EMT Chapter 16 Flashcards
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Questions and Answers

The electrical impulse generated by the heart originates in the:

  • Bundle of His
  • Coronary sinus
  • Sinoatrial node (correct)
  • Atrioventricular node
  • Which of the following signs is commonly observed in patients with right-sided heart failure?

  • Pulmonary edema
  • Flat jugular veins
  • Dependent edema (correct)
  • Labored breathing
  • Deoxygenated blood from the body returns to the:

  • Right atrium (correct)
  • Right ventricle
  • Left atrium
  • Left ventricle
  • A dissecting aortic aneurysm occurs when:

    <p>The inner layers of the aorta become separated</p> Signup and view all the answers

    Signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:

    <p>Have chronic hypertension</p> Signup and view all the answers

    Angina pectoris occurs when:

    <p>Myocardial oxygen demand exceeds supply</p> Signup and view all the answers

    A patient tells you that he has a left ventricular assist device (LVAD). Which of the following conditions should you suspect that he has experienced?

    <p>Acute myocardial infarction</p> Signup and view all the answers

    You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:

    <p>Begin high-quality CPR and apply the AED as soon as possible</p> Signup and view all the answers

    A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should:

    <p>Administer oxygen, give her 324 mg of aspirin, and assess her further</p> Signup and view all the answers

    When preparing to obtain a 12-lead ECG, the 'LL' and 'RL' electrodes should be placed:

    <p>On the thighs or ankles</p> Signup and view all the answers

    Study Notes

    Heart Function and Electrical Activity

    • The sinoatrial (SA) node generates electrical impulses that initiate heartbeats.
    • Deoxygenated blood from the body returns to the right atrium of the heart.

    Heart Failure Indicators

    • Right-sided heart failure commonly causes dependent edema, which results in swelling in lower extremities.

    Aortic Aneurysms

    • A dissecting aortic aneurysm occurs due to separation of the inner layers of the aorta, creating a false lumen.

    Hypertensive Emergencies

    • Patients with chronic hypertension may have delayed signs and symptoms in a hypertensive emergency situation.

    Angina Pectoris

    • Angina pectoris occurs when the myocardial oxygen demand surpasses its supply, indicating a need for better blood flow or oxygen delivery.

    Left Ventricular Assist Device (LVAD)

    • Patients with an LVAD typically have a history of acute myocardial infarction (heart attack).

    Cardiac Arrest Response

    • In cases of unresponsive, apneic, and pulseless patients, immediate high-quality CPR should be started, and AED pads should be applied as soon as possible.

    Chest Pressure and Emergency Care

    • For a patient with substernal chest pressure lasting 2 hours, administer oxygen, give 324 mg of aspirin, and assess further, especially with a history of hypertension and diabetes.

    12-Lead ECG Electrode Placement

    • The "LL" and "RL" electrodes for a 12-lead ECG should be placed on the thighs or ankles, ensuring proper monitoring of cardiac electrical activity.

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    Test your knowledge on critical concepts from Chapter 16 of EMT training with these flashcards. Each card presents a question related to cardiac functions and conditions, essential for understanding emergency medical response. Perfect for both students and professionals looking to refresh their knowledge.

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