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NGN-NCLEX 2024 > Cardiac > Flashcards

Cardiac Flashcards

1
Q

When auscultating a heart murmur you will hear a….

A

harsh blowing sound

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2
Q

A-fib has no _____ on the ekg.

A

P waves

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3
Q

The preferred medication for A-fib is…..

A

Dilitazem

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4
Q

Amiodaron is used for three arrhythmic?

A
  1. V-tach
  2. V-fib
  3. A-fib
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5
Q

Dilitazem, amiodaron, and labetolol all lower the…

A

HR

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6
Q

What is the d-dimer test?

A

Shows protein fragments a clot breakdown.

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7
Q

Ankle Brachial index assesses……

A

The vascular status of the lower extremities.

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8
Q

SVT has no……

A

P-waves

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9
Q

CK-MG measures what?

A

muscle cell death.

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10
Q

Highest CK-MG levels are at how many hours?

A

18 hours

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11
Q

What is an early manifestation of Heart Failure?

A

S3

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12
Q

Swooshign sound over the umbilicus could possibly be a ______.

A

(AAA) Abdominal aortic aneurysm.

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13
Q

(TEE) visualizes the..

A

Heart chambers and valves. It helps to see if there are any clots.

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14
Q

What does dofetilide treat? And what can it prolong?

A

a fib / aflutter

can prolong the QT interval .

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15
Q

Adenosine can treat?….

A

SVT

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16
Q

Colchine is a _____ and treats _______>

A

anti-inflammatory and treats pericarditis.

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17
Q

A pulse deficit is the difference between ______ and ________ pulses.

A

apical and peripheral pulses.

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18
Q

Atrium has mini disorganized mini contractions.

A

A-fib

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19
Q

Atria contracts at high rates and overrides the SA node over and over again.

A

A-flutter

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20
Q

Electrical signal starts in the ventricles. Ventricles are pumping so fast, not filling up with blood. Only pumping out table spoons of blood.

A

V-tach

21
Q

Most deadly. Ventricles pacemakers are erratic - there is no CO.

A

V-fib

22
Q

A rapid HR that starts above the ventricles.

A

Supra ventricular tachycardia

23
Q

Some Atrial impulses are not conducting to the ventricles.

A

Wencheback 2nd degree type 1

24
Q

Av node not working. Close to a complete heart block.

A

Mobitz 2

25
Q

SA and AV node are not working, only the ventricles.

A

Torsades de pointes

26
Q

Interventions for pulseless v-tach (4)

A
  1. CPR
  2. Defibrillator
  3. Epi
  4. Amiodarone or lidocaine
27
Q

Interventions for stable v-tach

A

Amiodarone or lidocaine

28
Q

Interventions for v-fib. (4)

A
  1. CPR
  2. Defibrillator
  3. Epi
  4. Amiodarone or lidocaine
29
Q

Interventions of SVT (2)

A
  1. Vagal maneuvers
  2. Cardiovert adenosine
30
Q

PVC interventions

A

BB’s
Amiodarone
Catheter ablation

31
Q

What is acute coronary syndrome?

A

A sudden reduction or blockage of blood flow to the heart.

32
Q

Name 4 atypical clinical features of ACS.

A
  1. N/v
    2.dyspnea
    3.Increased fatigue
  2. epigastric pain
33
Q

Name 2 early signs of shock.

A
  1. Restlessness
  2. Tachycardia
34
Q

List 2 common complications after a PCI.

A
  1. Shock
  2. Dysrhythmia
35
Q

Dilitazem is a CCB and can cause ______ and _______.

A

Bradycardia and hypotension.

36
Q

3rd degree heart block has no _________ after every other ________.

A

QRS / P-wave

37
Q

What should you monitor when giving nitroprusside?

A

Thiocynate levels

38
Q

Orthostatic hypotension is a _______ decrease in systolic pressure and ________ decrease in diastolic pressure.

A

20 / 10

39
Q

Name two things that are not necessary to monitor after a PCI.

A
  1. blood glucose
  2. Troponin levels
40
Q

Three key assessments of cardiac tamponade.

A

Beck’s triad
1. JVD
2. Low BP
3. Can’t hear heart sounds

41
Q

Left sided HF is caused by ______.

A

HPTN

42
Q

After a CABG ________ is common.

A

depression

43
Q

CABG Teaching.

A

1.Limit pushing and pulling for 6 weeks.
2. don’t cross legs
3.Elevate the limb that was used.
4. sex is ok if the client cal walk 1 block or climb 2 flights of stairs.

44
Q

Before a cardiac procedure stop taking anti-platelets ______ before.

A

1 week

45
Q

Name 4 Valvular heart disease teachings.

A
  1. good oral hygiene
  2. no flossing
  3. no electrical toothbrush
    4.no dental procedures for 6 months.
46
Q

What is Raynauds phenomenon?

A

poor circulation which causes pain and a red, white and blue color in the extremities.

47
Q

What is Buergers disease?

A

poor circulation that causes pain and a purple color in the extremities. It is associated with smoking and more common in men.

48
Q

3 treatments for Raynauds and Burgers.

A
  1. Stop smoking
  2. wear warm clothes
  3. vasodilators

NGN-NCLEX 2024 (5 decks)

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