2.2 Flashcards

ACS, valvular disorders, heart failure, dyrythmias

1
Q

when would you use synchronized cardioversion?

A

unstable a-fib or SVT

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2
Q

what are two shockable rhythms?

A

v-fib, pulseless v tach

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3
Q

what is the primary nursing goal for all cardiac diseases?

A

increase cardiac output

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4
Q

what is cardiac tamponade?

A

It is a pericardial effusion (a buildup of fluid in the pericardium) where the
volume increase and compresses the heart

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5
Q

ACS includes….

A

unstable angina, STEMI, and NSTEMI

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6
Q

3 facts about a STEMI

A
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7
Q

3 interventions for SVT

A

valsava, sntidysrhytthmics, adenosine, synchronious cardiovert

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8
Q

rhythm that has no discernable P wave is…

A

a fib

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9
Q

The P wave is

A

atrial contraction

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10
Q

the QRS wave is

A

ventricular contraction

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11
Q

the T wave is

A

rest/refill

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12
Q

most common causes of PVCs

A

stress, stimulants, and electrolyte imbalance

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13
Q

3 complications of heart failure

A

anemia, pleural effusions, hepatomegaly, dysrhythmias, cardiorenal syndrome

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14
Q

RAAS system is…

A
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15
Q

3 complications of an MI

A

death, heart failure, cardiogenic shock, pericarditis, dysrhythmias

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16
Q

3 signs and symptoms of infective endocarditis (I.E.)

A

oslers nodes on fingers, black lines on nails, worsening murmur

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17
Q

heart failure is…

A

a heart disease that impairs diastolic filling and stretch

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18
Q

rhythm with a rate >151 and P wave crashes into T wave is…

19
Q

chaotic appearing ventricular rhythm is…

20
Q

left ventricle HF can lead to…

A

right sided heart failure, hypertrophy, and dilation

21
Q

Aschoffs bodies and strep A are specific to this heart disease

A

rheumatic fever/ rheumatic heart disease

22
Q

Compensatory mechanisms for heart failure

A

RAAS system, hypertrophy, dilation

23
Q

what heart disease has diffuse inflammation that leads to ventricular dilation?

A

dilated cardiomyopathy

24
Q

what is a genetic heart disease, where early detection is key?

A

hypertrophic cardiomyopathy

25
HFrEF (pathophys)
ventricular systolic defect/LV contraction failure → dilation and hypertrophy → decreased EF =heart failure with reduced ejection fraction=systolic heart failure
26
HRpEF (pathophys)
ventricular diastolic defect/defective filling → high filling pressure due to non compliant LV → decreased filling → decreased volume → decreased SV → decreased CO → fluid congestion can be due to hypertension =heart failure with preserved ejection fraction=diastolic heart failure
27
pharyngitis is an early sign of
myocarditis
28
_________ can accompany myocarditis
pericarditis
29
__________ on valves can break off and cause emboli, leading to I.E.
vegetation
30
a risk factor for I.E.
IV drug use
31
what causes the black lines in I.E.?
vessel damage (vasculitis)
32
what type of murmur is seen in cardiomyopathy?
systolic murmur
33
what type of cardiomyopathy leads to impaired diastole?
hypertrophic
34
cardiomyopathy can lead to...
heart failure
35
________ is a common clinical manifestation of cardiomyopathy
dyspnea
36
this heart disease changes the structure and function of the heart
cardiomyopathy
36
_______ _______ lead to scar tissue in the myocardium
aschoffs bodies
37
this heart disease is chronic scarring and deformity of the heart valves
RHD and RF
38
this inflammatory disease can involve all layers of the heart
rheumatic fever
39
an abnormal drop is systolic blood pressure during inspiration
pulsus paradoxus
40
inflammation in the ______ leads to a certain sound
pericardial sac
41
you can hear _____when the pt leans forward
friction rub
42
pericarditis can cause what type of pain?
referred pain in the trapezius
43