Final Blueprint Cardiac

Question 1

what is MAP?

Answer 1

Used to assess perfusion pressure

Normal 70-100 mmHg

Indications: poor tissue perfusion

Calculation MAP: SBP + (2xDBP)/3

Question 2

What is important to know about arrhythmias?

Answer 2

Shockable rhythms include V. Fib and pulseless V. Tach, both of these are incompatible with life because there is virtually no cardiac output due to the L ventricle not squeezing efficiently.

Cardiac arrhythmias can impact cardiac output due to the fast or slow rate or the disrupted electrical conduction.

Question 3

What is important to know about Digoxin?

Answer 3

improves contractility

A transthoracic echocardiogram (TTE) MUST be preformed before cardioversion to rule out clots that could be mobilized during shock

Question 4

what is important to know about amiodarone?

Answer 4

class 1A and class III anti-arrhythmic. Given to a patient in Vtach if they HAVE a pulse.

Question 5

what is important to know about atropine?

Answer 5

given as treatment to a patient experiencing sinus bradycardia

Question 6

what is important to know about adenosine?

Answer 6

Provided to a pt experiencing supra-ventricular tachycardia

Will stop cardiacs conduction (flatline the pt), push hard and fast

Question 7

what is important to know about the delivery of adenosine?

Answer 7

When delivering…
Consent
MD present
Defib pads on
Triple stop-clock in place

Question 8

Post-procedure management for a cath?

Answer 8

Looking for bleeding and Hematoma:

Monitor EKG, VS (+apical pulse)

Neuro status

Site where cath was placed

Keep leg/arm straight for at least 4 H

Palpate for pulses

Auscultate for pericardial friction rub

Report CP & SOB

Cap refill, sensation, color distal to cath site

Question 9

What else is important to know about post-procedure management of a cath?

Answer 9

Catheter site is observed for bleeding or hematoma

Temperature and color of the affected extremity are elevated

Dysrhythmias are carefully assessed by observing the cardiac monitor

Bedrest must be maintained for 2-6H after the procedure

Observe for contrast agent induced renal failure

Question 10

what are the CM and complications for pericarditis?

Answer 10

Sharp pain in chest, anxiety, dyspnea, a friction rub, and fever.

Complications that should be reported immediately include cardiac tamponade, low BP, and muffled heart sounds.