Cardiac Flashcards

1
Q

Two treatments for Symptomatic bradycardia

A

Transcutaneous pacing

Atropine

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2
Q

Priority treatment for v-fib and pulseless v-tach

A

Defibrillation

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3
Q

Treatment for symptomatic tachycardia

A

Cardioversion

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4
Q

When should we start CPR

A

No pulse

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5
Q

How do we know if our patients have adequate oxygen: Nursing assessment

A

Do the pupils react to light

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6
Q

Amiodarone can help with these heart rhythms

A

PVCs

A-fib

A-flutter

V-tach

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7
Q

Organ typically damaged during CPR

A

Liver

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8
Q

Interval of time a person can survive without oxygen

A

4-6 minutes

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9
Q

How does clonidine work

A

Drops blood pressure

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10
Q

Common side effects of clonidine

A

Impotence

Dry mouth

Visual disturbances

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11
Q

What HR should we hold the beta blocker

A

< 50

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12
Q

Formula for CO

A

SV x HR

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13
Q

Decreased CO, ____ Tissue perfusion

A

Decreased

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14
Q

(3) Directly influences CO

A

HR

BP

Contractions

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15
Q

Findings of LOW CO

A

Decreased LOC

Sweaty skin

Diminished pulses

Bradycardia

Wet lung sounds

Decreased urinary output

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16
Q

Abnormal Heart rhythms that can lead to death

A

Asystole

Pulseless v-tach

V-fib

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17
Q

Stroke Volume

A

Blood is pumped from L. Ventricle/minute

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18
Q

Positive Homan sign is an indicator for:

A

DVT

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19
Q

Positive Homan sign

A

Pain in the calf upon flexing the knee and arching or cramping upon dorsiflexion of the foot.

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20
Q

Arteries

A

Carry blood from the heart

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21
Q

Veins

A

Carry blood to the heart

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22
Q

Arterial disorders =

A

Oxygenation

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23
Q

Hallmark sign of any arterial disorder

A

Claudication

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24
Q

Claudication

A

Pain caused by too little blood flow during exercise

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25
Elevate ____
Veins
26
Dangle ____
Arteries
27
Findings of PAD
Shiny leg Hairless extremity Pale and Cold extremity Diminished pulse Numbness and pain at rest
28
Cardiac Tamponade
Fluid on the heart
29
Findings of tamponade
Decrease BP Increased CVP Muffled sounds JVD
30
Classic sign of tamponade
Muffled sounds Increased CVP Narrow pulse
31
Treatment for tamponade
Pericardiocentesis
32
Pericardiocentesis
Fluid is taken from the pericardium
33
pulmonary Embolism
Fluid in the lungs
34
When does PE normally occur
night time We pull fluids from our legs while we are supine
35
People who typically get a PE
Anyone with too much fluid Kidney and heart failure patients Very old patients Very young patients
36
Findings of PE
HYPOXIA a productive cough
37
Priority nursing intervention for PE
Oxygen
38
Typical med prescribed to treat PE
Lasix
39
Nitroglycerine
Vasodilator
40
Typical med prescribed for chest pain
Nitroglycerine
41
Nesiritide
IV vasodilator
42
Nesiritide can affect this lab value
BNP Turn off infusion at least two hours PRIOR to BNP lab draw
43
Position to relieve PE
Up Right
44
Purpose of a pacemaker
Keep heart rate above bradycardia
45
Demand pacer
Kicks in when the HR drops below 60
46
Fixed rate pacer
Predetermined rate to kick in
47
Complication of pacemaker
Dislodged electrodes
48
After the pacemaker is placed in a client, what should we instruct them to do with their arms
Immobolize it Do not raise it over a certain point
49
Exercises we can do with our patient after a pacer is placed
Passive range motions
50
Loss of capture
Do not see the p wave or QRS interval after pacer spike
51
Failure to sense
No pacer spike with P wave or QRS interval
52
How often should someone with a pacer check their pulse
Daily
53
Should be avoided with anyone who has a pacemaker
MRIs Cell phones
54
5 heart disorders that put you at risk for failure
HTN MI Cardiomyopathy Heart disease Endocarditis
55
Left-sided heart failure
Blood backed up into the lungs
56
Right-sided heart failure
Systemic heart failure
57
Findings of Left-sided heart failure
SOB A productive cough Congestion SOB laying down (Orthopnea) Restlessness Bloody sputum
58
Findings of right-sided heart failure
Edema Large ORGANS JVD Bounding pulse Ascites Weight gain
59
Systolic heart failure
No contraction
60
Diastolic heart failure
No fill in ventricles
61
Lab used to identify heart failure
BNP
62
Normal BNP Level
< 100
63
A diagnostic test to identify HF
Echocardiogram
64
Echocardiogram
Looks at the ejection fracture of the heart
65
Normal ejection fracture
.55-.7
66
HF medication regiment
Ace inhibitor and ARBs
67
A medication commonly used for HF
Ace inhibitors
68
How do ace inhibitors work
Causes vessels to widen to decrease blood pressure
69
How do ARBs work
Same principle as an ace inhibitor. Widen blood vessels to decrease blood pressure
70
Example ARB
Losartan
71
Inhibited by ARBs and Ace inhibitors
Aldosterone - Helps us keep fluids and sodium
72
We always retain this electrolyte with ace inhibitors
Potassium
73
Drug regiment for HF patients being D/C
Beta-blocker and diuretic
74
Digoxin
Inotropic - makes the heart beat stronger used to fix AFIB and HF
75
The expected outcome of digoxin
Better cardiac output
76
Finding of digoxin toxicity
VISUAL ISSUES Irregular HB
77
Check prior to giving digoxin
Apical pulse
78
The cause of digoxin toxicity
Low potassium + Digoxin
79
Lab to check prior to given digoxin
Potassium
80
When should we administer diuretics
Early in the day NEVER AT NIGHT TIME
81
Diet modification for HF
Low sodium Decrease fluids
82
The best position for someone with heart failure
High fowlers
83
Cardiac rehab interventions to prevent heart failure (4)
No straining ( Docusate) No Valsalva No smoking
84
When can our client start having sex again
if they can walk around the block or a set of stairs without pain
85
The safest time for a client with HF to have sex
in the mornings
86
Best exercise for a client with HF
Walking
87
Findings of Hf
2-3 pound weight gain LLE edema SOB
88
Angioplasty
The balloon used to widen a blocked vessel
89
Stent
Tube used to widen a vessel
90
Complication of angioplasty
Heart Attack
91
Response to MI during angioplasty
Prepare for surgery
92
Complication post angioplasty
Angina
93
Medication typically prescribed after a stent is placed
Antiplatelt meds
94
Considered antiplatelets
Aspirin Plavix Abciximab
95
CABG
Open heart surgery
96
The expected outcome of a CABG
Occlusion went from the left main artery
97
Left main coronary artery occlusion =
death