Cardiac Management Flashcards

1
Q

CHF Tx Plan

A
Position of comfort
Vitals/Lung Sounds
02 to maintain <94%- CPAP if pulmonary edema
Consider EtCO2
Limit activity
12 Lead
IV Access
Meds: NTG
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2
Q

Tamponade Tx Plan

A

Position of comfort
Assess Airway and Breathing

Vitals/Lung Sounds
02 to maintain <94%

IV and 12 Lead en route

Meds: fluids if no edema, consider vasopressors
*needs hospital

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3
Q

Cardiogenic Shock Tx Plan

A
Position of comfort --> supine if tolerated
Assess airway breathing
Vitals/Lung Sounds
02 to maintain <94%
Consider EtCO2
Limit activity
12 Lead
IV Access
Meds: give fluid bolus and reassess
if condition worsens, Epi Infusion titrate to 90 systolic
if conditions worsens, call MD
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4
Q

HTN Crisis Tx Plan

A

Position of comfort
Vitals/Lung Sounds
02 to maintain <94%

12 Lead
IV Access
Suppportive care, if meets criteria, use labetalol

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5
Q

Endocarditis Tx Plan

A

Position of comfort
Vitals/Lung Sounds
02 to maintain <94%

12 Lead
IV Access
Supportive care

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6
Q

Pericarditis/Myocarditis Tx Plan

A

Position of comfort
Vitals/Lung Sounds
02 to maintain <94%

12 Lead
IV Access

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7
Q

Aortic Aneursym Tx Plan

A

Position of comfort
ABCs
Vitals/Lung Sounds
02 to maintain <94%

Cardiac monitor
IV Access
Meds: px relief- morphine/fentanyl
contact MD

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8
Q

DVT Tx Plan

A

Position of comfort
02 <94%
IV Access
Cardiac monitor

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9
Q

Cardioversion- SVT joules

A

50-100

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10
Q

Cardioversion- A Fib joules

A

120-200

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11
Q

Cardioversion- Mono V Tach

A

100

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12
Q

Cardioversion- Poly V Tach

A

defib

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13
Q

CHF- Left heart failure s/s

A

dyspnea
pulmonary edema
nocturnal dyspnea
orthopnea

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14
Q

CHF- Right heart failure s/s

A

JVD

Pedal edema

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15
Q

Tamponade s/s

A

chest px
dyspnea
Becks triad

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16
Q

Becks Triad

A

muffled heart tones
JVD
narrowing pulse pressure

17
Q

HTN crisis s/s

A
ALOC
HA
dyspnea
chest px
vomiting
visual disturbance
tinnitus
seizures
s/s of stroke
18
Q

Cardiogenic shock s/s

A
hypotension
tachycardic
chest px
dyspnea
ALOC
weakness
hx of trauma or MI