Cardiology Flashcards
Why chech Blood Pressure with Nitro?
- Hold if Systolic Blood Pressure 20mmHg below baseline, the nurse should remove the ointment and report finding to the physical.
Pentoxifylline (Trental)
Is a hermorrheologic agent that improves blood flow by decreasing blood viscosity and is used to treat intermittent claudication. A hemostatic agent is used to stop excessive bleeding. A tissue plasminogen activator is used in early management of acute myocardial infarction. A thrombolytic agent is prescribed to dissolve clots and other substances in thrombi and emboli.
In a conscious ventricular tachycardia client, … is given to correct Heart Rate.
Lidocaine (Xylocaine) 75 mg IV push.
Clients undergoing PTCA (Percutaneous Transluminal Coronary Angioplasty) receive abciximab (ReoPro) to …
Inhibit platelet aggregation and thereby reduce cardiac ischemic complications.
Mitral stenosis
Diastolic, rumbling, low-pitched murmur heard at the apex.
Mitral insufficiency
A pansystolic, blowing, hi-pitched murmur.
Aortic insufficiency
- systolic, harsh, crescent-decrescent murmur.
- A diastolic, blowing decrescent murmur.
Decadron (Dexamethasone)
Decrease cerebral edema.
Aldomet (Methyldopa)
Decrease Blood Pressure.
Phenytoin (dilantin)
Prevent seizures.
Propranolol Adverse Effects
N/V depression, fatigue and impotence.
Morphine Adverse Effects
N/V sedation, constipation, respiratory depression.
Nifedine Adverse Effects
Flushing, dizziness, HA, pedal edema.
For Myocardium Infartation (MI), must be started …
A thrombolytic agent must be started within 3-6 hrs of chest pain onset, and continued for 5-7 days.
Dopamine at low and High doses activates …
At low doses activate dopaminergic receptor sites at high doses it activates Alpha and Beta-1 receptor sites.
Dopamine Increases
Myocardial contractility and cardiac output, without changing heart rate, by signaling through dopamine receptors.
A cholinergic blocking agent may delay …
The sublingual absorption of nitro because of dry mouth. RN to offer sips of water before administering Nitro.
Amantadine (Symmetrel) and Digoxin (Lanoxin) enhance …
The effects of anticholinergic agents.
Thrombin
Is a hemostatic agent used to control local bleeding.
Plasma protein fraction a blood derivative supplies colloids to the blood and expands plasma volume is used to …
To treat clients in shock.
On a 12-lead ECG, leads V1 and V2 record electric events on …
The anterior surf of the Right ventricle and the anterior surf of the left ventricle.
On a 12-lead ECG, leads V3 and V4 record electrical events…
In the septal region of the left ventricle.
On a 12-lead ECG, leads I, aVL, V5, V6 record electrical events …
On the lateral surface of the left ventricle.
On a 12-lead ECG, Leads II, II, aVF record electrical events …
On the inferior surface of the left ventricle.
Beta-1 receptors sites are located in …
The heart.
Beta-2 receptors sites are located in …
In the uterus, blood vessels and bronchi.
During the 1st week after an Miocardium Infartation (MI), RN should stay alert for a …
Pericardial friction rub.
Graham Steells Murmur
Is a high pitched blowing murmur with a decrescent pattern heard during diastole.
Graham Steells Murmur indicates …
Pulmonary insufficiency, such as from pulmonary HTN or a congenital pulmonary valve defect.
An ejection click associated with mitral valve prolapse or a rigid calcified aortic valve causes a …
High pitched sound during systole.
Lidocaine (Xylocaine) 75mg IV push is used for …
frequents Premature Ventricular Contractions (PVCs).
Procainamide (Pronestyl) used for …
Atrial Fibrillation.
Lidocaine (Xylocaine) toxicity signs and symptoms …
Confusion and restlessness.
During Digoxin (Lanoxin) therapy monitor …
K and Mg levels.
Can predispose client to digitalis toxicity …
Low levels of K and Mg.
Signs and symptoms of digitalis toxicity …
Cardiac Arrhythmias.
Do not administer Digoxin with meals, because …
It slows the absorption rate.
Rhombergs test assesses …
cerebellar function.
Phalens test …
carpal tunnel syndrome.
Rinne test …
Air and bone conduction in both ears to screen for/confirm hearing loss.
Atropine Sulfate for Bradycardia …
Is administered IV, not IM. 0.4 – 1 mg q2h is norm.
Arterial baroreceptors are found in …
The aorta, carotid sinus and left ventricle wall.
A client with Heart Failure should limit H2O intake when taking …
Flecainide (Tambocor).
Cardiac tamponade client has fluid surrounding the heart which suppresses
The amplitude of the QRS complexes on an ECG.
A fixed S2 split is …
The hallmark of atrial septal defect.
It is continuous and doesn’t vary with respirations and results from prolonged emptying of the R ventricle.
