212 Exam 2 Flashcards
How long is the PR interval?
.12 - .20 (3-5 small squares)
How long is the QRS complex?
.04 - .12
-pril
ACE inhibitor
-ide
Loop diuretic
-lol
Beta blocker
-pine
Calcium channel blocker
-sartan
ARBs Angiotensin II receptor blockers
Diuretic side effects
Electrolyte imbalance
Beta blocker considerations
-lol Heart rate must be >60 to give. Check Blood pressure. Work by reducing cardiac output and reduce sympathetic vasoconstrictor tone. May cause hypotension, ED.
Calcium channel blocker considerations
-pine Block movement of extra-cellular calcium into cells, causing vasodilation, and decreased heart rate, contractility, and systemic vascular resistance. May cause peripheral edema. Avoid grapefruit.
ACE inhibitor considerations
-pril Prevents conversion of angiotensin I into angiotensin II, inhibiting angiotensin II – mediated vasoconstriction. Causes dry cough. Good for diabetics. Can cause hyperkalemia.
Angiotensin II Receptor Blockers
-sartan prevents action of angiotensin II. Produces vasodilation and increases excretion of salt and water. Generally well tolerated.
MAP
Minimum 60, normal 70 - 110
S3
rare extra heart sound that occurs soon after the normal two “lub-dub” heart sounds (S1 and S2). The S3 is associated with heart failure.
S4
The fourth heart sound or S4 is a rare extra heart sound that occurs immediately before the normal two “lub-dub” heart sounds (S1 and S2). It occurs just after atrial contraction and immediately before the systolic S1 and is caused by the atria contracting forcefully in an effort to overcome an abnormally stiff or hypertrophic ventricle.