In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: IF is a P-wave, the rhythm will be one of theses Sinus Rhythms:Answer: Sinus Rhythm: Normal Sinus Rhythm, Sinus Bradycardia or Tachycardia Question: If you do not have a P-wave the is:Answer: Ventricular Question: the Rate:Answer: 60-100 (NSR or AJR)<60 (SB, or JR)> 100 (ST or JT) Question: PR Interval = <.12 (less than 3 boxes)Answer: = Rhythm, nextlook at rate Question: PR Interval = .12-.20 = (3 to 5 boxes)Answer: = Sinus Rhythm, Sinus Brady, Tach Question: PR = >.20 =Answer: 1st heart block. Type of rhythnm with 1st degree heart block Question: No P-wave=Answer: Tachacardia, ideoventricular, Atrial flutter, Fixed conduction (...!...!...!) Question: QRS =Answer: 0.06-0.10 Question: Super Ventricular Answer: <3 boxes Question: When do you Answer: When you have a Question: When do you Answer: When you have no Question: What drug(s) do you use for Answer: Epinephrine, and Question: The drug used to Cardiovert SVT isAnswer: Question: Nursing related to CABGAnswer: Fear, Deficient knowledgeIneffective cardiac tissue perfusion, Decreased cardiac output, Impaired gas , Risk for imbalanced fluid volume, Disturbed sensory perception, Acute pain, Ineffective tissue perfusion, Ineffective thermoregulation Question: CVP value:Wedge pressure:PAPAnswer: CVP:0-4 pressure:8-15 PAP 20-30/5-15 Question: EdemaAnswer: Massive left sided heart failure, full of fluid, pink frothy secretions, Treatment: diuretics (lasix first line)If pt has renal failure then (nitroglycerin and ) Question: RhythmsAnswer: A-flutter, Sinus Arrhythmia, 2 degree or 3 heart block, A-fib Question: Narrowing pulse pressure would be seen in patientAnswer: Tamponade, also JVD Question: Pacemaker Information on ChartAnswer: Model of pacemaker, type of , date and time of insertion, location of pulse generator, stimulation threshold, Pacer settings (eg, rate, energy output, sensitivity, and duration of interval between atrial and ventricular impulses) Question: Endocarditis Infective Risk Answer: Risk factors: heart valve prosthesis, hx of heart (mitral valve prolapse), chronic dibilitatin disease, IV drug abuse and immunosuppression Question: Answer: Friction rub. notched T wave, S/S: fever, positional chest discomfort, nonspecific ST-segment elevation, elevated ESR erythrocyte sedimentation rate, retrosternal pain that during supine positioning, pulsus paradoxus Question: hypokalemia wave form Answer: U after the T Question: Answer: Tall QRS Question: Answer: Torsades de Question: Medications to treat ventricular Answer: Lidocaine, Beta blockers, amiodarone (drug of for v-tac) Question: Heart Failure (chronic condition)Answer: JVD, Dependent Edema, right upper gastric pain(Right heart handles systemic blood ) Question: Left FailureAnswer: Bibasilar fine crackles, dyspnea, tachycardia, S3 and S4 heartsounds,fatigue, , non-productive cough, cool pale skin, PMI displaces toward the left anterior axillary line Question: Inferior wall myocardial Answer: T-wave inversion:inadequate blood supplyST-segment elevation:injury prolonged ischemiaPathologic Q waves Are all of tissue hypoxia Question: DigoxinAnswer: Hold if apical pulse is less than 60 bpm. Digitalis Toxicity = vision changes (halos), dysrhythmia, anorexia, nausea, vomiting, headache, and malaise. Increases force of myocardial contraction and HR. Question: A-fibAnswer: Warfarin to prevent clots and decrease risk of , Digoxin to control HR Question: 12 Lead Answer: ST elevation indicates immediate myocardial injury. ST indicate myocardial ischemia. Q wave forms several days after a myocardial infarction, U wave is a sign of hypokalemia. Question: FurosemideAnswer: IV push: give at a rate of 20 mg/min or less. Rapid injection can cause hearing loss as a result of ototoxicity.Normal daily dose: 40 mg. loop Question: Answer: Reduces oxygen consumption to devrease ischemia and relieve pain. Vasodialator in veins and reduces blood return to heart and preload is reduced. May cause a significant drop in cardiac output and B/P if pt is hypovolemic at higher doses. Question: Calcium BlockersAnswer: Slows heartrate and decreases strength of contraction which decreases workload of heart. Relaxes blood vessels decreasing BP and coronary artery perfusion Question: Rhumatic Answer: Caused by Question: S/S of EndocarditisAnswer: Osler's nodes (red, painful nodules on the fingers and toes) splinter hemorrhages, fever, diaphoresis, pain, weakness, abdominal pain, new murmur, Janeway's lesions (small, hemorrhagic areas on fingers, toes, ears, and nose) Question: S/SAnswer: Flu-like symptoms.fatigue, dyspnea, palpitations, and occasional discofort in the chest and upper abdomen. My develop dysrhythmias, or ST-T wave . Systolic murmur, gallop rhtyhm, Question: ACE Answer: promote vasodilation and by decreasing afterload and preload. Question: Answer: left ventricular dysfunction. increases cardiac contractility. at high , it also increases HR and incidence of ectopic beats and tachydysrhythmias. take care in pt with a-fib. Question: CK-MB increase, peak and return to normalAnswer: 4-8 hours, peaks 12-24 hrs, and returns to 1-3 weeks Question: Troponin earliest , peak and return to normalAnswer: 3-4 hours, peaks in 4-24 hrs and to normal 1-3 weeks Question: Labs for failureAnswer: BUN, TSH, CBC, Question: Mitral stenosis: , S/SAnswer: S/S: dyspnea, progressive fatigue, hemoptysis, paroxysmal dyspnea, chough, wheeze, repeated respiratory infections. Dysrhythmias like A-fib. Tests Doppler echocardiography. Question: Regurgitation: Cause Answer: Caused by inflammatory lesions that deformt he leaflets of the aortic valve. also infective or rheumatic endocarditis, congenital abnormalities, diseases such as , dissecting aneurysm, blunt chest trauma, or valve replacement. Question: Regurgitation: S/SAnswer: Forceful heartbeats in head and neck, arterial pulsations that are visible or palpable at the carotid or temporal arteries. dyspnea, fatigure, progressive s/s of left ventricular failure includie breathing difficulties, orthopnea, PND. Question: Valve replacement teaching: pre and Answer: take long term therapy, freequent follow up appointsments and blood lab studies. mak need to take aspirin, precribed medication teaching, Question: Cardiac S/SAnswer: Life threatening need stat interventions. S/S fullness within the chest, substantial or ill defined pain. sob, massive JVD, falling systolic blood , narrowing pulse pressure, rising venous pressure (increased JVD) and distant heart sounds Question: Tamponade treatmentAnswer: pericardiocentesis, (pericardial window) Question: CABG: Answer: 70% occlusion (60% if in the Left main). must me patent beyond the occlusion. Use greater saphenous vein, lesser saphenous, chephalic and basilic veins. |
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