Cardio first class 30,31,32,35

Question 1

chest pain

Answer 1

female radiate to right side
sharp,dull,pressure,tightness
f

Question 2

cv what to look for

Answer 2

edema, ascites (fluid in stomach), jvd(right sided heart failure HOB should be 30-45 degrees off a pillow , cap refill over 3 sec, pale, cyanotic lips lower extremities (poor perfusion, confusion, unsteady gait)

Question 3

Vital signs

Answer 3

1 indicator cardiac output- HR 60-100 except digoxin etc to lower HR, BP should not be greater 160 sys (sys should be less 130)

Question 4

heart sounds

Answer 4

s1- lub aortic and pulmonic closing louder
s2- dub mitral and tricuspid closing
what is louder and where heard
s3 and s4 abnormal so alert and check history murmur

Question 5

psych assessment

Answer 5

stress could trigger cv events

Question 6

creatinine kinase

Answer 6

for heart mucscle enzymes breakdown CK-MB

Question 7

troponin

Answer 7

released after cardiac tissue dies

Question 8

myoglobin

Answer 8

early detection of MI

Question 9

BNP

Answer 9

prognosti for heart failure if ventricles not reacting

Question 10

CRP

Answer 10

marks inflammation and nercrosis or CVD risk

Question 11

coagulation studies

Answer 11

important for clots- use stents or tpa after the labs

Question 12

cbc

Answer 12

circulating blood volume,

Question 13

basic metabloc panel

Answer 13

tells about kidneys- k, na , ca for contractility; GFR are they working and clearing to perfuse the organs if not CO decreased

Question 14

potassium

Answer 14

3.5-4.5

Question 15

3 lead placement vs 5 vs 12

Answer 15

pre hospital; 5 lead in hospital and gives greater area of heart muscel to look at. 3 can only see one angle; 12 lead looks every aspect and can detect MI; 5 can detect arrythmias or dysrythmias or if heart rate changes

Question 16

zio-path

Answer 16

monitors heart

Question 17

chest x ray

Answer 17

is heart enlarged, fluid filling lungs

Question 18

exercise stress tst

Answer 18

medicated and non med; treadmill will ekg symptoms, complaints, ischemia

Question 19

inotropic drug

Question 20

transthoracis echo(TTE)

Answer 20

outside ultrasound of heart, blood valve patterns, shape

Question 21

transesopheal echo(TEE)

Answer 21

consious sedation, probe down throat; better visualization-; after bc high risk aspiration have suction, cough and gag swallow test