Cardiac / Peripheral Vascular Assessments

Question 1

Conduction

Answer 1

electrical impulses of the heart

Question 2

What does conduction precede?

Answer 2

mechanical events

Question 3

SA Node

Answer 3

pacemaker

Question 4

AV Node

Answer 4

backup pace maker 40-60 bpm

Question 5

Bundle Branches

Answer 5

Last resort 20-40 bpm

Question 6

2mx4p Rule

Answer 6

ideal serum is 2 magnesium and 4 potassium

Question 7

Telemetry

Answer 7

continuous monitor of the heart

Question 8

Telemetry Placements

Answer 8

snow over grass (right)
smoke over fire (left)
chocolate in the middle (4th intercostal space)

Question 9

Electrophysiology

Answer 9

specialist that deals with electrical issues of the heart

Question 10

Ischemia

Answer 10

lack of oxygenated blood, not permanent

Question 11

Infarction

Answer 11

tissue death

Question 12

Angioplasty

Answer 12

smashed blockage out with a balloon, can put stent in

Question 13

Heart Cath

Answer 13

put in artery

Question 14

Most important assessment after heart cath placement

Answer 14

check pedal pulse

Question 15

Cardiac Output

Answer 15

SV x HR

Question 16

Left Sided Heart Failure

Answer 16

most common
fluid backs up in lungs
crackles
dyspnea
decreased O2 sat
S3

Question 17

Right Sided Heart Failure

Answer 17

fluid backs up to body
JVD
edema in extremities

Question 18

Systole

Answer 18

contraction of ventricles, closure of AV valves

Question 19

AV valves

Answer 19

mitral and tricuspid

Question 20

Diastole

Answer 20

relaxation of the ventricles, closure of semilunar valves

Question 21

Semilunar Valves

Answer 21

aortic and pulmonic

Question 22

Bruit

Answer 22

hearing murmur outside of heart

Question 23

Thrill

Answer 23

feeling blood flow outside the heart, usually from dilaysis

Question 24

Systolic Murmur

Answer 24

benign, usually in women
“lub-swish-dub”

Question 25

Diastolic Murmur

Answer 25

malignant
“swish-lub-dub”

Question 26

S3

Answer 26

“Ken-tuck-y” can be normal in athletes, heard after S2

Question 27

S4

Answer 27

“ten-nes-see” almost never normal, indicated CAD, HTN, heard before S1

Question 28

MONA

Answer 28

morphine
oxygen
nitroglycerin
asprin

Question 29

Which vascular disease has painful sores?

Answer 29

Arterial

Question 30

Raynauds Disease

Answer 30

smaller arteries supplying blood to the skin in narrow and limiting vessesl

Question 31

Intermittent Claudication

Answer 31

pain when walking after walking a certain amount

Question 32

Allens Test

Answer 32

occlude both radial and ulnar artery, have Pt. make a fist and open hand, then release one artery and watch for reperfusion of the palm then repeat with other artery. Positive= bad

Question 33

Unilateral Edema

Answer 33

DVT

Question 34

Homans Sign

Answer 34

knee slightly bent, dorsiflex foot, ask if pt. has pain- if there is pain it is a positive result; checks for DVT