Cardiovascular Diseases

Question 1

FIRST SIGN OF HYPOXIA

Answer 1

RESTLESSNESS,
CONFUSION,
Fatigue 

Question 2

CARDIAC Tamponade SIGNS/symptoms
BEC

Answer 2

BECKS TRIAD - BEC
B - Big JVD
E- Extremely LOW BP
C- Can’t hear heart sounds

Question 3

Cardiac Tamponade DIAGNOSTIC TESTING

Answer 3

X - ray
ECHO ultra SOUNd
No contrast dye needed

Question 4

Cardiac Tamponade TREATMENT

Answer 4

PERICARDIOCENTESIS

Question 5

S1 sound WHICH VALVE/ HEARD?

Answer 5

MITRIAL/ BICUSPID VALVE
APEX (heard) 5 th INTERCOSTA STAGE
SYSTOLIC

Question 6

S2 SOUND WHICH VALUE

Answer 6

AORtic / PULMONARY VALVE
DIASTOLIC RELAX
BEST HEARD AT ERB’S POINT

Question 7

S3 Sound

Answer 7

Rapid ventricular filling (vibrating)
Fluid overload

Question 8

S4 sound

Answer 8

STROng ATRIAL CONTRACTIONS

Question 9

Thrills

Answer 9

PARABLE VIBRATION OF VAlVES W/ MURMURS

Question 10

Bruits

Answer 10

Swooshing SOUND DUE TO OBSTRUCTED PERIPHERAL BLUOD Flow
ALSO Known AS TurBulence

Question 11

WHERE TO LISTEN w/abnormal Heart Rate (pulse deficit)

Answer 11

COMPARE APICAL TO RADIAL PULSE

Question 12

CARDIOMYOPATHY
DRH

Answer 12

DILATED: Distended heart muscle

RESTRICTIVE: “Rock hard” heart muscle * your rock hard lol*

HYPERTROPHIC: Huge trophy-like heart muscle

Question 13

Cardiac tamponade sighs and symptoms

DROWNED💦

Answer 13

D: DISTENDED jugular veins
R: RESPIRATORY tract and lungs clear
O: OXYGEN SATURATION LOW
W: WEAK RAPID PULSES (thready pulses)
N: NO PULSE (dealth is a complication)
E: ECG-QRS COMPLEXES short and even
D: DECREASED CARDIAC OUTPUT

Question 14

DILATED CARDIOMYOPATHY
DIAGNOSTIC TESTS

Answer 14

CHEST X-RAY
ECHOCARDIOGRAPHY
ANGIOGRAPHY

Question 15

Treatments for Congestive heart Failure

❤️ HOPE ❤️

Answer 15

H: HOB - 45 degrees + (Semi fowlers, High fowlers, Orthopenic position)
O: OXYGEN
P: PUSH - Furosemide + Morphine
E: END -Sodium & fluids (Sodium Swells)

Question 16

HYPERTROPHIC CARDIOMYOPATHY
DIAGNOSTIC TESTS

Answer 16

🏆
HyperTROPHIC
Big TROPHY

ЕСНО
Septal Wall thickened

Question 17

HYPERTROPHIC CARDIOMYOPATHY
PATIENT EDUCATION

3 D meds NO! NO! NO!

Answer 17

D: DILATORS (Nitro)
D: DIGOXIN
D: DIURETICS

NO NO NO 🤬

Question 18

CONGESTIVE HEART FAILURE
TREATMENTS PHARMACOLOGY

Answer 18

TOP 5 Vas🅾️dilators
1. Nitr🅾️glycerin
2. Nitr🅾️prusside
3. Hydralazine 👻 ( the o is a ghost)
4. Is🅾️s🅾️rbide Caution
5. Min🅾️xidil (only severe HF)

Question 19

hypertension
PHARMACOLOGY
AC ANTI-CLOGGING OF ARTERIES

Answer 19

A: ANTI PLATELET (Anti Clumping)
A-ASA
C-Clopidogrel ⚠️CAUTION:Bleeding⚠️

C: CHOLESTEROL LOWERING
Lovastatin “stay clean”
⚠️ CAUTION: Liver Toxic, NO grapefruit ⚠️

