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Med surg 2 > Final part 1 > Flashcards

Final part 1 Flashcards

1
Q

How to calculate MAP

what do we need in order to perfuse organs?

A

SBP+2DBP/3

Above 60

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2
Q

What are the two heart dysrhythmias we need to call a code on

A

Ventricular tachy w/o pulse and ventricular fib

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3
Q

What are the complications of MI 7

A

DysR, cardiogenic shock- severe L vent fail, Papillary mm dysfunction, Ventricular aneurism, Acute pericarditis, dresslers- plural effussion with pericarditis

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4
Q

3 signs of sinus bradycardia

A

Confusion, disorientation, SOB

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5
Q

What do we do with vent tachy vs vent fib?

A

Vent tachy- unstable no pulse cpr defib

Vent fib -CPR and defib

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6
Q

What do we like to defib

A

VFib and V tachy

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7
Q

2 Thinks about defib

A

Within 2 mins

and start CPR right away

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8
Q

When do we use Sync? and one thing not to do

A

VT with a pulse or supraventricular tachy aka a fib with rapid vent response
Use on t wave

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9
Q

PR interval

A

time of spread of electrical impulse right before vent contraction

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10
Q

ST segment

A

Time from vent depolarization to repolarization

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11
Q

t wave

A

ventricular repolarization

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12
Q

What is a premature atrial contraction mean and one thing that shows up

A

Location other than SA node distorted p wave

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13
Q

Atrial flutter 2 things

A

saw tooth and cant measure PR interval

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14
Q

A fib

A

Disorganized electrical activity from multiple ectopicfoci

Chaotic waves replace p waves so no p wave

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15
Q

AV block

A

no atrial pulses to vents p wave and qrs have no relationship
cant measure pr

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16
Q

PVC

A

early QRS that are wide and bizzare no p wave with pvc

17
Q

Vent tachy

A

3 or more PVC in a row

18
Q

vent fib

A

Cant measure anything

19
Q

What is ACS 2 and three groups

A

Ischemia that is prolonged and not immediately reversed. It is a coronary art that is part or all the way occluded with thrombus.
UA, STEMI and NSTEMI

20
Q

One thing about chest pain with NSTEMI

A

20 mins or longer

21
Q

s/s of NSTEMI

A

maybe s3 s4 heart fail issues valve dysfunction issues

22
Q

order of management for ACD and what is gold star for diagnostic test

A

12 lead, semi fowler, 02, Nitro asa, morphine, troponin

Angiography

23
Q

how much time on a small box EKG

A

0.20 seconds

24
Q

a flutter vs a fib

A

a flut is saw tooth a fib is no p wave

25
Q

Vent tachy
vent fib
3rd heart block

A

someone looks like they are drawing tall sqiggles
crazy cant make out anything-QRS not measurable
rate less than 40, p no connection to QRS PR not measurable qrs normal to wide

Med surg 2 (18 decks)

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