Paramedic II Cardiology Review Know the intrinsic firing rates for the SA node, AV node and the Purkinje Fibers. Treatment for cardiogenic Shock – O2, fluids, Dopamine. Where is the base and apex of the heart located. Know each of the heart valves and their location within the heart. Know the coronary arteries and the areas they flow blood to. Know the function of the chordae tendonae. Know the function of the papillary muscles (how they work). Know the proper procedure for defibrillating a patient. Understand the function of a Demand Pacemaker. Know the proper procedure for synchronized cardioversion on a patient. Understand the proper treatment including medications for pulmonary edema. Understand the location of the coronary arteries, origin, number of, location. Know the effects and the most common side effect of the use of nitroglycerine. The effects of using Atropine on the body in a cardiac event. Understand the use of, effects, side effects and mechanism of action of Morphine. Understand depolarization and the resulting shift of ions in and out of the cell. Causes of Sinus Tachycardia in the body. Understand Systole vs Diastole. Understand the flow of blood through the heart. Define afterload, preload, stroke volume, cardiac output. Understand Starling’s law. Action of the vagus nerve. Treatment for PEA. Various functions of Dopamine at different doses (your last bonus question). Most common cause of death after an MI is. Understand the mechanism of action for Furosemide. Ventricular syncytium ????? Understand the functions of a single lead ECG, and what it cannot do. Define depolarization, repolarization, automaticity, and action potential. Understand the correct pathway electrical current travels from the SA node in a normal heartbeat. Signs and symptoms of Left sided heart failure, and right sided heart failure. End points of administration for Procainamide. Mechanism of action, dose, side effects of Cardizem. Define Inotropic, Chronotropic, Dromotropic. Describe unipolar, bipolar, augmented, and precordial leads. Understand each complex: P wave, PR interval, QRS, T wave, ST segment. Define the absolute and relative refractory periods. Treatment of PSVT including energy levels and medications. Define Angina Pectoris and the treatment. Define Jugular Venous Distension. Modifiable and non-modifiable risk factors for atherosclerosis. Medication of choice for Torsades de Pointes. Known the possible causes of PEA and the treatments required for each cause. Understand the functions and dosages for Amiodarone. Understand the term “Collateral circulation”. Understand the signs and symptoms of an Aortic aneurysm (dissecting or abdominal). Understand the signs and symptoms of a deep venous thrombosis. Understand the differences in: Stable Angina, Unstable Angina, Preinfarction Angina, Prinzmetal Angina. Understand paroxysmal nocturnal dyspnea. How do you detect JVD? Understand reentry rhythms. Understand which leads in the 12 lead are associated with each location of a myocardial infarction. Test is approximately 113 questions to be held on April 1st or 2nd (Monday, Tuesday). Good Luck!