 by nonre

67 yo male, history of asthma, complains of chesttightness and shortness of breath. Took 1 NTG withoutrelief. Skin is pale and sweaty. sPO2: 76%

inadequate ejection of blood from ventricles

Cause of heart failure

MI

44 yo Female awakened with shortness of breath,indigestion, epigastric pressure, and antacids do not help

NTG causes vasodilation and decreased perfusion

Within 2 minutes of assisting patient with 3rd NTG tablet,complaints of dizziness and is sweaty. Radial pulse ispresent, rapid and weak.

Left heart failure

60 yo complain of shortness of breath and is cyanotic. Hascrackles and uses accessory muscles.

Myocardium

Muscular middle layer of heart

MI

57 yo female has severe weakness with mild shortness ofbreath while shoveling snow. Is diaphoretic and has nauseaand jaw pain.

hypertensive crisis

Sudden, severe increase of blood pressure

Arterioles

Vessels that regulate regional blood flow to capillary beds

140/90

Chronic hypertension in adults begin at pressure higher than

angina pectoris

54 yo male has chest tightness after raking leaves. Pain isgone after rest and 2 NTG tablets. He has had similarepisodes in the past.

dilates coronary artery

Primary action of NTG

AMI

Substernal chest pain with radiating pain to back and jaw.Pain not relieved with rest.

give chest compressions

54 yo female is suddenly pulseless and apneic

decrease the ability of platelet clotting

Aspirin is given to patients with chest pain because

place in supine

67 yo male complains of shortness of breath, chest pain,nausea. He is ashen and clammy. BP 90/60, P 148, R 32

Pulmonary edema

48 yo complain of difficult breathing, history reveals AMI8 months ago. BP 144/88, P 110, R 24. Crackles in lungs

JVD

Signs and symptoms of cardiogenic shock

Supine

62 yo male complains of chest pain and lightheadedness.BP 88/56, P 126, R 18

Call medical control

Asthmatic 50 yo female sitting at her desk, is anxious andcomplains of tightness in chest

CHF

68 yo female with cardiac history is complaining ofshortness of breath and crackles bilateral

transport immediately

48 yo male is complaining of 8/10 crushing chest pain thatradiates to neck. BP 112/78, P 60, R18. Dailymedications= metoprolol, Cialis, aspirin

assess for breathing and manage airway

46 yo male in cardiac arrest, had 1 shock, and at 2 minutepulse check = carotid pulse is strong

cardiogenic shock

36 yo female with history of congenital heart defects isslow to respond. Skin is pale, cool, and clammy. BP 68/30,P 128, R 26

CHF

80 yo male has shortness of breath, fatigue, peripheraledema and JVD. Has crackles and rhonchi.

administer NTG

84 yo with history of heart problems complains of chestpain that started 30 minutes ago while at rest. BP 110/70, R20, sPO2 95%

Bradycardic

Adult pulse of 50

Move to hard surface

69 yo male is lying in bed and has chest pain. He becomesunresponsive and pulseless.

ventricular contraction

Systolic blood pressure measures pressure during

54 yo choking patient who is unresponsive with nocarotid pulse

Most likely to benefit from AED

Sublingually

NTG is typically administered

continue CPR while partner attaches AED

Adult patient in cardiac arrest with bystander CPR inprogress

ASAP on arrival at patient's side

Adult collapses. As you get the AED a bystander startsCPR. You should deliver 1st shock if indicated,

Costochondritis

Patient complains of chest pain radiating to bothshoulders. Is pale, diaphoretic, slight shortness of breath.Pain worsens with deep breaths. BP 150/90, P 120irregular, R 20

Deoxygenated blood away from the heart

Pulmonary artery carries

defibrillate patient

EMR is doing CPR. Upon arrival AED indicates shockadvised

chest compression

Cardiac arrest patient is "down" for 6 minutes withoutcare

Recovery

A just defibrillated patient who now has a pulse andeffective respirations

medical control to assist with NTG

75 yo male has weakness and chest pain. He has not taken prescription medications (NTG, aspirin, atenolol)

administer O2

66 yo female has chest pain. Took 3 doses of NTG withno relief.

shoulders should be over your hands

While performing chest compressions

minimal interruptions to chest compressions

Most important part in CPR

turn on side and monitor airway

Patient collapsed and is revived with 1 shock from theAED. Now is moaning and breathing on her own.

120 compressions/min

CPR rate on a 17 yo female