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Ccrn > Cardiovascular > Flashcards

Cardiovascular Flashcards

0
Q

Malignant hypertension

A

Diastolic bp >140

Associated w/ retinal hemmorhaging and papilledema

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1
Q

Accelerated hypertension

A

Diastolic bp >120

Associated w/retinal hemmorhaging

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2
Q

Hypertensive crisis 3 types

A

Essential
Accelerated
Malignant

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3
Q

Treatment of hypertensive crisis

A

Vasodilator and sympathetic blocking agents

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4
Q

Cardiomyopathy 3 types

A

Dilated
Hypertrophic
Restrictive cardiomyopathy

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5
Q

Hypertrophic cardiomyopathy aka

A

Hypertrophic obstructed cardiomyopathy

Idiopathic hypertrophic subaortic stenosis

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6
Q

Ihss has a big

A

Fat vent. Septum

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7
Q

Hypertrophic cardiomyopathy treated w/

A

Beta or ca channel blockers

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8
Q

In hcm or Ihss don’t give

A

Digoxin nitrates dope amine isuprel morphine

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9
Q

Systolic pap high

A 
Pulm htn
Pulm hypoxia
Copd
Pe
Ards
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10
Q

Dias pap high in

A

Cardiac tamponade
Left. Vent failure
Mitral valve dx

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11
Q

Pa systolic

A

20-30

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12
Q

Pa diast

A

6-12

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13
Q

Pad closely corresponds

A

Left vent end dp

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14
Q

Pad corresponds w/ lvdp except

A 
Rbbb
Mitral valve dx
Pulm htn
Low left vent compliance
Aortic insufficiency
Pulm insufficiency
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15
Q

Pawp range

A

4-12

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16
Q

Pawp indicates

A

Left atrial pressure/lvedp

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17
Q

Pawp made of____waves

A

A atrial contract
C m valve closing
V. Atrial filling

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18
Q

A wave occurs after

A

Qrs

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19
Q

V wave occur after

A

T wave

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20
Q

Accurate wedge based on avg of

A

A waves

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21
Q

Pawp elevated in

A

Left sided heart dysfunction

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22
Q

Pad correlates w/

A

Lvedp and pawp

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23
Q

Pawp correlates w/

A

Lvedp and pad

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24
Q

The pawp shouldn’t be____than pad

A

Higher

25
Q

Pa catheters must be in zone ___to be accurate

A

3

26
Q

How do I know pa cath is in zone I or II?

A

Pawp>pad
Pawp>pad
Absence of a&tv waves
Marked resp variations

27
Q

Any peep >____effects pawp reading

A

10

28
Q

Peep>10. Calc true pawp

A

Peep/1.36. /2. Then subtract result from pawp

29
Q

2 causes of murmurs

A

Forward flow blood stenoic open valves

Back flow blood through incompletely closed valves

30
Q

Aortic area

A

R 2 ics

31
Q

Pulm area

A

L 2 ics

32
Q

Mitral area

A

5 ics mcL

33
Q

Tricuspid area

A

4-5 ics L sternal border

34
Q

Diast murmur

A

S1 s2 mmmmm

35
Q

Syst murmur

A

S1 mmmmm s2

36
Q

Leads v1 v2 v3 have a ___wave

A

R

37
Q

No r wave no ___

A

Anterior septal wall

38
Q

Myocardial contusion EKG

A

St elevation in leads looking at injury

39
Q

Pericarditis EKG

A

St elevation in all leads

Risk for cardiac tamponade

40
Q

Pericarditis s&s

A

Sharp stabbing pain increases w/ resp
Low grade fever
Dyspnea&cough
Chest pain relieved by sitting up and leaning forward

41
Q

Cardiac tAmponade s&s

A

Hypotension
Elevated jvd
Pulses paradoxus

42
Q

Co range

A

4-8 L/min

43
Q

CI range

A

2.8-4.2 L/min/m2

44
Q

Cvp range

A

2-6 mm Hg

45
Q

Blowing noise heard 2 rics increases w/ exhalation

A

Aortic insufficiency

46
Q

Med pitch crescendo decrescendo radiating to neck & right carotid. Increases w/ holding breath

A

Aortic stenosis.

47
Q

High pitched plateu blowing at apex radiates to Scilla

A

Mitral insufficiency

48
Q

Lead 1 and avl look at —– & complex is —-

A

Lateral wall. Up.

49
Q

Lead II, III,& avf look at —- & complex goes—-

A

Inferior wall up

50
Q

V1 v2 v3 v4 look at

A

Anterior septal wall

51
Q

v5 & v6 look at

A

Lateral wall

52
Q

V1-v6 have an — wave that —– in each v lead

A

R wave. Increases.

53
Q

Inferior wall mi affects

A 
RCA 
Sinus node:Brady
Av node: chb 3rd hb, av dissociation 
Rv infarction 
Mitral valve insufficiency
Usually asymptomatic
54
Q

Only give atropine in

A

Brady with drop in bp

55
Q

Anterior septal wall mi effects

A

LAD
Bundle his and bundle branches: mobitz 2 and bbb
Vent sept: vsd

56
Q

Inferior wall mi w/av dissociation needs a

A

Pacer

57
Q

Anterior wall mi w/ mobitz 2 or rbbb 94% mortality unless

A

Pacemaker inserted

58
Q

Svr

A

800-1200

59
Q

Svri

A

1970-2390

Ccrn (10 decks)

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