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ACLS Test 1

Ch. 1-5

QuestionAnswer
HOW MANY AMERICANS DIE FROM CARDIOVASCULAR DISEASE EACH YEAR? 950,000
WHAT IS THE LEADING CAUSE OF PREMATURE, PERMANENT DISABILITY AMONG WORKING ADULTS? CORONARY HEART DISEASE
NONMODIFIABLE FACTORS OF CARDIOVASCULAR DISEASE HEREDITY, RACE, GENDER, AGE
MODIFIABLE FACTORS OF CARDIOVASCULAR DISEASE HIGH BP, ELEVATED SERUM CHOLESTEROL LEVELS, TOBACCO USE, DIABETES, PHYSICAL INACTIVITY, OBESITY, METABOLIC SYNDROME
NORMAL BP 120/80
PREHYPERTENSION 120-139/80-89
STAGE 1 HIGH BP 140-159/90-99
STAGE 2 HIGH BP GREATER THAN OR = TO 160/100
QUITTING SMOKING REDUCES THE RISK OF HEART DISEASE BY WHAT % AFTER 1 YEAR 50%
STUDIES HAVE SHOWN THAT EVEN WHAT % REDUCTION IN BODY WEIGHT REDUCES THE RISKS ASSOCIATED WITH OBESITY 10%
WHAT IS THE BODY MAX INDEX FORMULA WEIGHT IN LBS / HEIGHT IN INCHES * 704.4
CARDIAC CAUSES OF CARDIAC ARREST CORONARY ARTERY DISEASE (MOST COMMON), DYSRHYTHMIAS, ACUTE MI, VALVULAR HEART DISEASE, CHD, INTRACARDIAC TUMOR
NON-CARDIAC CAUSES OF CARDIAC ARREST PULMONARY EMBOLISM, CHOKING, ASPHYXIA, DRUGS, STROKE, HYPOXIA, ALCOHOLISM
CHAIN OF SURVIVAL FOR CARDIAC EARLY ACCESS, EARLY CPR, EARLY DEFIB, EARLY ACLS
COMPONENTS OF BASIC LIFE SUPPORT RECOGNITION OF SIGNS OF HEART ATTACK, CARDIAC ARREST, STROKE, FBAO, RELIEF OF FBAO, CPR, DEFIB
SHOCKABLE RHYTHMS V-TACH, V-FIB
NON-SHOCKABLE RHYTHMS ASYSTOLE, NO PULSE
COMPONENTS OF ADVANCED CARDIAC CARE BASIC LIFE SUPPORT, ADVANCED AIRWAY MNG, VENTILATION SUPPORT, ECG RECOGNITION, ECG INTERPRETATION, VASCULAR ACCESS AND FLUID RESUSCITATION, DEFIB, SYNCHRONIZED CARDIOVERSION, PACING, MEDS, CORONARY ARTERY BYPASS, STENT INSERTION, ANGIOPLASTY
PHASES OF CPR ELECTRICAL PHASE (FIRST 5 MIN), CIRCULATORY PHASE (5 MIN TO 10-15 MINS), METABOLIC PHASE (AFTER 10-15MIN)
WHEN DO YOU REPEAT THE PRIMARY SURVEY CHANGE IN PT'S CONDITION, INTERVENTIONS NOT WORKING, VITALS UNSTABLE, BEFORE ANY PROCEDURES, CHANGE IN RHYTHM
WHAT IS SECONDARY SURVEY ADANCED AIRWAY, BREATHING, CIRCULATION, DIAGNOSIS, EVALUATE, FACILITATE
TYPES OF ADVANCE DIRECTIVES LIVING WILL, PATIENT SELF DETERMINATION ACT, DURABLE POWER OF ATTORNEY FOR HEALTHCARE
DEFINE CARDIAC ARREST ABSENCE OF CARDIAC MECHANICAL ACTIVITY, NO PULSE, UNRESPONSIVE, ABNEA OR AGONAL BREATHING
WHAT DOES THE UPPER AIRWAY CONSIST OF NASOPHARYNX, OROPHARYNX, LARYNGOPHARYNX
NASAL CANULA LITERS AND FIO2 1L=24%2L=28%3L=32%4L=36%5L=40%6L=44%
SIMPLE MASK LITERS AND FIO2 8-10L & 40%-60%
THE RIGHT CORONARY ARTERY ORIGINATES FROM RIGHT SIDE OF THE AORTA
LEFT CORONARY ARTERY ORIGINATES FROM LEFT SIDE OF THE AORTA
