Complications after ACS

Question 1

Compensatory stage

Answer 1

everything is tightening up. Your body vasocontricts in order to try and increase BP. Edema happens from Sodium & water retention

Question 2

Progressive Stage

Answer 2

Acidosis , edema, clotting happens, DIC

Question 3

Refractory stage

Answer 3

your pretty much dead

Question 4

Cardiogenic shock treatment

Answer 4

Dopamin(Levophed) & Dobutamine

Question 5

Dopamin (Levophed) action

Answer 5

increases force of contractions

Question 6

Dobutamin action

Answer 6

stimulates epinephrine to increase BP and perfuse kidneys. Its ordered based on weight

Question 7

What is the purpose of cardiogenic meds?

Answer 7

to get BP to 90/60 in order to get kidneys & brain perfused

Question 8

Ventricular Assistive Device

Answer 8

plugged into aorta& left ventricle. It provides zero clotting risks & increases cardiac output. It allows weak hearts to recover

Question 9

Intra Aortic ballon pump (IABP) does what?

Answer 9

It perfuses coronary arteries which can then bring o2 to heart

Question 10

Pulmonary Artery Pressure Monitoring is?

Answer 10

A swan cath that measures fluid replacement, cardiac output, pressure in the rt atrium & ventricle, pulmonary artery pressure, and pulmonary capillary pressure. Used to dx lots of cardiac problems

Question 11

How does hypothermia help with cardiogenic shock?

Answer 11

it decreases the bodys temp which decreases brain metabolism. The body doesnt need as much o2

Question 12

Defibrillation vs Cardioversion

Answer 12

Def: dirty; Cardioversion: done by a specialist, shock delivered before t wave

Question 13

Are you awak for a cardioversion?

Answer 13

yes

Question 14

Automatic Implantable Cardioverter Defibrillator (AICD)

Answer 14

programmed to recognize Vtach &vfib & to deliver shock

Question 15

Inplantable Cardioverter Defibillator (ICD)

Answer 15

shocks to restore normal rhythm

Question 16

Things that can mess up a pacemaker

Answer 16

power-generating equipment, weilding equipment, certain dental equipment, Radiation machines for treating cancer, Heavy equipment or motors that have powerful magnets

Question 17

If pacemaker rate is too slow or patient experiences dizziness/syncope what should you do?

Answer 17

call dr

Question 18

Temporary pacemaker

Answer 18

One pad is stuck to you in the front and another in the back. Only used to stabilize you during a crisis or after surgery

Question 19

permanent pacemaker problems

Answer 19

subcutaneous air around tissue where pacemaker is, hiccups (will occur within 24 hrs), Decreased cardiac output (hypotension, chest pain, dyspnea, syncope)

Question 20

Demand heart pacemaker

Answer 20

only functions when you need it to. Teaching : check pulse rate frequently, notify dr of hiccups

Question 21

single lead pacemaker

Answer 21

delivers signal to one chamber of your heart

Question 22

dual chambered pacemaker

Answer 22

delivers signal to two chambers of your heart

Question 23

Adaptive pacemaker

Answer 23

senses need to increase hr. if running for example

Question 24

Biventricular pacemaker, who gets this?

Answer 24

people with heart pump problems or heart failure have these; most serious

Question 25

Right sided heart failure s/s

Answer 25

Ventricles are not squeezing hard enough. JVD, blood back up in right atrium, edema. Treatment: Digoxin

Question 26

Left sided heart failure s/s

Answer 26

Ventricles are not squeezing hard enough.decreased blood perfusion, decreased pulse, dyspnea, crackles in lunges because blood is backing up. Treatment: Digoxin