Question 20

MI-Heart attack causes and risk factors

🥤 SODDA 🥤

Answer 20

S • Stress, Stimulants (caffeine, amphetamines) Smoking 🚬
O • Obesity (BMI over 25) 🎅🏻
D • Diabetes & HTN (over 140/90)🎅🏻
D • Diet (high cholesterol) 🎅🏻
A • African American male 🎅🏾
Age (over 50)
*Men more than women

Question 21

MI-HEART ATTACK
TREATMENT

OANM

Answer 21

O: oxygen
A: Aspirin
N: Nitro
M: morphine

Question 22

ENDOCARDITIS
DIAGNOSTIC TESTS

Answer 22

BLOOD CULTURES
Culture & Sensitivity Test

ECHOCARDIOGRAM
Ultrasound of Heart beating 💗

I love you 😘

Question 23

CAUSES OF ENDOCARDITIS
Drums 🥁

Answer 23

D: DENTAL - (Oral surgery) Give prophylactic antibiotics, Degenerative heart disease (Marfan) 🦷🪥
R: RESISTANCE - to major antibiotics
U: UNTREATED STREP THROAT Rheumatic Fever
M: MAJOR HEART SURGERY - Valve repair or CABG
S: STICKING DIRTY NEEDLES - Medical use, tattoos, piercings 💉

Question 24

ENDOCARDITIS
SIGNS & SYMPTOMS

CLOT🩸

Answer 24

C: CLOTS in the heart & body
L: LUNG FLUID (crackles) & Spleen enlarged due to infection
O: OVERHEATED (Fever) 🥵
T: TOO LITTLE OXYGEN 😱

Question 25

ENDOCARDITIS
TREATMENTS ABX & SIDE EFFECTS

Answer 25

PENICILLIN - 🤰 Less effecive birth control
VANCO MYCIN - 😡 Red Man Syndrome, VERY Nephrotoxic
GENTAMYCIN- MAJOR Nephrotoxic & Ototoxic
CEFTRIAXONE - Cholecystitis

Question 26

ENDOCARDITIS
TREATMENTS
PATIENT EDUCATION

MOLD🦠

Answer 26

M: MONITOR - for infection
O: ORAL CARE - brush 2x day NO FLOSSING 🪥
L: LET ALL PROVIDERS KNOW - Hx of Endocarditis
D: DENTAL VISITS OR SURGERY- Antibiotic ADHERENCE

Question 27

DILATED CARDIOMYOPATHY
DIAGNOSTIC TESTS

Answer 27

CHEST X-RAY
ECHOCARDIOGRAPHY
ANGIOGRAPHY

Question 28

DILATED CARDIOMYOPATHY
TREATMENTS
ABCDD

Answer 28

A: ACE INHIBITORS
-pril • Lisinopril
B: BETA BLOCKERS
-lol • Atenolol
C: CALCIUM CHANNEL BLOCKERS
-dipine, -zem, -amil • Nifedipine, Diltiazem, Verapamil
D: DIGOXIN
Cardiac Glycoside
D: DIURETICS Loop or Thiazide
Furosemide & HCTZ°

Question 29

MI- Heart Attack
Avoid contract dye when ABCC
Angioplasty, Angiogram, Bypass

Answer 29

A- allergy to Iodine (flushing is normal)
B- blood (lie supine hours after surgery, direct pressure at incision site)
C- creatinine 0.8-1.2 (bad for kidneys)
C- can’t palpate pedal pulse? Call provider, normal diminished pulses 4-12 hours after surgery
NPO 6-12 hours

Question 30

INR value

Answer 30

2-3
Warfarin (Coumadin)
Antidote (vitamin K)

Question 31

PTT value

Answer 31

46-70
Heparin
Antidote (protamine sulfate)

Question 32

Which lab value for MI

Answer 32

Troponin (over 0.5)

Question 33

Cardiac drugs

Answer 33

A: ace and arbs
B: beta blockers
C: calcium blockers
D: digoxin
D: dilators
D: diuretics

Question 34

Lidocaine med

Answer 34

Drug of choice for Ventricular dysrhythmias

Question 35

Atropine

Answer 35

Drug of choice for Asystole (flatline)