WHAT IS DEPOLARIZATION BEFORE A CONTRACTION, GETTING READY TO CONTRACT, PULSELESS ELECTRICAL ACTIVITY
POLARIZATION IS READY STATE
DEPOLARIZATION STIMULATION
REPOLARIZATION RECOVERY
THE POSITION OF THE __ ELECTRODE ON THE BODY DETERMINES THE PORTION OF THE HEART "SEEN" BY EACH LEAD POSITIVE
3 LEADS THAT LOOK AT THE INFERIOR WALL OF THE LEFT VENTRICLE LEADS 2, 3 AND AVF
2 LEADS THAT LOOK AT THE ANTERIOR WALL OF THE LEFT VENTRICLE V3 & V4
4 LEADS THAT LOOK AT THE LATERAL WALL OF THE LEFT VENTRICLE LEAD 1, AVL, V5, V6
___ PLANE LEADS VIEW THE HEART AS IF THE BODY WERE SLICED IN HALF HORIZONTAL/TRANSVERSE
ECG PAPER... WHAT SIZE ARE SMALL BOXES 1MM WIDE AND 1MM HIGH
ECG PAPER RECORDS AT A SPEED OF 25MM/SEC
EACH HORIZONTAL UNIT REPRESENTS HOW MANY SEC .04 SEC OR 1MM
A LARGE BOX REPRESENTS .20 SEC
DEFINE WAVEFORM A MOVEMENT AWAY FROM BASELINE EITHER POS OR NEG
DEFINE SEGMENT A LINE BETWEEN WAVEFORMS
DEFINE INTERVAL A WAVEFORM AND A SEGMENT
DEFINE COMPLEX SEVERAL WAVEFORMS
WHAT IS A P WAVE FIRST WAVE IN CARDIAC CYCLE, ATRIAL DEPOLARIZATION, SMOOTH, ROUNDED AND ABOUT 0.11 SEC
WHAT IS QRS COMPLEX Q IS FIRST AND ALWAYS NEG, R IS POS, S IS NEG, VENTRICULAR DEPOLARIZATION
WHAT IS T WAVE VENTRICULAR REPOLARIZATION, UPRIGHT EXCEPT IN LEAD AVR
NEGATIVE (INVERTED) T WAVE = MYOCARDIAL ISCHEMIA
PEAKED T WAVE = HYPERKALEMIA
LOW AMPLITUDE T WAVES = HYPOKALEMIA
PR INTERVAL MEASURES 0.12-0.20 SEC
ST SEGMENT REPRESENTS EARLY PART OF REPOLARIZATION OF THE RIGHT AND LEFT VENTRICLES
QT INTERVALS REPRESENTS TOTAL VENTRICULAR ACTIVITY
QT MEASURES 0.36-0.44 SEC
PROLONGED QT = LENGTHENED RELATIVE REFRACTORY PERIOD
3 STEPS TO ASSESS THE RATE ON STRIPS 6 SEC METHOD, LARGE BOXES, SMALL BOXES
STEPS TO ANALYZE A RHYTHM STRIP ASSESS THE RATE, ASSESS RHYTHM, EXAMINE P WAVES, ASSESS INTERVALS, OVERALL APPEARANCE, INTERPRET
CHARACTERISTICS OF SINUS ARRHYTHMIA RATE= 60-100RHYTHM= IRREGULARP WAVES= UNIFORMPR INTERVAL= CONSTANTQRS DURATION= 0.10 SEC OR LESS
CHARACTERISTICS OF SINUS TACHY RATE= 101-180RHYTHM= REGULARP WAVES= UNIFORMPR INTERVAL= CONSTANTQRS DURATION= 0.10 SEC OR LESS
CAUSES OF SINUS TACH EXERCISE, FEVER, PAIN, FEAR, HYPOXIA, INFECTION, SHOCK, CAFFEINE, NICOTINE
HOW IS ATRIAL TACH DIFFERENT FROM SINUS TACH ATRIAL P WAVES DIFFER IN SHAPE
CHARACTERISTICS OF ATRIAL TACHY RATE=150-250; RHYTHM=REG; P WAVES= DIFFER IN SHAPE; PR INTERVAL=SHORTER OR LONGER, P WAVE MAY BE HIDDEN IN T WAVE; QRS DURATION=0.10 SEC
WHAT IS AVNRT ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA
CHARACTERISTICS OF AVNRT RATE=150-250; RHYTHM=NORM; P WAVES=HIDDEN IN QRS; PR INTERV=NOT MEASURED; QRS DUR=0.10 SEC
