Review three- CARDIAC Flashcards
ccbs are like ___ for your heart
valium
ccbs calm/___ the ___
calm/depress the heart
ccbs are NOT used for ___ and ___
bradycardia or stimulation
ccbs are tx for (a,aa,aaa)
anthyprtensives antanginals anti-atrial arrythmia (a flutter, afib, premature atrial contractions) SVT ATRIUM ONLY
ccb side effects
headache, hypotension
when choosing se on a sata ___ is usually a good guess
headache
ccbs end in
dipine
“dipping in the calcium channel”
& varapamil, cardizem
what should you assess prior to administering a ccb
assess BP
hold if under 100 systolic
vfib is
no pattern; random
vtac is
sharp peaks
asystole
no rhythm
QRS depolarization means
ventricular issue
pwave is
atrial
no qrs
asystole
saw tooth pattern
a flutter
chaotic pattern
fibrilations
bizarre pattern
tachy
periodic wide qrs
pvcs
when you dont know how fast an iv push should be admin choose
slowly
pvcs are usually __ priority
low
pvcs are moderate priority if
- more than 6/min
- more than 6 in a row
- falls on t wave of previous beat
svt or atrial arrhythmia drugs (abcd)
Adenocard
Beta Blockers
CCBs
Digitalis
lethal arrhythmias
asystole or vfib; no cardiac output/brain perfusion
potentially life threatening arrhythmia
vtach
tx pvcs and vtach w
lidocaine or amiodarone
adenocard=
adenosine
beta blockers end in
lol
digitalis=
digoxin/lanoxin
bb contraindication
asthma
bb se
headache, hypotension
if the patient has vfib you
dfib!
asystole tx
- epi
2. atropine
chest tube purpose
reestablish neg pressure in pleural space
pneumothorax chest tube removes
air
hemothorax chest tube removes
blood
chest tube report to dr asap if
no bubbles
drain 800ml or more in first 10hrs
no draining
intermit. bubbling
apical tube location removes
air
basilar tube location removes
blood
always assume chesttube is __ unless specified
unilateral
pneumonectomy does not require a
chest tube
if the pneumovac gets knocked over the patient should take
deep breathes
what should the nurse do if the waterseal on a chest tube breaks
clamp so no air gets in, cut it, place tube in sterile water, unclamp
what should the nurse do if a chest tube is pulled out
first gloved hand cover hole
best cover with vaseline gauze
intermittent bubbling in water seal is
good; document
continuous bubbling in water seal is
bad; theres a leak, tape it
intermittent bubbling in suction control chamber is
bad; not enough suction
continuous bubbling in suction control chamber is
good; document
a straight cath is to a foley as thoracentisis is to a
chest tube (increased rx for infection)
dont clamp a chest tube for longer than ___ sec w/out a dr order
15 sec
congenital heart defects think
T if it starts w a T its trouble Right to left bloodflow O U Blue/cyanotic L E
all congenital heart defects that start w T are
trouble!
all congenital heart defect pts will have
- a murmur
2. have an echo done
4 defects of tetralogy of fallow
"Varied pictures of a ranch" VarieD PictureS Of A RancH VD- ventricular defect PS- pulm. stenosis OA- overriding aorta RH- right hypertrophy
contact precautions are
anything enteric; fecal oral, staph, RSV, herpes
droplet precautions are
travel 3ft on particles; meninigitis, hflu
hflu causes
epiglottitis
airborne precautions
mmr, tb, chickenpox
hepatitis anything w a vowel comes from the bowel
hep a&e
contact precautions ppe
gloves, gown, handwashing, disposable supplies
droplet precautions ppe
mask, gloves, handwashing, pt must wear mask when leaving room, disposable supplies
airborne precaution ppe
mask, gloves, handwashing, pt mask, neg airflow room
PPE removal is in
alphabetical order;
gloves, goggles, gown, mask
PPE application reverse alphabetical except for mask is second
gown, mask, goggles, gloves
IV drip rate equation
volume x gtt factor/ time (min)
micro/mini gtt
60ggt/ml
macro gtt
10gtt/ml