CARDIOLOGY Flashcards
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is the first step in the management of this pt?
① a. Place a backboard under pt’s back while pt is supine
② b. Start chest compression
The first step is to place the backboard under pt’s back. “First” is about order.
You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is the best step in the management of this pt?
a. Place a backboard under pt’s back while pt is supine
b. Start chest compression
“Best” is about what is the priority. Chest compression is the priority action.
• Needs surgery now/soon to live
• Has slowed/delayed growth and development (failure to thrive)
• Has a shortened life expectancy
• Parents will experience a lot of grief, financial and emotional stress
• Pt is likely to be discharge home on a cardiac monitor
• After, birth, pt will be in the hospital for weeks
• Pediatrician or pediatric nurse will likely refer pt to a pediatric cardiologist
A pediatric pt with “TRouBLe” as congenital heart defect
The nurse is teaching the parent of an infant born with Tetralogy of Fallot. Which of the following should the nurse talked to the parents about in the teaching session?
“TRouBLe” congenital heart defect (R-L shunt)
• “TRouBLe” shunts blood Right to Left, recirculates deoxy blood
• “TRouBLe” is Blue (cyanotic) causes cyanosis
• All “TRouBLe” start with the letter “T”
Non trouble : PDA , PFO , VSD, ASDD ,
L - R defect
o Tetralogy of Fallot
o Truncus arteriosus
o Transposition of the great vessels
o Tricuspid atresia
o Totally anomalous of pulmonary vasculature (TAPV)
o Except, Left ventricular hypoplastic syndrome * not as common .: not often tested *
What are examples of congenital heart defects that are no TRouBLe?
Ventricular septal defect
Patent ductust arteriosus
Patent foramen ovale
Atrial septal defect
Pulmonic stenosis
- All children with a congenital heart defect, whether TRouBle defect or No TRouBle defect, have a murmur, an echo need to be doen to find out the cause of the murmur
What are the 4 defects of Tetralogy of Fallot
“PROVe” (Varied Pictures of a Ranch)
- Pulmonary artery stenosis
- RVH (Right ventricular hypertrophy)
- Overriding aorta
- VSD (Ventricular septal defect)
*no need to know what they are.. just need to spot them as answer choices on the board
When a pt is receiving digoxin, it would be priority for the nurse to monitor the client’s ______________
Potassium
What medication will be prescribed to a pt who has abdonimal aortic aneurysm at risk of rupturing
Beta-blocker
(For a client with a suspected ruptured (or rupturing) abdonimal aortic aneurysm, tight blood pressure control is essential. Having tight blood pressure control decreases the pressure on the aneurysm. Nurse should monitos VS closely and regulate pain)
a CHF client must report to the PHCP when they gain weight of _____ or more within one week
3-5
_____________ may contribute toward fluid retention and should not be used in cients with CHF
NSAIDs such as ibuprofen
What are manifestations indicating an aneurysm has ruptured?
With cerebral aneurysm, nausea and vomiting
Other manifestation include: nausea, vision changes, severe headaches, and ataxia