CHARACTERISTICS OF WOLFF-PARKINSON-WHITE SYNDROME RATE=60-100;
HOW DO YOU RECOGNIZE WPW SHORT PR INTERVAL, DELTA WAVE, WIDENING OF THE QRS
WHAT ARE VAGAL MANEUVERS METHODS USED TO STIMULATE BARORECEPTORS LOCATED IN THE INTERNAL CAROTID ARTERIES AND THE AORTIC ARCH
MAT IS MOST OFTEN SEEN IN SEVERE COPD, HYPOXIA, ACUTE CORONARY SYNDROME, DIGOXIN TOXICITY, RHEUMATIC HEART DISEASE, THEOPHYLLINE TOXICITY, ELECTROLYTE IMBALANCES
ATRIAL FLUTTER IS ECTOPIC, SAW TOOTH
CONDITIONS ASSOCIATED WITH A-FLUTTER HYPOXIA, PULMONARY EMBOLISM, CHRONIC LUNG DISEASE, PNEUMONIA, CARDIAC SURGERY
FIRST DEGREE AV BLOCK P WAVES CONDUCTED BUT DELAYED
SECOND DEGREE AV BLOCK SOME P WAVES CONDUCTED
THIRD DEGREE AV BLOCK NO P WAVES CONDUCTED
DEFIB INDICATIONS PULSELESS VT, VF, SUSTAINED POLYMORPHIC VT
WHAT ARE THE MOST IMPORTANT TREATMENTS FOR THE PTS IN CARDIAC ARREST DUE TO PULSELESS VT OR VE DEFIB AND CPR
ENERGY (JOULES)= AMPS * VOLTS * TIME
TRANSTHORACIC RESISTANCE IS ALSO KNOWN AS IMPEDANCE
WHAT FACTORS AFFECT IMPEDANCE PADDLE SIZE, POSITION, USE OF CONDUCTIVE MATERIAL, PHASE OF PT'S RESPIRATION, PRESSURE, ENERGY
INCREASED RESISTANCE = DECREASED CURRENT DELIVERY
CRITICAL RESUSCITATION TASKS AIRWAY MNG, CHEST COMPRESSIONS, MONITORING AND DEFIB, VASCULAR ACCESS AND MEDS
WHAT DO U DO WHEN A "FLAT LINE" IS OBSERVED ON A CARDIAC MONITOR MAKE SURE POWER IS ON, CHECK CONNECTIONS, MAKE SURE CORRECT LEAD IS SELECTED, TURN UP ECG SIZE ON MONITOR
AED OPERATION TURN ON, ATTACH, ANALYZE, DELIVER
SYNCHRONIZED CARDIOVERSION INDICATIONS UNSTABLE SUPRAVENTRICULAR TACHY, UNSTABLE ATRIAL FIB WITH RAPID VENT RESPONSE, UNSTABLE A FLUTTER WITH A RAPID VENT RESPONSE, UNSTABLE WIDE-COMPLEX TACHY, UNSTABLE VT WITH A PULSE
DEFIB AND CARDIOVERSION COMPLICATIONS SKIN BURNS, RISK OF FIRE, MYOCARDIAL DAMAGE, EMBOLIC EPISODES, DYSRHYTHMIAS, INJURY TO OPERATOR
DEFIB AND CARDIOVERSWION POSSIBLE ERRORS TREATING THE MONITOR, NOT THE PATIENT, OPERATOR UNFAMILIAR WITH EQUIPMENT, FAILURE TO PROPERLY MAINTAIN EQUIPMENT
TRANSCUTANEOUS PACING INDICATIONS SYMPTOMATIC BRADY, NARROW QRS THAT DOES NOT RESPOND TO ATROPINE, WIDE QRS BRADY
PACEMAKER COMPLICATIONS COUGHING, SKIN BURNS, PAIN, TISSUE DAMAGE,
FAILURE TO PACE FAILS TO DELIVER AN ELECTRICAL STIMULUS OR WHEN IT FAILS TO DELIVER THE CORRECT NUMB OF ELECTRICAL STIMULATIONS PER MIN.
FRAILURE TO CAPTURE (PACE) INABILITY OF A PACEMAKER STIMULUS TO DEPOLARIZE THE MYOCARDIUM.
WHAT FACTORS DO YOU CONSIDER WHEN SELECTING IV SITES PURPOSE, AMOUNT AND TYPE OF FLUIDS, DURATION, ACCESSIBILITY, SIVE OF VEIN, EXPERIENCE
Created by: celina1382