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NCLEX > Cardiac > Flashcards

Cardiac Flashcards

1
Q

Bizarre meaning

A

tachycardia

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2
Q

Chaotic

A

fibrillation

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3
Q

What occurs after an MI

A

PVC’s sign of reperfusion

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4
Q

High priority rhythms

A

asystole and v fib= no cardiac output

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5
Q

Treatment for Sinus Bradycardia

A

Atropine
fluids
dopamine- vasopressor
connect to pacemaker- give pain med before

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6
Q

SVT stable

A

Adenosine
vasovagal before giving

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7
Q

SVT unstable

A

cardiovert

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8
Q

A fib/flutter

A

Amniodarone
(BB, CCB, and dig)
warfarin or heparin if last more than 48 hrs

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8
Q

A fib/ flutte unstable

A

Cardiovert

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9
Q

PEA and Asytole

A
  1. Check for pulse
  2. CPR
  3. EPI

5H’s and 5T’s cause

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10
Q

Torsades de pointes

A

IV magnesium
low magnesium causes
normal range 1.3-2.4

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11
Q

V Tach with a pulse and stable

A

give amniodarone

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12
Q

V tach no pulse

A

Defib, cpr, epi 3-5 min

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13
Q

V Tach with pulse and unstable

A

cardiovert

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14
Q

V fib

A

defib, cpr, epi

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15
Q

cardiac output

A

how much blood is being pumped
4-8 L/min
calculated by hr x SV

16
Q

Ejection fraction

A

how much blood leaves the heart each time it contracts
55- 70% normal
40 or less= heart failure

17
Q

Meds avoided with hf patients

A

cough or flu meds
antacids
NSAIDs

raise bp

18
Q

Cholesterol

A

less than 200

19
Q

Triglycerides

A

less than 150

20
Q

LDL

A

less than 100

21
Q

HDL

A

higher than 40

22
Q

Stable angina and treatment

A

pain stops at rest

treat with nitro, bb, and anti platelet

23
Q

Unstable angina treatment

A

pain unrelieved with rest

treatment:
O- oxygen
A- aspirin
N- nitro
M- morphine

24
Q

MI

A

heart muscles die
no oxygen pumped to the body
tropinon over 0.5 number 1 indicator
s/s: chest pain, abdominal pain, heartburn, jaw/ shoulder pain, n/v, sweating

25
Q

Treatment for MI

A

OANM- oxygen

Cath lab or clot buster- clear clot
PCI, angiography or angioplasty

Heparin IV- rest and prevent
Nitro IV
Beta blockers
CCB

26
Q

CATH Lab

A

contrast kills kidney
no metformin 48 hrs before or after
must lay supine 6hrs after
can’t palpate pulse call HCP
creatine over 1.3= bad

27
Q

Thrombolytics or Fibronolytics

A

no injections
no active bleeds (petit ulcer)
do not give with history of
AV malformations
HTN over 180
stroke within three months
recent surgery
head trauma
intracranial hemorrhage

28
Q

All children with congenital heart defects have what

A

a heart murmur and and echo

29
Q

4 defects of TET of Fallot

A

Varied
pictures
of a
ranch

30
Q

Congenital Heart defects

A

TRouBLe
all start with t
shunt blood right to left

31
Q

Congenital heart defects

A

-need surgery
- slowed growth and development (failure to thrive)
- shortened life expect
- discharge on heart monitor

NCLEX (20 decks)

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