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Nursing School 7 Med Surg 3 > EKG_Endocrine_Additional Resources > Flashcards

EKG_Endocrine_Additional Resources Flashcards

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1
Q

When does Atrial flutter most often occur

A
  • COPD, CAD, Atrial Septal Defects
  • Tx: Same as Afib
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2
Q

Common characteristic of all hormones is…

A

influence cellular activity of target tissues

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3
Q

AV Block 2nd Degree Type 1 is

A
  • Progressive prolongation of PR until P wave fails to conuct
  • No QRS follows a P wave
  • Usually benign, seen with normal agins
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4
Q

ST depresseion indicates

A

Myocardial ischemia

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5
Q

AV Block 1st Degree characteristics

A
  • PR Inverval above 0.2 seconds (> 1 big square)
  • Atropine for low heart rate
  • Usually benign
  • Delay in AV node
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6
Q

Rhthm strip reveals atrial rate 74 bpm, ventricular rate 62 bpm, and irregular P wave normal shape, PR interval lengthens progressively until P wave is not conducted. Priority Nursing Intervention?

A
  • AV Block Type I
  • Assess: Bradycardia, hypotension, Angina
  • TX: atropine or temporary pacemaker
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7
Q

Name some isotonic solutions

A
  • Lactated Ringers
  • 0.9% NS
  • 5% dextrose in 0.225% saline
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8
Q
A

Av Block Type 2

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9
Q

Sinus Bradycardia treatment

A

requires atropine if symptomatic

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10
Q

Endocrine disorders go unrecognized in older adults because

A

symptoms are attributed to aging

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11
Q

S/Sx Of Hypoglycemia

A
  • shakiness
  • anxiety
  • nervousness
  • diaphoresis
  • palpitations
  • coldness
  • hunger
  • irritability
  • headache
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12
Q

What does stress, illness and infection do to insulin needs

A

increases it

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13
Q

Causes for Ventricular Tachycardia

A

drugs, electroylte, hypotension, ischemia

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14
Q

What can PVC’s lead to?

A

angina, heart fiailure

Assess response to the dysrthmia , hemodynamic status to determine if drug therapy is needed

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15
Q
A

3rd Degree Block

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16
Q

Post Op Parathryoidectomy

A

hypocalcemia is life threatening risk, HOB elevated

17
Q

Only treatment to asystole

A

epinephrine and atropine (no response to defribrillation)

18
Q

PR Interval should be no greater than

A

0.20 seconds

19
Q

What happens to renal tubules when ADH is released

A

reabsorb water, causes urine to be more concentrated

20
Q
A

supraventricular tachycardia

21
Q

Where do PVC’s orginiate

A

focus in the ventricles

22
Q

What test is used to determinue poluria is diabetes insipidus

A

Water Deprivation Test

23
Q

What is a major characteristics of ventricular fibrillation

A

pulseless, initiate code

24
Q
A

AV Block Type 1

25
Q

2nd Degree Block Type II

A
  • Normal EKG, sudden Drop in QRS
  • Block in His thru Purkinje sys, ischemia
  • Implantable pacemaker
26
Q
A

First Degree AV Block

27
Q

S/Sx of Hyperglycemia

A
  • polyphagia
  • polydipsia
  • polyuria
  • fatigue
  • dry mouth
  • pruiritus
  • headache
  • nausea/vomiting
  • blurred vision
28
Q

All cells in the body have intracellular receptors for

A

thyroid hormone

29
Q

What is Supraventricular Tachycardia

A
  • coduction signal loops and reenters atrium
  • HR > 140 bpm
  • Tx: Adenosine IV push
  • Narrow QRS
  • Atrial Tachycardia
30
Q

The patient has hypokalemia, and the nurse obtains the following measurements on the rhythm strip: Heart rate of 86 with a regular rhythm; the P wave is 0.06 seconds (sec) and normal shape; the PR interval is 0.24 sec; the QRS is 0.09 sec. How should the nurse document this rhythm?

A

First Degree Av Block

31
Q

Name some hypertonic solution

A
  • 10% dextrose + Water
  • 5% dextrose + 0.9% saline
  • 5% destrose + 0.45% saline
32
Q

3rd Degree AV Block

A
  • Irreversible damage to AV node following a MI
  • P-P length does not equal R-R length
  • Requires pacemaker
33
Q

Risks with Premature Ventricular Contraction

A

may progress to Vetach and Vfib

Nursing School 7 Med Surg 3 (2 decks)

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