Acute Medical Presentations — Flashcards

Flashcard 31: What are the 'Ts' of the reversible causes of cardiac arrest: _____ _____ _____ _____

Answer: Thrombosis (coronary/pulmonary)

Flashcard 32: What can cause early acute pericarditis (1-3 days) post MI _____

Answer: fibrinous pericarditis

Flashcard 33: _____ are shockable rhythms

Answer: ventricular fibrillation/pulseless ventricular tachycardia (VF/pulseless VT

Flashcard 34: Aortic Dissection can involve the spinal arteries leading to _____

Answer: paraplegia

Flashcard 35: If thrombolytic drugs are given fo a suspected PE during ALS then _____

Answer: CPR should be extended for a period of 60-90 minutes

Flashcard 36: What are the 'Hs' of reversible causes of cardiac arrest? _____

Answer: Hypoxia, Hypovolemia, Hydrogen ion (acidosis), Hypo/Hyperkalemia, Hypothermia

Extra: The 4 Hs and 4 Ts are the standard mnemonic for reversible causes of cardiac arrest (ALS guidelines). Hs: Hypoxia, Hypovolemia, Hydrogen ion (Acidosis), Hypo/Hyperkalemia, Hypothermia. Ts: Tension pneumothorax, Tamponade (cardiac), Toxins, Thrombosis (pulmonary/coronary).

Flashcard 37: The ratio of chest compressions to ventilation is _____

Answer: 30:2

Flashcard 38: Aortic Dissection can present with _____ with weak or absent carotid, brachial, or femoral pulse

Answer: pulse deficit

Flashcard 39: Aortic Dissection can involve specific arteries such as the coronary artery leading to _____

Answer: Myocardial Infarction (MI)

Extra: The Right Coronary Artery (RCA) is more commonly involved than the LCA, often leading to an inferior wall MI. This is a critical diagnosis to distinguish from primary MI because thrombolytics are contraindicated in dissection.

Flashcard 40: In a shockable rhythm (VF/pulseless VT), a second dose of Amiodarone 150mg should be administered _____.

Answer: after the 5th shock