Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Critical Care > Acute Coronary Sydrome And Stroke > Flashcards

Acute Coronary Sydrome And Stroke Flashcards

1
Q

ECG Electode Placement: where does RA, RL, LA and LL leads go?

A

RA - right arm
RL - right leg
LA - left arm
LL- left leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ECG Electode Placement: V1?

A

Right side. 4th rib. Just right of medial-sternum.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ECG Electode Placement: V2

A

Opposite V1
4th rib. To left of medial-sternum.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ECG Electode Placement: V3?

A

5th rib. Next to V2. Before midclavicular line.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ECG Electode Placement: v4

A

Left midclavicular line on 6th rib.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ECG Electode Placement: V5.

A

Between midclavicular line and madaxillary line.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ECG Electode Placement: v6

A

Midaxillary line.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a cardiac arrhythmia?

A

Irregular HR when electrical signal of the heart doesn’t work properly. Can cause slow HR. Fast HR. Or irregular.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Types of cardiac arrhythmia?

A

AF atrial fibrillation
Aftrial flutter.
Supraventricular tachycardia SVT
VT ventricular tachycardia
VF Ventricular fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When measuring a ECG look at:

A

Rate
Rhythm
P Wave
P/QRS relationship
PR interval
QRS complex
T Wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Acute Myocardial Infarct (AMI) is?

A

Blocked blood vessel and threatens damage to heart muscle and function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a STEMI?

A

Most serious.
Complete blockage of major coronary artery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is NSTEMI?

A

Partial blockage of coronary artery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is angina?

A

Causes by decreased blood flow to the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is unstable angina?

A

Accelerating pattern of chest discomfort, more dangerous than angina due to changing severity in partial coronary artery blocks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Symptoms of Acute Coronary Syndrome

A

Chest pain that is suddenly and continued despite rest and medications (NG spray)
SOB
Indigestion
Nausea
Anxiety
^ RR
^ HR
Cold skin that is pale and moist

17
Q

Clinical AX for suspected Acute Coronary Syndrome?

A

Vitals
12 lead ECG
Pathology - including serial cardiac enzymes, bio markers (myoglobin, troponin, creative kinase)

18
Q

What is Takostuba Cardiomyopathy? And symptoms of it?

A

Broken Heart Syndrome.
Caused by a stressful event and Mimics MI with Acute onset chest pain with ST elevation in precordial leads on ECG

19
Q

What is a CVAD?

A

Central Venous Access Device

20
Q

What vein do CVADs go in?

A

Subclavian or jugular veins.

21
Q

Why do pt’s get CVADs?

A

Provide direct venous access.

22
Q

Most commons CVADs?

A

PICC line

23
Q

What to think about with a CVAD Dx change?

A

Direct access to blood stream so ⬆️ potential for infection.

24
Q

PICC line care steps:

A

ANTT
2 min hand wash
Sterile field
Clean site with 2% ETOH chlorhexidine from site outwards in concentric circles.
Allow to air dry ⬆️30 secs.

25
Q

PICC flush:

A

ANTT
2 min hand wash
Sterile field
Clean site with 2% ETOH chlorhexidine from site outwards in concentric circles.
Allow to air dry ⬆️30 secs.
Use at least 10 mls syringe with normal saline.
Clamp under pressure

Can be ETOH locked - prevent infection
Or Heparin flushed.

26
Q

PICC Dx change freq.

A

Weekly if occlusive Dx or PRN
Daily if gauze. Or PRN

27
Q

What is a Porta Cath?

A

Implanted venous access device that empties into central vein, can be access subcutaneously via non-boring needle. Can be single or dual port.

28
Q

2 types of stroke?

A

Ischaemic
Haemorrhagic

29
Q

What is an ischemic stroke?

A

Inadequate blood flow to the brain due to occlusion of an artery

30
Q

What is haemorragic stroke?

A

Bleeding in the brain tissue

31
Q

What is a TIA

A

Trans ischemic attack

32
Q

Nursing consideration for stroke pt:

A

Ask FAST
Quick primary survey (ABC)
Rapid Response
Neuro exam
If possible position pt on side with bed rails up if unable to sit up.
If sit up. Put bed at 30•
Admin O2
Ensure IV

33
Q

Neurological assessment: COWS:

A

Can you hear me?
Open your eyes
What is your name?
Squeeze my hands

34
Q

Neurological assessment: AVPU

A

Alert
Voice
Pain
Unresponsive

Critical Care (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions