EKG_Endocrine_Additional Resources

Question 1

When does Atrial flutter most often occur

Answer 1

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

Question 2

Common characteristic of all hormones is…

Answer 2

influence cellular activity of target tissues

Question 3

AV Block 2nd Degree Type 1 is

Answer 3

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

Question 4

ST depresseion indicates

Answer 4

Myocardial ischemia

Question 5

AV Block 1st Degree characteristics

Answer 5

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

Question 6

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?

Answer 6

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

Question 7

Name some isotonic solutions

Answer 7

• Lactated Ringers
• 0.9% NS
• 5% dextrose in 0.225% saline

Question 8

Answer 8

Av Block Type 2

Question 9

Sinus Bradycardia treatment

Answer 9

requires atropine if symptomatic

Question 10

Endocrine disorders go unrecognized in older adults because

Answer 10

symptoms are attributed to aging

Question 11

S/Sx Of Hypoglycemia

Answer 11

• shakiness
• anxiety
• nervousness
• diaphoresis
• palpitations
• coldness
• hunger
• irritability
• headache

Question 12

What does stress, illness and infection do to insulin needs

Answer 12

increases it

Question 13

Causes for Ventricular Tachycardia

Answer 13

drugs, electroylte, hypotension, ischemia

Question 14

What can PVC’s lead to?

Answer 14

angina, heart fiailure

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

Question 15

Answer 15

3rd Degree Block

Question 16

Post Op Parathryoidectomy

Answer 16

hypocalcemia is life threatening risk, HOB elevated

Question 17

Only treatment to asystole

Answer 17

epinephrine and atropine (no response to defribrillation)

Question 18

PR Interval should be no greater than

Answer 18

0.20 seconds

Question 19

What happens to renal tubules when ADH is released

Answer 19

reabsorb water, causes urine to be more concentrated

Question 20

Answer 20

supraventricular tachycardia

Question 21

Where do PVC’s orginiate

Answer 21

focus in the ventricles

Question 22

What test is used to determinue poluria is diabetes insipidus

Answer 22

Water Deprivation Test

Question 23

What is a major characteristics of ventricular fibrillation

Answer 23

pulseless, initiate code

Question 24

Answer 24

AV Block Type 1

Question 25

2nd Degree Block Type II

Answer 25

* Normal EKG, *sudden Drop in QRS* * Block in His thru Purkinje sys, *ischemia* * *Implantable pacemaker*

Question 26

Answer 26

First Degree AV Block

Question 27

S/Sx of Hyperglycemia

Answer 27

* polyphagia * polydipsia * polyuria * fatigue * dry mouth * pruiritus * headache * nausea/vomiting * blurred vision

Question 28

All cells in the body have intracellular receptors for

Answer 28

thyroid hormone

Question 29

What is Supraventricular Tachycardia

Answer 29

* coduction signal loops and reenters atrium * HR \> 140 bpm * Tx: Adenosine IV push * Narrow QRS * Atrial Tachycardia

Question 30

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?

Answer 30

First Degree Av Block

Question 31

Name some hypertonic solution

Answer 31

* 10% dextrose + Water * 5% dextrose + 0.9% saline * 5% destrose + 0.45% saline

Question 32

3rd Degree AV Block

Answer 32

* Irreversible damage to AV node following a MI * P-P length does not equal R-R length * Requires *pacemaker*

Question 33

Risks with Premature Ventricular Contraction

Answer 33

may progress to Vetach and Vfib