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Paramedic Cardiology
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Left sided heart failure is caused by ?
Coronary Artery disease, heart attack and hypertension
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Hypertensive crisis symptoms?
Chest pain, nausea, confusions, seizures, and shortness of breath
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How do you overdose on magnesium sulfate?
Ingested in large quantities (medications)
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Adult Dosage of Adenosine ?
1st dose 6mg rapid IV/IO, 2nd dose 12mg rapid IV/IO, 3rd dose 12mg rapid IV/IO
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Indication for adenosine ?
PSVT, SVT
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Firing Rate of the Ventricles
20-40 bpm
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Indications of Cardizem?
A-fib with rapid ventricular rates, atrial flutter, re-entry SVT, Angina Pectoris
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Firing rate of the SA Node?
60-100 bpm
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Hyperkalemia symptoms?
Abdominal pain, nausea, diarrhea, chest pain, arrythmias, and heart attack
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Common causes of Hypocalcemia ?
Hypoparathyroidism vitamin D deficiency and Kidney Failure
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When you have right sided heart failure where does the blood and fluids build up?
Feet, legs, ankles and sometimes abdomen.
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Adult dose of Atropine for unstable bradycardia ?
0.5mg IV/IO repeat 3-5 minutes max dose 3mg
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What does a Calcium Channel Blocker do?
Does not let calcium ions into the blood or cardiac cells
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What does the blood pressure have to read to be a hypertensive crisis ?
180/120 or above
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Indications for Lasix ?
CHF, Pulmonary edema, hypertensive crisis
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What is potassium ?
Positive charged electrolyte
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What does Coronary Artery Disease Affect?
Main blood vessels that supply the heart
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Another name for kidney failure is?
Renal Failure
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What possible changes would you see on and EKG with a person that has hyperkalemia
PR-Prolongation, QRS Widening and Peaked T waves
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Coronary Artery Disease symptoms?
Chest pain, shortness of breath and in a complete blockage heart attack
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Magnesium sulfate overdose may cause ?
Muscle weakness, difficulty breathing, mental confusion, irregular heart beat and cardiac arrest
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Symptoms of cardiogenic shock are
Rapid breathing, shortness of breath, tachycardia, and hypotension
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Symptoms of Acute Pulmonary Edema ?
Difficulty breathing, cough producing frothy sputum, rapid-irregular heart beat, and wheezing.
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Cardiogenic Shock caused by
severe heart attack
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What is hyperkalemia ?
High potassium levels in the blood
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What is hypocalcemia?
Low level of calcium in the blood
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Dose of aspirin ?
160mg or 4 baby aspirins for a total of 325mg PO Chewable
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Pulmonary edema is caused by sometimes of heart issues but can also be caused by
pneumonia, certain toxins, chest wall trauma, and high elevations.
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Dose of Cardizem
0.25mg IV over two minutes with a 2nd dose 15 minutes later 0.35mg
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Indication for aspirn
New onset chest pain
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Indications for Norepinephrine (Levophed)
Cardiogenic shock, significant hypotension
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What does fluid and blood do when you have CHF?
Blood and fluids build up in the lungs, feet and legs overtime
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Indications for Atropine ?
Symptomatic Bradycardia, and organophosphate poisoning
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What does Pulmonary edema do?
Build up of fluids in the lungs
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Dose of Amiodarone for adult V-tach with a pulse
150mg IV/IO infused over 10 minutes
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Normal Potassium level?
3.5mg - 5.0 millimoles per liter
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Firing rate of the AV node?
40-60 bpm
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Indications of Nitro
Acute angina, hypertension, CHF, Pulmonary edema, ischemic chest pain.
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Indications for Calcium Chloride ?
Hypocalcemia, hyperkalemia, magnesium sulfate overdose, calcium channel blocker overdose
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Dose of Amiodarone Adult?
V-fib/ Pulseless V-tach 300mg IVP/IO repeat 150 mg in 10 minutes
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Indications of Epinephrine
cardiac arrest, pulseless v-tach, asystole, PEA, anaphylaxis
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Dose for Calcium Chloride adult?
500mg to 1,000mg 5-10ML 10% solution
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Uses of a Calcium Channel Blocker ?
Hypertension, chest pain and cardiac arrhythmias
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Indications for Amiodarone ?
V-fib, Pulseless V-tach, unstable V-tach
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