MedSurg Final

Question 0

Ekg

Answer 0

P wave- Atria contracting
QRS- Ventricles contracting
T-ventricle re polarization

Question 1

Conduction system

Answer 1

SA node➡️AV node➡️Bundle of HIS➡️Perkinje fibers

Question 2

Cardiac Enzymes

Answer 2

Triponin 1- The best <0.35

⬆️2 to 6 hours post M.I again at 60-80hrs post M.I

Question 3

PT/INR

Answer 3

PT-10-14 sec

INR-1.0-1.3

Critical PT>30sec
INR-4 to 5

Question 4

Heparin antidote

Answer 4

Protamine Sulfate

Question 5

Coumadin antidote

Answer 5

Vitamin K

Question 6

Pernicious Anemia (Cobalamin defic)

Answer 6

A decrease in RBC when the body can’t absorb enough vb12 . Lack of intrinsic factor.
Tx-iv or IM VB12. Dietary increase does not help.
S/S red beefy tongue, parathesia

Question 7

Circulating Nurse

Answer 7

Preps skin for sx
Documentation
Double checks the count

Question 8

Thalassemia

Answer 8

Genetic
Hemolysis
Abnormal hb synthesis
Minor-Moderate anemia, splenomegaly, mild jaundice
Major-can cause phys and mental growth issues . Seen as a child

Question 9

Schilling test

Answer 9

Determines b12 deficiency

Question 10

Aplastic anemia

Answer 10

Low incidence
Pancytopenia
Hypo cellular bone marrow fatigue dyspnea
Tx bm transplant

Question 11

Sickle cell disease

Answer 11

Inherited

Sickling episodes pain swelling pallor of mucous membranes fatigue . Prone to infection

Question 12

Hemophilia

Answer 12

Genetic sex linked male. Test for missing factors

Question 13

Hodgkins

Answer 13

Cervical lymp enlarged. Alcohol induced pain. Stage 1-4 reed sternberg