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Reading EKG Strips Test

Enter the letter for the matching Answer
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1.
Rhumatic Fever
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2.
When do you cardiovert
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3.
CVP normal value:Wedge pressure:PAP
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4.
Cardiac Tamponade treatment
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5.
Irregular Rhythms
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6.
CK-MB earliest increase, peak and return to normal
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7.
Aortic Regurgitation: Cause
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8.
Narrowing pulse pressure would be seen in which patient
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9.
Pacemaker Information required on Chart
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10.
ACE Inhibitors
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11.
Mitral stenosis: Rhythms, S/S
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12.
Regular QRS =
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13.
Super Ventricular Tachycardia
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14.
Nursing Diagnosis related to CABG
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15.
CABG:
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16.
Endocarditis Infective Risk factors
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17.
Dobutamine
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18.
Valve replacement teaching: pre and post
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19.
S/S of Infective Endocarditis
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20.
12 Lead EKG
A.
left ventricular dysfunction. increases cardiac contractility. at high doses, it also increases HR and incidence of ectopic beats and tachydysrhythmias. take care in pt with a-fib.
B.
take long term anticoagulant therapy, freequent follow up appointsments and blood lab studies. mak need to take aspirin, precribed medication teaching,
C.
<3 little boxes
D.
promote vasodilation and diuresis by decreasing afterload and preload.
E.
S/S: dyspnea, progressive fatigue, hemoptysis, paroxysmal nocturnal dyspnea, chough, wheeze, repeated respiratory infections. Dysrhythmias like A-fib. Tests Doppler echocardiography.
F.
Risk factors: heart valve prosthesis, hx of heart disease (mitral valve prolapse), chronic dibilitatin disease, IV drug abuse and immunosuppression
G.
ST elevation indicates immediate myocardial injury. ST depressions indicate myocardial ischemia. Q wave forms several days after a myocardial infarction, U wave is a sign of hypokalemia.
H.
CVP:0-4 Wedge pressure:8-15 PAP 20-30/5-15
I.
Caused by strep
J.
pericardiocentesis, pericardiotomy (pericardial window)
K.
4-8 hours, peaks 12-24 hrs, and returns to normal 1-3 weeks
L.
Osler's nodes (red, painful nodules on the fingers and toes) splinter hemorrhages, fever, diaphoresis, hoint pain, weakness, abdominal pain, new murmur, Janeway's lesions (small, hemorrhagic areas on fingers, toes, ears, and nose)
M.
Tamponade, also massive JVD
N.
When you have a pulse
O.
70% occlusion (60% if in the Left main). artery must me patent beyond the occlusion. Use greater saphenous vein, lesser saphenous, chephalic and basilic veins.
P.
0.06-0.10
Q.
Fear, Deficient knowledgeIneffective cardiac tissue perfusion, Decreased cardiac output, Impaired gas exchange, Risk for imbalanced fluid volume, Disturbed sensory perception, Acute pain, Ineffective tissue perfusion, Ineffective thermoregulation
R.
Caused by inflammatory lesions that deformt he leaflets of the aortic valve. also infective or rheumatic endocarditis, congenital abnormalities, diseases such as syphilis, dissecting aneurysm, blunt chest trauma, or valve replacement.
S.
A-flutter, Sinus Arrhythmia, 2 degree or 3 degree heart block, A-fib
T.
Model of pacemaker, type of generator, 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)
Type the Answer that corresponds to the displayed Question.
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21.
If you do not have a P-wave the rhythm is:
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22.
hypomagnesium
Type the Question that corresponds to the displayed Answer.
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23.
Tall QRS complexes
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24.
Slows heartrate and decreases strength of contraction which decreases workload of heart. Relaxes blood vessels decreasing BP and increases coronary artery perfusion
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25.
Ventricular Tachacardia, ideoventricular, Atrial flutter, Fixed conduction (...!...!...!)
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26.
60-100 (NSR or AJR)<60 (SB, or JR)> 100 (ST or JT)
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27.
Bibasilar fine crackles, dyspnea, tachycardia, S3 and S4 heartsounds,fatigue, hemoptysis, non-productive cough, cool pale skin, PMI displaces toward the left anterior axillary line
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28.
Flu-like symptoms.fatigue, dyspnea, palpitations, and occasional discofort in the chest and upper abdomen. My develop dysrhythmias, or ST-T wave changes. Systolic murmur, gallop rhtyhm,
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29.
Reduces oxygen consumption to devrease ischemia and relieve pain. Vasodialator mainly 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.
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30.
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 decreases HR.

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